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Brighton & Sussex Medical School

GPPS

GPPS

Trends in sexuality and health outcomes using The General Practice Patient Survey (GPPS) Data

BACKGROUND IMAGE FOR PANEL

About the project

When compared to other protected characteristics under the Equality Act 2010, there is a lack of data on sexual orientation as a determinant of health, which may stem from ongoing discrimination and stigma against these marginalised groups. Disparities have been shown to exist in a wide range of social conditions, including health and healthcare experiences. The General Practice Patient Survey (GPPS) is a national cross-sectional survey that proportionally samples approximately 1% of the adult English population annually. It contains anonymous data on sexual orientation in accordance with the information standard, and information on health outcomes, perceived health and healthcare experiences.

We have used these data to report on sexual orientation trends over time, demonstrating a year on year decline in the proportions of people identifying as heterosexual, whilst also reporting the worse health outcomes among people identifying as bisexual. This work is part of broader research on hetero- and cis-normative healthcare environments and impact on health.

BACKGROUND IMAGE FOR PANEL

Related outputs

Cross, H, Bremner, S, Meads, C, Pollard, A, Llewellyn, C(2023) Bisexual people experience worse health outcomes in England: Evidence from a cross-sectional survey in primary care.  Journal of Sex Research  http://doi 10.1080/00224499.2023.2220680

Cross, H & Llewellyn CD (2020) A decline in patient disclosure of heterosexuality in the English General Practice Patient Survey (GPPS): a longitudinal analysis of cross-sectional data Family Practice 37 (5) 661-667. https://doi.org/10.1093/fampra/cmaa033

Pollard A, Bradley J, Cooper M, Sadhwani S, Northam A, Llewellyn C (2019). The NHS England Fundamental Information Standard for Monitoring Sexual Orientation: Debate & Analysis.  The British Journal of General Practice 69 (679) 94-95. https://doi.org/10.3399/bjgp19X701213

BrooksH, LlewellynCD, NadarzynskiT, Castilho PellosoF, De Souza GuilhermeF, PollardA JonesCJ. (2018) Sexual orientation disclosure in healthcare: A systematic review.  British Journal of General Practice 68 (688) 187-196.  https://doi.org/10.3399/bjgp18X694841