Experiences of Sexual and Reproductive Health Care Access for Women and Nonbinary People With Early Psychosis: Towards an Integrated Perspective of Service Users and Clinicians.

IF 3.3 3区 医学 Q2 PSYCHIATRY
Lucy C Barker, Juveria Zaheer, Zakia Hussain, Julia France, Ananka Rodriguez, Shakked Lubotzky-Gete, Suze Berkhout, Robert Dmytryshyn, Sheila Dunn, Renu Gupta, Fardous Hosseiny, Frank Sirotich, Sophie Soklaridis, Aristotle N Voineskos, Simone N Vigod
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引用次数: 0

Abstract

Objective: Individuals with psychosis are at elevated risk of adverse sexual and reproductive health (SRH) outcomes, and not receiving adequate SRH care. SRH is important for youth, yet little is known about SRH care access and experiences among those with early psychosis. This study explored SRH care experiences among women and nonbinary individuals with early psychosis.

Method: We conducted semistructured qualitative interviews with 19 service users (cisgender and transgender women, nonbinary individuals) receiving care in 2 early psychosis programs in Ontario, Canada. We also conducted semistructured interviews and focus groups with 36 clinicians providing SRH or mental health care to this population. Participants were asked about SRH care access/provision experiences and the interplay with psychosis. Using a social interactionist orientation, a thematic analysis described and explained service user and clinician perspectives regarding SRH care.

Results: Amongst both service users and clinician groups, common themes developed: (a) diversity of settings: SRH services are accessed in a large range of spaces across the health care system, (b) barriers in nonpsychiatric SRH care settings: psychosis impacts the ability to engage with existing SRH services, (c) invisibility of SRH in psychiatric settings: SRH is rarely addressed in psychiatric care, (d) variability of informal SRH-related conversations and supports, and cutting across all of the above themes, (e) intersecting social and cultural factors impacted SRH services access.

Conclusions: SRH is important for health and wellbeing; improvements are urgently needed across the healthcare system and within early psychosis programs to meet this population's multifaceted SRH needs.

患有早期精神病的女性和非二元人群获得性健康和生殖健康护理的经历:服务使用者和临床医生的综合视角》。
目的:精神病患者的性健康和生殖健康(SRH)出现不良后果的风险较高,而且得不到适当的性健康和生殖健康护理。性健康和生殖健康对青少年非常重要,但人们对早期精神病患者获得性健康和生殖健康护理的途径和经历知之甚少。本研究探讨了女性和非二元性早期精神病患者的性健康和生殖健康护理经验:我们对在加拿大安大略省两个早期精神病项目中接受治疗的 19 名服务使用者(顺性别和跨性别女性、非二元性个体)进行了半结构化定性访谈。我们还对 36 名为该人群提供性健康和生殖健康或心理健康护理的临床医生进行了半结构化访谈和焦点小组讨论。我们向参与者询问了性健康和生殖健康护理的获取/提供经验以及与精神病的相互作用。采用社会互动主义取向的主题分析方法,描述并解释了服务使用者和临床医生对性健康和生殖健康护理的看法:在服务使用者和临床医生群体中,形成了共同的主题:(a) 环境的多样性:(b) 非精神科性健康和生殖健康护理环境中的障碍:精神病影响了参与现有性健康和生殖健康服务的能力,(c) 性健康和生殖健康在精神科环境中的不可见性:性健康和生殖健康很少在精神病护理中涉及,(d) 与性健康和生殖健康相关的非正式对话和支持的可变性,以及贯穿上述所有主题,(e) 影响性健康和生殖健康服务获取的交叉社会和文化因素:性健康和生殖健康对健康和幸福非常重要;迫切需要在整个医疗保健系统和早期精神病项目中加以改进,以满足这一人群多方面的性健康和生殖健康需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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