Lesbian, Gay, Bisexual and Transgender LGBT+ (health and wellbeing needs in South Tyneside)

The public health outcomes framework measurement of progress is through a set of public health indicators which cover a wide range of areas and are grouped under four 'domains':

Domain One: Improving the wider determinants of Health

LGBT+ individuals often experience discrimination and marginalisation that impacts on wider factors such as education, housing and perceptions and experiences of crime and violence, meaning that these groups experience specific health inequalities as a result.

Domain Two: Health Improvement

Local and national research and needs assessments of LGBT+ communities have repeatedly demonstrated higher levels of health risk behaviours, such as smoking and drug and alcohol use, as well as higher levels of self-harm. LGBT+ people are less likely to engage with health interventions and screening programmes, and gender-specific screening can present particular challenges for trans and non-gendered individuals. LGBT+ communities therefore have higher levels of need for intervention and targeted support related to these indicators.

Domain Three: Health Protection

These indicators focus on protecting the population's health from major incidents, and other threats, while reducing health inequalities there are some areas which particularly affect LGBT+ people. There is a lack of evidence on LGBT+ communities in relation to many of the indicators in this domain, yet the available evidence indicates that LGBT+ people may be experiencing health inequalities in relation to health protection.

Domain Four: Healthcare public health preventing premature mortality

Evidence indicates that LGBT+ communities are more likely to be experiencing health inequalities in relation to public health areas and preventing premature mortality. The higher prevalence of smoking, alcohol use and drug use, and lower uptake of screening programmes are likely to contribute to increased risk of preventable ill health. There is also a significant body of evidence demonstrating high rates of suicide attempts.