Dustin Nowaskie ^1* Olwen Menez ²

• ¹ Keck School of Medicine, University of Southern California, Los Angeles, United States
• ² Indiana University School of Medicine, Evansville, Indiana, United States

Introduction: Lesbian, gay, bisexual, transgender, queer, and all sexually and gender diverse (LGBTQ+) people experience discrimination across many contexts, including healthcare environments. While some research has shown transgender people and nonbinary people often endure higher rates of marginalization than cisgender, sexually diverse people, past data are limited. Methods: A sample of LGBTQ+ people (N = 173) in the United States completed an anonymous, online, self-reported survey, which included the Consumer Assessment of Healthcare Providers and Systems and healthcare experience questions. Groups, including people who identified as cisgender, sexually diverse (n = 116), transgender (n = 24), and nonbinary (n = 33), were compared using chi-square and multivariate analysis of covariance tests. Results: Compared to cisgender, sexually diverse people, nonbinary people were less likely to report feeling comfortable with a physical exam, having good mental health, respected by providers, that providers had adequate medical information, that providers could care for someone going through gender affirmation, and that hospital staff were comfortable interacting with them. Additionally, nonbinary people were more likely to report hospital staff misgendering them. Discussion: These unique LGBTQ+ subgroup differences may be secondary to identityspecific stigma that nonbinary people face. More international studies are needed to elucidate these subgroup-specific healthcare experiences across LGBTQ+ identities.