Key Takeaways
- In the United States, 7.1% of adults identify as lesbian, gay, or bisexual according to the 2022 National Health Interview Survey (NHIS)
- Globally, approximately 3-16% of people experience same-sex attraction based on meta-analysis of 215 studies across 28 nations published in Archives of Sexual Behavior
- In the UK, 3.2% of adults aged 16+ identified as LGB in the 2021 Annual Population Survey, up from 2.7% in 2020
- Gay men have 2-3 times higher rates of depression than heterosexual men per 2020 CDC BRFSS data analysis
- Lesbian and bisexual women report 2.5 times higher suicide attempt rates (18.2%) vs heterosexual women (4.3%) per 2019 CDC Youth Risk Behavior Survey
- 40% of U.S. transgender adults have attempted suicide per 2015 National Transgender Survey (n=27,715)
- U.S. MSM HIV prevalence: 13% among gay/bisexual men vs 0.2% general population per 2021 CDC HIV Surveillance Report
- PrEP coverage among U.S. MSM: only 25% of those needing it per 2022 CDC National HIV Prevention Conference data
- Globally, MSM account for 23% of new HIV infections despite being 2% of population per 2022 UNAIDS report
- U.S. support for same-sex marriage: 71% in 2023 Gallup poll (up from 27% in 1996)
- Worldwide, 58 countries criminalize homosexuality as of 2023 ILGA report
- U.S. adults viewing homosexuality as morally acceptable: 64% per 2023 Gallup annual values survey
- U.S. 33 states have passed pro-LGBTQ+ non-discrimination laws as of 2023 per Movement Advancement Project
- 37 countries have legalized same-sex marriage as of 2024 per ILGA World
- U.S. Obergefell v. Hodges (2015) legalized gay marriage nationwide, with 71% public support by 2023
Despite some progress, global LGBTQ+ individuals face higher health risks and discrimination.
Demographics and Prevalence
- In the United States, 7.1% of adults identify as lesbian, gay, or bisexual according to the 2022 National Health Interview Survey (NHIS)
- Globally, approximately 3-16% of people experience same-sex attraction based on meta-analysis of 215 studies across 28 nations published in Archives of Sexual Behavior
- In the UK, 3.2% of adults aged 16+ identified as LGB in the 2021 Annual Population Survey, up from 2.7% in 2020
- Among U.S. Gen Z adults (18-25), 19.7% identify as LGBTQ+ per Gallup's 2022 poll of over 12,000 adults
- In Brazil, 9.3% of the population self-identifies as homosexual or bisexual according to the 2019 Brazilian Institute of Geography and Statistics survey
- 2.5% of Australian adults identify as gay, lesbian, or bisexual per the 2021-22 National Study of Mental Health and Wellbeing
- In Canada, 4.0% of the population aged 15+ identified as LGBQ+ in the 2021 Census
- South Korea reports 2.1% of adults identifying as homosexual per 2021 Gallup Korea survey of 1,500 respondents
- In India, 2.2% of urban respondents reported same-sex attraction in the 2018 National AIDS Control Organization survey
- France sees 4.2% of 18-69 year-olds identifying as homosexual or bisexual per 2019 IFOP survey for Fondation Jean Jaurès
- In the EU, 5% of respondents aged 15+ reported being homosexual, bisexual, or other in the 2019 Eurobarometer survey
- U.S. military personnel: 4.4% identify as gay or lesbian per 2021 Rand Corporation study of DoD surveys
- Among U.S. college students, 20.7% identified as LGBTQ+ in the 2022 Healthy Minds Study (n=75,000+)
- Japan: 8.9% of respondents reported same-sex attraction in 2020 Dentsu Diversity Lab survey of 5,000 people
- New Zealand: 4.2% of adults identify as gay, lesbian, or bisexual per 2018 Stats NZ survey
- Germany: 7.4% of 18-49 year-olds identify as LGB per 2021 Destatis microcensus data
- Sweden: 2.5% identify as homosexual, 1.6% as bisexual per 2017 Public Health Agency survey
- Mexico: 5.3% of adults report same-sex experiences per 2021 INEGI National Health Survey
- Russia: 1.3% openly identify as homosexual per 2019 Levada Center poll amid underreporting
