Health needs of the Lesbian, Gay and Bisexual community extend beyond sexual health

Health promotion within LGB populations is almost solely confined to HIV prevention needs of men. However, research (primarily from the US) suggests LGB individuals experience inequalities in mental and physical health compared to heterosexuals. This research aimed to assess the wider health needs of the LGB population of the West Midlands, UK, via self-report questionnaires. 1532 LGB individuals participated. There was a high level of smoking, alcohol and substance use, engagement in sexual risk behaviours, and mental health problems (depression, self-harm and suicide attempts), and low use of screening/vaccination services. Whilst it is important to address sexual risk behaviours directly, it is necessary to consider the broader context of the physical, mental and sexual health of LGB populations in health promotion.