. Author manuscript; available in PMC: 2021 Nov 10.

Published in final edited form as: Circulation. 2020 Oct 8;142(19):e321–e332. doi: 10.1161/CIR.0000000000000914

Table 2.

Suggestions for Research and Clinical Practice with LGBTQ Adults

Cardiovascular Research	Clinical Practice
• Develop standardized sexual orientation and gender identity measures and integrate these in current and future NIH-funded cardiovascular prospective cohort studies to allow for data harmonization • Integrate biobehavioral measures into cardiovascular research with LGBTQ populations • Leverage electronic health record data to increase understanding of LGBTQ cardiovascular health • Partner with LGBTQ communities for measurement development, study design and conduct, and research dissemination to ensure research reflects the needs of LGBTQ adults, especially stigmatized groups • Develop and test multi-level interventions for cardiovascular risk reduction in LGBTQ adults • Examine social and clinical determinants of cardiovascular health in LGBTQ adults • Characterize the role of resilience in buffering the cardiovascular effects of stress in LGBTQ people	• Ensure collection of sexual orientation and gender identity data in electronic health records through providing clinicians with training on LGBTQ health disparities and the proper assessment of sexual orientation and gender identity in healthcare settings • Incorporate LGBTQ content in the curricula of health professions schools and post-graduate training • Require continuing education on LGBTQ health for all practicing clinicians that includes content on cardiovascular health disparities

Cardiovascular Research

Clinical Practice

• Develop standardized sexual orientation and gender identity measures and integrate these in current and future NIH-funded cardiovascular prospective cohort studies to allow for data harmonization
• Integrate biobehavioral measures into cardiovascular research with LGBTQ populations
• Leverage electronic health record data to increase understanding of LGBTQ cardiovascular health
• Partner with LGBTQ communities for measurement development, study design and conduct, and research dissemination to ensure research reflects the needs of LGBTQ adults, especially stigmatized groups
• Develop and test multi-level interventions for cardiovascular risk reduction in LGBTQ adults
• Examine social and clinical determinants of cardiovascular health in LGBTQ adults
• Characterize the role of resilience in buffering the cardiovascular effects of stress in LGBTQ people

• Ensure collection of sexual orientation and gender identity data in electronic health records through providing clinicians with training on LGBTQ health disparities and the proper assessment of sexual orientation and gender identity in healthcare settings
• Incorporate LGBTQ content in the curricula of health professions schools and post-graduate training
• Require continuing education on LGBTQ health for all practicing clinicians that includes content on cardiovascular health disparities