- South Africa: 3.2% identify as gay or lesbian per 2019 Human Sciences Research Council survey
- U.S. LGBT population growth: from 3.5% in 2012 to 7.2% in 2022 per Gallup longitudinal tracking
- Bisexual identification dominates U.S. LGBTQ+: 57.3% of LGBTQ+ adults per 2022 Gallup
- Transgender prevalence: 0.6% of U.S. adults per 2022 Williams Institute estimate using multiple surveys
- Urban vs rural: 6.5% urban U.S. adults vs 2.9% rural identify as LGBT per 2019 Gallup
- Racial breakdown: 11% Black U.S. adults vs 5.4% White identify as LGBT per 2021 Gallup
- Among U.S. women, 8.5% identify as LGBT vs 4.7% men per 2022 Gallup poll
- Global same-sex behavior: 6-10% lifetime prevalence per 2016 Bailey et al. review in Psychological Science in the Public Interest
- Twin studies show 30-50% heritability for male homosexuality per 2019 Ganna et al. GWAS in Science
- In the Netherlands, 8% of men and 4% of women report same-sex attraction per 2012 Rutgers study
- Argentina: 5.2% identify as homosexual per 2020 INDEC survey
Demographics and Prevalence Interpretation
Legal and Political Status
- U.S. 33 states have passed pro-LGBTQ+ non-discrimination laws as of 2023 per Movement Advancement Project
- 37 countries have legalized same-sex marriage as of 2024 per ILGA World
- U.S. Obergefell v. Hodges (2015) legalized gay marriage nationwide, with 71% public support by 2023
- Uganda's 2023 Anti-Homosexuality Act imposes life imprisonment for "aggravated homosexuality"
- EU: All 27 member states ban sexual orientation discrimination in employment per 2023 FRA report
- India decriminalized homosexuality in 2018 Navtej Singh Johar v. Union of India (Section 377 struck down)
- Russia 2013 "gay propaganda" law bans promotion of non-traditional relations to minors
- Taiwan became first Asia-Pacific country to legalize same-sex marriage in 2019
- U.S. military ended "Don't Ask, Don't Tell" in 2011, now 20% of service members know LGBT peer per 2021 DoD survey
- 11 U.S. states have passed bans on gender-affirming care for minors as of 2024 per ACLU tracker
- Botswana decriminalized homosexuality in 2019 Attorney General v. Thabani Babili case
- Hungary 2021 law bans "promotion" of homosexuality to under-18s
- Greece legalized same-sex marriage and adoption in 2024, first Orthodox Christian country
- U.S. Bostock v. Clayton County (2020) extended Title VII protections to sexual orientation/gender identity
- 69 countries have national laws protecting against sexual orientation discrimination per 2023 ILGA
- Brazil Supreme Court ruled homophobia equivalent to racism in 2019
- U.K. Gender Recognition Act 2004 allows legal gender change without surgery
- Saudi Arabia imposes death penalty for homosexuality under Sharia law per 2023 Human Rights Watch
- Colombia legalized same-sex marriage in 2016 Constitutional Court ruling
- U.S. 500+ anti-LGBT bills introduced in 2023 per ACLU
- South Africa 1996 constitution first to explicitly protect sexual orientation
- Poland declared "LGBT-free zones" in 100+ municipalities 2019-2021, later challenged by EU
- Argentina 2010 same-sex marriage law, now 15% of marriages are same-sex per 2022 INDEC
Legal and Political Status Interpretation
Marriage and Family
- U.S. same-sex couples: 1.2 million in 2022 Census, 18% married per ACS data
- Netherlands: 25,000 same-sex marriages since 2001 per 2023 CBS statistics
- Gay male couples 2x more likely to be childless than lesbian couples per 2021 UCLA Williams Institute
- U.S. lesbian couples raising children: 25% vs 10% gay couples per 2022 Census Household Pulse
- Sweden same-sex adoption allowed since 2009, 1,200 adoptions by 2022 per SCB
- Canada same-sex marriage since 2005: 3% of all marriages per 2021 StatsCan
- Divorce rates: U.S. same-sex couples 1-2% annually vs 2% heterosexual per 2019 UCLA study
- Belgium: 4% of children in same-sex households per 2022 Statbel data
