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Kenneth H. Mayer, MD, Judith B. Bradford, PhD, Harvey J. Makadon, MD, Ron Stall, PhD, MPH, Hilary Goldhammer, MS and Stewart Landers, JD, MCP

Kenneth H. Mayer, Judith B. Bradford, Harvey J. Makadon, and Hilary Goldhammer are with the Fenway Institute, Boston, MA. Kenneth H. Mayer is also with Miriam Hospital, Providence, RI. Judith B. Bradford is also with Virginia Commonwealth University, Richmond. Harvey J. Makadon is also with the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA. Ron Stall is with the Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Stewart Landers is with John Snow, Inc, Boston, and the Massachusetts Department of Public Health, Boston.

Correspondence: Requests for reprints should be sent to Kenneth Mayer, MD, Infectious Diseases Division, The Miriam Hospital, 164 Summit Avenue, Providence, RI 02906 (e-mail: kenneth_mayer{at}brown.edu).

We describe the emergence of lesbian, gay, bisexual, and transgender (LGBT) health as a key area of study and practice for clinicians and public health professionals. We discuss the specific needs of LGBT populations on the basis of the most recent epidemiological and clinical investigations, methods for defining and measuring LGBT populations, and the barriers they face in obtaining appropriate care and services. We then discuss how clinicians and public health professionals can improve research methods, clinical outcomes, and service delivery for lesbian, gay, bisexual, and transgender people.

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