title: 'I demand to be treated as the person I am': experiences of accessing primary health care for Australian adults who identify as gay, lesbian, bisexual, transgender or queer.
abstract: Background Individuals who identify as gay, lesbian, bisexual, transgender or queer (GLBTQ) suffer higher rates of illness and morbidity compared with the general population but may experience significant barriers to accessing primary health care.
  
  
  METHODS
  We used an online questionnaire to explore GLBTQ adults' experiences of accessing primary health care in Australia. We developed the questionnaire in consultation with individuals who belonged to or worked closely with the GLBTQ community. Questions were open-ended and sought information about four topic areas: sexual identity and its meaning, utilisation of primary health care services, disclosure of sexual identity to primary care providers and experiences of accessing primary health care. Data were analysed by coding free-text responses into themes.
  
  
  RESULTS
  Ninety-nine valid responses were received. Participants were 18-60+ years old (modal age group: 20-29 years); 70% lived in cities. Of these, 49% identified as gay, 35% as lesbian, 13% as bisexual, 8% as queer and 3% as transgender. Some participants indicated more than one identity. GLBTQ-identifying adults often divided care, seeking different primary care services for different health concerns. Themes in relation to disclosure of sexual identity were: taking a rights-based position, experiences of homophobia and clinical context. Themes about access to primary health care were: diversity and heterogeneity, real or perceived discrimination, visual symbols and respect.
  
  
  CONCLUSIONS
  Despite diversity, GLBTQ adults experience many barriers to accessing health care due to sexual identity. General practitioners and other primary health care providers have a role in ensuring equitable access to health care.
authors.affiliation: Department of General Practice, Sydney Medical School Westmead, The University of Sydney, PO Box 154, Westmead, NSW 2145, Australia.
authors.forename: Chee S
authors.initials: CS
authors.lastname: Koh
authors.affiliation: Department of General Practice, Sydney Medical School Westmead, The University of Sydney, PO Box 154, Westmead, NSW 2145, Australia.
authors.forename: Melissa
authors.initials: M
authors.lastname: Kang
authors.affiliation: Department of General Practice, Sydney Medical School Westmead, The University of Sydney, PO Box 154, Westmead, NSW 2145, Australia.
authors.forename: Tim
authors.initials: T
authors.lastname: Usherwood