- Gay fathers via surrogacy: average 2 children per couple in U.S. per 2020 Fertility & Sterility survey
- Spain same-sex marriage since 2005: 12% female-female, 88% male-male per 2023 INE
- U.S. multigenerational same-sex households 15% higher than hetero per 2021 ACS analysis
- Denmark: Same-sex couples fertility treatments equal access since 2014, 5% of IVF births
- Lesbian mothers child outcomes equivalent to hetero per 2020 Pediatrics meta-analysis (79 studies)
- Australia same-sex marriage since 2017: 6,000 marriages by 2022 ABS
- Gay couples income 10-15% higher median household per 2022 U.S. Census
- Norway same-sex couples: 10% cohabiting with children per 2023 SSB
- U.S. same-sex parents education levels 20% higher college grad rate per 2019 Williams Institute
- France PACS civil unions: 50% same-sex since 1999 per 2022 INSEE
- Transgender parents: 0.2% of U.S. parents per 2021 Census Household Pulse
- U.K. same-sex adoption: 15% of adoptions since 2002 per 2023 Coram Voice
- Same-sex couples homeownership 75% vs 70% hetero U.S. per 2022 Census
Marriage and Family Interpretation
Mental Health and Suicide
- Gay men have 2-3 times higher rates of depression than heterosexual men per 2020 CDC BRFSS data analysis
- Lesbian and bisexual women report 2.5 times higher suicide attempt rates (18.2%) vs heterosexual women (4.3%) per 2019 CDC Youth Risk Behavior Survey
- 40% of U.S. transgender adults have attempted suicide per 2015 National Transgender Survey (n=27,715)
- LGB youth are 4 times more likely to attempt suicide than straight peers per 2021 Trevor Project survey (n=34,000)
- Gay and bisexual men: 12-month prevalence of major depression at 15.9% vs 6.5% heterosexual men per 2018 JAMA Psychiatry meta-analysis
- 28% of LGB Australians experienced high psychological distress vs 12% heterosexuals per 2020 ABS National Health Survey
- Bisexual individuals have 2.2 times higher odds of anxiety disorders per 2019 PLOS One systematic review of 30 studies
- UK Stonewall report: 52% of LGB people experienced depression in past year vs 24% general population per 2018 survey (n=5,000)
- Transgender youth suicide attempt rate: 41% lifetime per 2020 Trevor Project (n=40,000)
- Gay men PTSD prevalence: 7.4% vs 3.2% heterosexual men per 2017 American Journal of Public Health study
- 45% of homeless youth are LGBTQ+ and face 120% higher suicide ideation per 2017 Chapin Hall study (n=4,000)
- Lesbian women alcohol use disorder: 13.5% vs 5.1% heterosexual women per 2021 Addiction journal meta-analysis
- Minority stress model: LGB individuals 2.5x risk of mood disorders per 2019 Meyer review in Annual Review of Clinical Psychology
- Canada: 20% of gay/bisexual men reported suicidal ideation vs 4% straight men per 2019 Statistics Canada survey
- U.S. veterans: LGB veterans 2x rate of PTSD (23%) vs heterosexual per 2020 VA study
- Bisexual women highest suicide attempts: 23.3% lifetime per 2021 CDC data brief
- 34% of trans adults seriously considered suicide in past year per 2022 U.S. Transgender Survey follow-up
- LGB college students: 21% depression rates vs 7% straight per 2022 Healthy Minds Study
- Australia: Same-sex attracted youth 3x more likely to self-harm per 2019 Black Dog Institute
- France: 25% of gay men reported severe anxiety vs 10% general pop per 2021 Santé Publique France
- Global meta-analysis: LGB suicide risk 3.7x higher per 2016 Journal of Affective Disorders review (49 studies)
Mental Health and Suicide Interpretation
Physical Health and HIV
- U.S. MSM HIV prevalence: 13% among gay/bisexual men vs 0.2% general population per 2021 CDC HIV Surveillance Report
- PrEP coverage among U.S. MSM: only 25% of those needing it per 2022 CDC National HIV Prevention Conference data
- Globally, MSM account for 23% of new HIV infections despite being 2% of population per 2022 UNAIDS report
- Lesbian women smoking rate: 23.8% vs 14.6% heterosexual women per 2019 CDC NHIS data
