Satisfaction and experiences with healthcare among urban-dwelling young adult lesbian women in New York City: An exploratory analysis

IF 1.3 Q2 SOCIAL WORK

JOURNAL OF GAY & LESBIAN SOCIAL SERVICES Pub Date : 2021-03-09 DOI:10.1080/10538720.2021.1891595

Marybec Griffin, J. Jaiswal, P. Halkitis

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引用次数: 0

Abstract

Abstract Young adult lesbian women (YALW) face unique barriers to healthcare access as providers do not perceive a need for sexual and reproductive healthcare services for this population. A brief survey was conducted with 100 YALW to explore healthcare experiences including: usual source of healthcare, coordination of healthcare, and satisfaction with the healthcare services provided by their primary care provider (PCP). Data collection took place between June and October 2016 at selected LGBT-friendly events and venues (i.e. Pride events, bars, community-based organizations). Nearly one fourth of the sample reported their usual source of care as a walk-in based facility (i.e. emergency room, urgent care facility, government sponsored clinic). Satisfaction with healthcare provided was more likely among participants who were comfortable discussing their sexual activity with their providers. These finding suggest that the healthcare system is not engaging YALW in routine care provided in facilities that offer continuity of care. While walk-in models may meet the immediate healthcare needs of this population, the period of young adulthood is a critical time to establish healthcare behaviors. Furthermore, understanding the patterns of healthcare access among YALW warrants further attention as the structure and nature of the healthcare system in the United States is changing.

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纽约市居住在城市的年轻成年女同性恋女性对医疗保健的满意度和体验:一项探索性分析

年轻成年女同性恋(YALW)面临着独特的障碍，获得医疗服务的提供者不认为需要性和生殖保健服务的人口。对100名YALW进行了一项简短的调查，以探讨医疗保健经验，包括:通常的医疗保健来源、医疗保健协调以及对初级保健提供者(PCP)提供的医疗保健服务的满意度。数据收集于2016年6月至10月期间在选定的对lgbt友好的活动和场所(即骄傲活动、酒吧、社区组织)进行。近四分之一的样本报告说，他们通常的护理来源是无预约的设施(即急诊室、紧急护理设施、政府资助的诊所)。对医疗保健服务的满意度在那些愿意与他们的提供者讨论他们的性行为的参与者中更有可能。这些发现表明，卫生保健系统并没有在提供连续性护理的设施中提供常规护理。虽然步入式模式可以满足这一人群的即时医疗保健需求，但年轻的成年期是建立医疗保健行为的关键时期。此外，由于美国医疗保健系统的结构和性质正在发生变化，了解老年妇女获得医疗保健的模式值得进一步关注。

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来源期刊

JOURNAL OF GAY & LESBIAN SOCIAL SERVICES SOCIAL WORK-

CiteScore

2.50

自引率

6.70%

发文量

期刊介绍： The Journal of Gay and Lesbian Social Services provides empirical knowledge and conceptual information related to sexual minorities and their social environment. Filled with innovative ideas and resources for the design, evaluation, and delivery of social services for these populations at all stages of life, the journal is a positive influence on the development of public and social policy, programs and services, and social work practice. Dedicated to the development of knowledge which meets the practical needs of lesbian, gay, bisexual, and transgendered people in their social context, the Journal of Gay & Lesbian Social Services is a forum for studying.