Velasco, KristopherKhanna, Simran2022-07-182026-09-302022-07-182026-09-302022-04-182022-07-18http://arks.princeton.edu/ark:/88435/dsp01f7623g76xhttps://theses-dissertations.princeton.edu/handle/88435/dsp01f7623g76xThis thesis is predicated on the scholarly consensus that sexual minorities are more vulnerable to negative health outcomes than their heterosexual counterparts. I examine trust in medical institutions as a pivotal mechanism through which sexual minority status is a social determinant of health. Thorough analysis of a comprehensive, self-designed survey disseminated through Amazon Mechanical Turk confirms the existence of trust-in-physician differentials between LGB and heterosexual communities. Several demographic factors, internalized homophobia, salience of sexuality to identity, close community acceptance of sexual minorities, societal stigma, and patient-centered care are identified as significant predictors of LGB trust. Trust in physicians correlates with better self-rated physical and mental health status among the LGB community. The effect of trust appears higher in developing nations. While the evidence is speculative, I conjecture that information poverty in developing countries might amplify the importance of a trusting physician in explaining health outcomes compared to the US.application/pdfenSexual Minority Status as a Social Determinant of Health: A Cross-National AnalysisPrinceton University Senior Theses