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<p>This scoping review synthesises and compiles the modern evidence of how social stigma and discrimination affect the health seeking behaviour of the LGBTQ+ communities in the Indian setting. The typologies, intensities, mechanisms of stigma, and its resultant health implications were systematically reviewed to chart the evidence from quantitative and qualitative research published between 2000 and 2024. The review has found steady relationships between culturally, legally, and religiously endorsed stigma and poor physical and mental health, increased substance-use practices, limited access to health services, and increased susceptibility to HIV infection among LGBTQ+ people. Notably, intersectional stigma, which occurs where oppressed groups on the foundations of gender, sexuality, caste, class, or religion is crossed, increases inequity in health. Coping mechanisms, such as concealment and avoidance, often worsen these predicaments, but more supportive settings soften their adverse effects. These results highlight another alarming need to achieve policies, service delivery, and the social infrastructure overall through rights-based and inclusive changes to protect the health and dignity of LGBTQ+ individuals in India.</p>

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Exploring the impact of social stigma and discrimination on the health of LGBTQ+ communities in India- A scoping review

  • 期刊论文

  • 发表日期：

    2026年4月20日

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  • Deepiga Gnanadass,
  • Sendilkumar Balasundaram,
  • Priyanka Krishnamoorthy,
  • Tamilchudar Raju,
  • Niranjan Muralikrishnan

摘要

This scoping review synthesises and compiles the modern evidence of how social stigma and discrimination affect the health seeking behaviour of the LGBTQ+ communities in the Indian setting. The typologies, intensities, mechanisms of stigma, and its resultant health implications were systematically reviewed to chart the evidence from quantitative and qualitative research published between 2000 and 2024. The review has found steady relationships between culturally, legally, and religiously endorsed stigma and poor physical and mental health, increased substance-use practices, limited access to health services, and increased susceptibility to HIV infection among LGBTQ+ people. Notably, intersectional stigma, which occurs where oppressed groups on the foundations of gender, sexuality, caste, class, or religion is crossed, increases inequity in health. Coping mechanisms, such as concealment and avoidance, often worsen these predicaments, but more supportive settings soften their adverse effects. These results highlight another alarming need to achieve policies, service delivery, and the social infrastructure overall through rights-based and inclusive changes to protect the health and dignity of LGBTQ+ individuals in India.