Barriers and Facilitators to Accessing Mental and Physical Health Care Among Sexual Minority Women: A Qualitative Exploration.

3区 综合性期刊
Charlotte A Dawson, Alicia Moulder, Kristin E Heron
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引用次数: 0

Abstract

Cisgender sexual minority women (SMW, e.g., lesbian, queer) are at greater risk for poor mental and physical health compared to heterosexual women and face challenges when accessing health care. Previous research has largely focused on general sexual and gender minority barriers to health care, but more research is needed on the experiences of specific subgroups, including cisgender SMW. The current study qualitatively explored barriers and facilitators for cisgender SMW seeking health care. Twenty cisgender SMW aged 18-40 recruited using Meta advertisements and past participant lists completed 45 min semi-structured interviews and a brief survey. Thematic analysis conducted by two coders revealed a barrier theme with six subthemes, and a facilitator theme with seven subthemes. The barrier subthemes included discrimination, dominant culture centric, unsupportive socio-political environment, lack of patient-centered care, avoidance/concealment of sexual identity, and socio-economic challenges. The facilitator subthemes included supportive socio-political environment, advance identification of LGBTQ-affirming HCPs, patient-centered care, HCP identity similar to patient, social support, re-engagement with care after bad experiences, and socio-economic advantages. This study provides insight into the lived experiences of cisgender SMW that can help improve knowledge about health care disparities and inform health care interventions for this population.

性少数群体妇女获得精神和身体保健的障碍和促进因素:定性探索。
与异性恋妇女相比,顺性少数群体妇女(如女同性恋、酷儿)精神和身体健康状况不佳的风险更大,在获得医疗保健方面面临挑战。以前的研究主要集中在一般的性和性别少数群体获得卫生保健的障碍上,但需要对特定亚群体的经验进行更多的研究,包括顺性SMW。本研究定性地探讨了顺性别小女工寻求医疗保健的障碍和促进因素。使用Meta广告和过去的参与者名单招募了20名年龄在18-40岁的顺性别SMW,完成了45分钟的半结构化访谈和简短的调查。两位编码员进行的主题分析显示,障碍主题有6个子主题,促进者主题有7个子主题。障碍子主题包括歧视、以主流文化为中心、不支持的社会政治环境、缺乏以患者为中心的护理、回避/隐瞒性别身份以及社会经济挑战。促进子主题包括支持性社会政治环境、确认lgbtq的HCP的预先识别、以患者为中心的护理、HCP与患者相似的身份、社会支持、不良经历后重新参与护理以及社会经济优势。这项研究提供了对顺性SMW的生活经历的深入了解,可以帮助提高对卫生保健差异的认识,并为这一人群的卫生保健干预提供信息。
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来源期刊
自引率
0.00%
发文量
14422
期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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