2019g-477 bisexuality deliveryofhealthcare dementia disease fitness gays gaystudies genderidentity gendernonconformity genderstudies health healthandhygiene healthcaredisparities healthcareissues healthissues healthservices homosexuality lgbtstudies medicalcare mentalhealthservices minorityhealth oldersexualminorities patients psychology sexualandgenderminorities sexualbehavior sexualminorities socialenvironment socialscience transgenderpeople transgenderpersons transsexualism wa300 wm220 wm617