Internalized Sexual Stigma, Sexual Orientation Disclosure, and Patient Experience Among Gay Men and Lesbian Women in Taiwan: A Cross-Sectional Survey.

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
LGBT health Pub Date : 2024-08-29 DOI:10.1089/lgbt.2023.0290
Yen-Fan Lee, Te-Sheng Chang, Alexander MacDonald Haynes
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引用次数: 0

Abstract

Purpose: Previous research has found that stigma, discrimination, and depression are associated with the sexual minority population's medical experiences. However, there is still a lack of relevant research results in Taiwan. This study investigated the health-seeking experiences and influencing factors of gay men and lesbian women in Taiwan. Methods: We recruited gay men and lesbian women through lesbian, gay, bisexual, and transgender (LGBT)-friendly websites and associations between November 2019 and June 2020. Surveys included the demographics, medical visiting experiences, Measure of Internalized Stigma, Patient Health Questionnaire-9, and Daily Heterosexist Experiences Questionnaire. Results: There were 270 participants, including 188 gay men and 82 lesbian women. Most respondents refused to disclose their sexual orientation to health care providers; some feared seeking medical care and preferred seeking LGBT-friendly health care services. Compared with lesbian women, gay men had higher levels of internalized sexual stigma, victimization, concealing sexual orientation, and experiences of medical staff denying services. Discrimination, depressive severity, and internalized sexual stigma affected the medical visit experience. Conclusion: In Taiwan, the health care experiences of gay men and lesbian women are affected by discrimination, internalized sexual stigma, and severe depression, while facing challenges of fear of seeking medical care or reluctance to disclose their sexual orientation.

台湾男同性恋和女同性恋的内化性污名、性取向披露和患者体验:一项横断面调查
目的:以往的研究发现,污名化、歧视和抑郁与性少数群体的医疗经历有关。然而,台湾仍缺乏相关研究成果。本研究调查了台湾男同性恋者和女同性恋者的求医经历及其影响因素。研究方法我们在 2019 年 11 月至 2020 年 6 月期间通过女同性恋、男同性恋、双性恋和跨性别者(LGBT)友好网站和协会招募了男同性恋者和女同性恋者。调查内容包括人口统计学、就医经历、内在化污名测量、患者健康问卷-9和日常异性恋经历问卷。结果:共有 270 名参与者,包括 188 名男同性恋者和 82 名女同性恋者。大多数受访者拒绝向医疗服务提供者透露自己的性取向;一些人害怕就医,而更愿意寻求对女同性恋、男同性恋、双性恋和变性者友好的医疗服务。与女同性恋者相比,男同性恋者的性污名内化程度、受害程度、隐瞒性取向程度以及医务人员拒绝提供服务的经历都更高。歧视、抑郁严重程度和内化的性污名影响了就医体验。结论在台湾,男同性恋者和女同性恋者的就医经历受到歧视、内化的性污名和严重抑郁的影响,同时还面临着害怕就医或不愿透露性取向的挑战。
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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
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