ABSTRACT
Over the years, the literature has captured experiences of discrimination with regard to the health care and social service needs of sexual minorities, with an emphasis on service delivery and intervention approaches. Attention must also be placed on social policy, as to whether or not it is adequately addressing the needs of this population equitably and systemically. It is important to look at what responsibilities are being taken by those that develop the infrastructure of these fi elds to be inclusive of diverse populations and sexual minorities in particular. This paper provides a systemic/structural context to the issue by looking at the Canadian, UK and USA health and welfare infrastructures and whether they include the broad issues, needs and concerns of lesbian, gay and bisexual (LGB) adults (outside of HIV/AIDS) in the areas of public health promotion. Part of a larger qualitative study, the fi ndings featured are based on an examination of existing offi cial governmental policies, standards, guidelines and interviews with policy makers.
