Baby Boomer Gay Men's Experiences with Primary Healthcare.

IF 2.4 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Journal of Homosexuality Pub Date : 2025-05-12 Epub Date: 2024-07-11 DOI:10.1080/00918369.2024.2366380

Aaron J Loeb, Stacey M Crane, J Michael Wilkerson, Ann J Robison, Constance M Johnson

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Abstract

This research explored baby boomer gay men's experiences with primary healthcare and their perspectives of future long-term care. Baby boomer gay men's perspectives about primary healthcare remain understudied in the United States. A descriptive qualitative study was conducted with 30 baby boomer men in the Southwest USA. We used semi-structured interviews to assess participants' initiation and maintenance of primary healthcare, disclosure of sexual orientation to providers, and perspectives about future healthcare needs, including long-term care. Data were analyzed with a latent thematic analysis. We found baby boomer gay men anticipate discrimination because of their sexual orientation whenever they establish healthcare with new providers. Participants identified circumstantial comfort in the new healthcare setting as a key motivator to disclose their sexual orientation. Thus, baby boomer gay men specifically sought gay or gay-friendly healthcare providers to ease the burden of managing disclosure and to permit free discussion of their sexual orientation and healthcare needs. Participants faced recurring anticipation of rejection and discrimination from healthcare providers, which extends to their perceptions of current healthcare encounters and future long-term care placement. Healthcare providers would benefit from understanding the practice implications of this dynamic. Future research on primary healthcare inclusivity is needed.

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婴儿潮一代男同性恋的初级医疗保健经历。

这项研究探讨了婴儿潮时期的男同性恋者在初级医疗保健方面的经历以及他们对未来长期医疗保健的看法。在美国，婴儿潮时期的男同性恋者对初级医疗保健的看法仍未得到充分研究。我们对美国西南部的 30 名婴儿潮时期男性进行了描述性定性研究。我们采用半结构化访谈的方式，评估了参与者开始和维持初级医疗保健的情况、向医疗服务提供者披露性取向的情况，以及对未来医疗保健需求（包括长期护理）的看法。我们采用潜在主题分析法对数据进行了分析。我们发现，婴儿潮时期的男同性恋者在与新的医疗服务提供者建立医疗关系时，都会因为自己的性取向而受到歧视。参与者认为，在新的医疗环境中的环境舒适度是促使他们披露自己性取向的关键因素。因此，婴儿潮时期的男同性恋者特别寻求男同性恋或对男同性恋友好的医疗服务提供者，以减轻管理披露的负担，并允许自由讨论他们的性取向和医疗保健需求。参与者经常预期会遭到医疗服务提供者的拒绝和歧视，这也影响了他们对当前医疗服务和未来长期护理安排的看法。医疗服务提供者将从了解这种动态的实践影响中获益。未来需要对初级医疗保健的包容性进行研究。

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

Journal of Homosexuality Multiple-

CiteScore

5.60

自引率

7.70%

发文量

164

期刊介绍： The Journal of Homosexuality is an internationally acclaimed, peer-reviewed publication devoted to publishing a wide variety of disciplinary and interdisciplinary scholarship to foster a thorough understanding of the complexities, nuances, and the multifaceted aspects of sexuality and gender. The chief aim of the journal is to publish thought-provoking scholarship by researchers, community activists, and scholars who employ a range of research methodologies and who offer a variety of perspectives to continue shaping knowledge production in the arenas of lesbian, gay, bisexual, transgender (LGBT) studies and queer studies. The Journal of Homosexuality is committed to offering substantive, accessible reading to researchers and general readers alike in the hope of: spurring additional research, offering ideas to integrate into educational programs at schools, colleges & universities, or community-based organizations, and manifesting activism against sexual and gender prejudice (e.g., homophobia, biphobia and transphobia), including the promotion of sexual and gender justice.