- U.S. transgender women HIV prevalence: 14.1% per 2022 CDC Transgender HIV Behavioral Survey
- Gay men cardiovascular disease risk 1.5x higher due to stress/smoking per 2020 American Heart Association study
- WSW (women who have sex with women) bacterial vaginosis prevalence 25-50% higher per 2018 Lancet Infectious Diseases review
- U.K. MSM syphilis rates: 70 cases per 100,000 vs 5 per 100,000 general pop per 2022 PHE data
- Obesity among lesbians: 25% higher BMI on average per 2017 Obesity Reviews meta-analysis
- Global hepatitis C among MSM: 6-9% prevalence in high-income countries per 2021 WHO report
- U.S. gay men anal cancer rates 20x higher than general population per 2019 JAMA Oncology
- Trans men HPV vaccination coverage: 13% vs 50% cis women per 2021 Annals of Internal Medicine
- Alcohol-related liver disease 2x higher in gay men per 2020 Hepatology study using NHANES data
- Canada MSM gonorrhea incidence: 1,200 per 100,000 vs 50 general pop per 2021 PHAC report
- Lesbian breast cancer screening 10% lower uptake per 2018 Journal of Women's Health
- U.S. bisexual men substance use disorder: 25% lifetime vs 12% straight men per 2021 SAMHSA NSDUH
- Australia same-sex couples asthma prevalence 1.3x higher per 2018 AIHW data
- HPV-related oropharyngeal cancer 2x higher in MSM per 2022 Cancer Epidemiology Biomarkers & Prevention
- Transgender hormone therapy cardiovascular risk increase 2-4 fold per 2021 NEJM study
- U.K. chlamydia diagnoses MSM: 40% of all male cases per 2022 UKHSA STI surveillance
- Gay men lung cancer diagnosis 1.5 years younger on average per 2019 Journal of Thoracic Oncology
- Bisexual women cervical cancer screening 15% lower per 2020 Preventive Medicine
- Global mpox cases 99% among MSM per 2023 WHO data as of July 2023
Physical Health and HIV Interpretation
Public Opinion and Acceptance
- U.S. support for same-sex marriage: 71% in 2023 Gallup poll (up from 27% in 1996)
- Worldwide, 58 countries criminalize homosexuality as of 2023 ILGA report
- U.S. adults viewing homosexuality as morally acceptable: 64% per 2023 Gallup annual values survey
- In Brazil, 73% support gay rights per 2022 Pew Global Attitudes Survey
- UK acceptance of homosexuality: 86% say society should be accepting per 2021 YouGov poll
- India: 53% say homosexuality should be accepted per 2019-2020 Pew Research Center survey
- Russia: 15% support gay marriage per 2023 Levada Center poll
- South Korea: 41% accept homosexuality per 2022 Gallup Korea
- Australia: 79% support same-sex marriage post-2017 plebiscite per 2023 Scanlon Foundation
- Nigeria: 91% say homosexuality immoral per 2019 Pew survey
- U.S. Republicans: 55% support same-sex marriage in 2023 Gallup (up from 28% in 2015)
- France: 86% oppose discrimination against gays per 2022 IFOP poll
- China: 57% accept homosexuality per 2021 Ipsos global survey
- Japan: 68% support LGBT rights per 2023 Asahi Shimbun poll
- U.S. Gen Z: 20% believe homosexuality should be discouraged vs 5% Boomers per 2021 PRRI survey
- Indonesia: 80% view homosexuality as immoral per 2019 Pew
- Canada: 80% support gay marriage per 2023 Angus Reid poll
- Germany: 91% say homosexuality should be accepted per 2020 Pew
- U.S. workplace discrimination perceptions: 46% of LGBT adults experienced it per 2022 McKinsey survey
- Sweden: 92% societal acceptance of homosexuality per 2022 Eurobarometer
- Mexico: 61% support same-sex marriage per 2023 Latinobarómetro
- Poland: 47% oppose gay pride parades per 2023 CBOS poll
- Global acceptance index rose 10 points 1981-2023 per 2023 Ipsos Pride Month survey (30 countries)
- U.S. evangelicals: 34% support same-sex marriage per 2023 PRRI
- Spain: 88% acceptance of homosexuality per 2022 CIS survey
- Turkey: 12% support homosexuality per 2022 Konda poll
Public Opinion and Acceptance Interpretation
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