Equitable access to health care is a major issue in the United States of America. For young adults and adolescents who identify as being part of the lesbian, gay, bisexual, transgender, queer or questioning their gender, intersex, asexual, and other identities (LGBTQIA+) community, accessing gender-affirming care can be challenging in states with unsupportive legislation. Analysis of current legislation and state funding for South Carolina has focused on providing health care to vulnerable populations, while legally prohibiting gender-affirming care to the LGBTQIA+ community. Health care access issues faced by the LGBTQIA+ community in southeastern states such as South Carolina are exacerbated by recent legislative policies that restrict care and punish providers. The lack of access to care for this marginalized population in the restrictive southeastern region of the United States, legislation exacerbating the health care disparities, and recommendations from national health care organizations on how to bridge the gap in care are reviewed.

Keywords: LGBTQIA+; South Carolina; access to health care; equitable health care; health policy.

Copyright © 2025 Association of Nurses in AIDS Care.

在美国，医疗保健的公平获取是一个重大问题。对于那些自认为属于女同性恋、男同性恋、双性恋、跨性别者、酷儿或正在探索自己性别身份（LGBTQIA+）的年轻人和青少年来说，在立法不支持性别确认护理的州中获得此类护理可能会面临挑战。对南卡罗来纳州现行立法和州资金进行分析的重点是为弱势群体提供医疗保健，同时从法律上禁止向 LGBTQIA+ 社区提供性别确认护理。东南部各州（如南卡罗来纳州）的 LGBTQIA+ 社区在获取医疗保健方面所面临的挑战因近期限制性立法政策而加剧，这些政策不仅限制了护理服务还惩罚了相关医疗服务提供者。本文审查了美国南部受限地区边缘化群体（特别是 LGBTQIA+ 群体）难以获得护理的问题、法律如何进一步扩大医疗保健差距以及国家医疗保健组织提出的相关建议。

关键词：LGBTQIA+；南卡罗来纳州；获取医疗服务；公平的医疗保健；卫生政策。

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