Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ) Youth

​Youth who are gay, bisexual, transgender or questioning are an important population with unique healthcare needs, as they may experience significant health disparities in mental health, substance use, and sexually transmitted infections. Providers should implement a teen-friendly practice that accommodates patients of different backgrounds and orientations as they move through adolescence. Sexually active LGBTQ youth are typically resilient and can emerge from adolescence as healthy adults. However, the presence of stigma from homophobia and heterosexism can lead to psychological distress, which may contribute to an increase in risky behaviors.

The resources below provide guidance on the specific needs of LGBTQ youth and how to optimize the care this population of adolescents receives.

AAP Clinical Guidance for Providers

Bright Futures: Office-based care of lesbian, gay, bisexual, transgender, and questioning youth: This Policy Statement and Technical Report provides guidance on specific healthcare needs and how to provide optimal care for the LGBTQ population.

Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents: This new policy statement reviews relevant concepts and challenges and provides suggestions for pediatric providers aimed at promoting the health and positive development of transgender and gender-diverse youth while eliminating discrimination and stigma.

AAP: The AAP has a health initiatives page that contains information and resources for this population. 

Section on LGBT Health and Wellness: This section of the AAP offers educational opportunities and resources to support providers in caring for this population of youth. 

CDC Resources LGBT Health: Data, resources, and guidance on providing health for this population of adolescents is included on this site. 


Gender Identity: Models a conversation with an adolescent who prefers to be called Alex instead of Sarah

Caring for LGBTQ Youth: Models a conversation with an adolescent who discloses she is a lesbian

Other helpful resources for providers, adolescents/young adults, and families 

Healthy Children: The AAP’s public facing Web site provides information to support LGBT youth and their families.

Adolescent Reproductive and Sexual Health Education Program: As part of the Physicians for Reproductive Health resources, this program developed a PowerPoint training focused on providing optimal care for LGBT youth. 

Institute for Sexual and Gender Minority Health and Wellbeing: Additional training and support materials for caring for the LGBTQ adolescent is offered by this group. Some of their recommended websites include: 

Gay and Lesbian Medical Association: This organization provides information and resources to support the equity of healthcare for lesbian, gay, bisexual and transgender (LGBT) individuals and healthcare providers.

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