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To explore the prevalence of long-term health conditions (which includes disorders such as asthma and diabetes, lasting six months or more) among sexuality and gender minority youth (SGMY) within Aotearoa New Zealand, and report on SGMY access to health care services.

We used data from a population-based survey (Youth’19) of 7,059 secondary school students in Aotearoa New Zealand. Multivariable logistic regression models were used to investigate the associations of five sex, gender and sexuality groups: heterosexual cisgender females (n = 3,127, 44.30%); heterosexual cisgender males (n = 2,934, 41.64%); sexuality minority cisgender females (n = 659, 9.34%); sexuality minority cisgender males (n = 216, 3.06%); and gender minority adolescents (n = 123, 1.74%), and the selected outcome variables (i.e., general health, long-term health conditions, difficulties accessing healthcare …