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June 13, 2026EClinicalMedicineOpen Access

Primary care experiences at the intersection of sexual minority status and long-term mental health conditions in England: a cross-sectional analysis using the English General Practice Patient Survey

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Authors

AGArthur Gomes-MendesSMSally McManusEVEls van der Ven

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Overview

Cross-sectional analysis reveals primary care disparities for sexual minorities with mental health conditions, suggesting the need for tailored services.

Key Points

  • To explore the healthcare experiences of sexual minorities with long-term mental health conditions in England.
  • Analyzed data from 1,277,383 respondents to the English General Practice Patient Survey (2022-23) using survey-weighted logistic regressions.
  • Sexual orientation and long-term mental health conditions were fully interacted to estimate adjusted predicted probabilities across six experience indicators.
  • Sexual minorities with long-term mental health conditions reported only 89.8% satisfaction with involvement in care decisions, the lowest of all groups.
  • Recognition of mental health needs was reported at 81.7%, and overall needs met was reported at 91.3% for this population.
  • Interaction effects indicated moderately positive primary care experiences compared to other groups, highlighting both disadvantage and relative protection.

Cite This Study

Gomes-Mendes et al. (2026) studied this question.

synapsesocial.com/papers/6a2cf688faef96ed7f058417https://doi.org/10.1016/j.eclinm.2026.104016
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Disparities in positive mental health of sexual and gender minority adults in Canada2024 · 1 citations
  2. 2Experience of LGBTQs with Mental Health Care Practitioners of India: A Cross-sectional Study2026 · 1 citations
  3. 3Sexual minority representation and recruitment success across medical specialities in the United Kingdom: a longitudinal analysis of NHS England data (2021–2024)2026
  4. 4Mental health and sexual identity inequalities in individuals with past experiences of homelessness: findings from a nationally representative survey.2026
  5. 5Ethnic inequalities in primary care for people with multiple long-term conditions: evidence from the General Practice Patient Survey2024