This narrative review examines literature informing policy and laws relevant to the health and well-being of lesbian, gay, bisexual, transgender, and queer (LGBTQ+) adult populations. Empirical factors related to structural stigma, specifically policy and law, were examined. Empirical studies examining structural stigma and health-related outcomes in LGBTQ+ populations have proliferated since the publication of the Institute of Medicine's The Health of Lesbian, Gay, Bisexual and Transgender People (2010) and Hatzenbuehler's theoretical work on stigma-related influences on LGBTQ+ health. Databases were searched using a priori terms. Over 2,100 articles were identified that included original data from the United States since 2010. Studies identified for inclusion (n = 78) were roughly evenly split according to whether results related to the influence of federal-, state-, or local-level policies on LGBTQ+ adults’ health. Policy recommendations center around the expansion of anti-discrimination law and policy, abolishment of law and policy that restricts access and rights of LGBTQ+ adults, supplemental training in relevant cultural competencies, and the provision of additional resources for vulnerable subpopulations of LGBTQ+ adults.

中文翻译：

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促进美国性少数和性别少数群体健康和福祉的政策建议

这篇叙述性评论审查了与女同性恋、男同性恋、双性恋、变性人和酷儿 (LGBTQ+) 成年人口的健康和福祉相关的政策和法律文献。研究了与结构性污名相关的经验因素，特别是政策和法律。自从医学研究所的女同性恋、男同性恋、双性恋和变性人的健康(2010) 和 Hatzenbuehler 关于污名对 LGBTQ+ 健康的影响的理论工作发表以来，检验 LGBTQ+ 人群结构性污名和健康相关结果的实证研究激增。使用先验术语搜索数据库。确定了 2,100 多篇文章，其中包含自 2010 年以来来自美国的原始数据。确定纳入的研究 ( n= 78) 根据结果是否与联邦、州或地方级政策对 LGBTQ+ 成年人健康的影响相关，大致平均分配。政策建议围绕扩大反歧视法律和政策、废除限制 LGBTQ+ 成年人获取和权利的法律和政策、相关文化能力的补充培训以及为 LGBTQ+ 成年人的弱势亚群提供额外资源。