LGBTQIA+ young people from culturally and linguistically diverse backgrounds may face overlapping pressures which can increase isolation and deter them from seeking care.
Western Sydney University medical student Swetha Kumar has been researching some of the issues these patients can face. They include racism in some LGBTQIA+ spaces, fear of rejection from family, cultural or faith communities, language barriers, settlement stress and unfamiliar health systems.
Some may also see family doctors/local GPs as too close to their family or community, heightening concerns about judgement, confidentiality and autonomy.
GPs can build trust by letting young people lead, asking open questions, avoiding assumptions, using LGBTQIA+ language comfortably and not pressuring disclosure. You need to recognise some may rely on privacy to protect relationships, housing, safety or belonging.
Explain confidentiality, including limits; check which names/pronouns are safe at home and at the clinic; offer longer appointments, professional interpreters and culturally safe, LGBTQIA+-affirming referrals to support wellbeing.
LGBTQIA+ inclusive care resources
The following resources may help general practices strengthen inclusive and culturally safe care:
GPSA Practical Guide to LGBTQIA+ Inclusive Care in General Practice
Inclusive communication with LGBTIQA+ clients
Culturally and linguistically diverse communication
Medical Curriculum Guide for LGBTQIASB+ Health
Directory of LGBTQIA+ multicultural community groups and services