Culturally (In)competent? Dismantling Health Care Barriers for Sexual Minority Women

Dearing, Ronda L.; Hequembourg, Amy

doi:10.1080/00981389.2014.944250

Cited by 21 publications

(8 citation statements)

References 103 publications

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“…Substance use treatment programmes may be ill‐equipped to address the specific needs of sexual minorities, which may make SMW feel uncomfortable, unsafe or as though their needs are not being met in treatment (Dearing & Hequembourg ). Nationally, a low proportion (<10%) of substance use treatment programmes have specialised services for LGBT people (Cochran et al .…”

Section: Discussionmentioning

confidence: 99%

Racial/ethnic differences in unmet needs for mental health and substance use treatment in a community‐based sample of sexual minority women

Jeong

Veldhuis

Aranda

et al. 2016

Journal of Clinical Nursing

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Aims and objectives-To examine unmet needs for mental health and substance use treatment among a diverse sample of sexual minority women (SMW; lesbian, bisexual).Background-Sexual minority women are more likely than heterosexual women to report depression and hazardous drinking. However, relatively little is known about SMW's use of mental health or substance use treatment services, particularly about whether use varies by race/ ethnicity.

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Section: Discussionmentioning

confidence: 99%

Racial/ethnic differences in unmet needs for mental health and substance use treatment in a community‐based sample of sexual minority women

Jeong

Veldhuis

Aranda

et al. 2016

Journal of Clinical Nursing

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“…Risk classifications tend to omit sexual minority status among women and perpetuate sexual orientation-related health disparities among women (Marrazzo, 2004). Left unaddressed, these health disparities have major ramifications for population health and perpetuate barriers to healthcare access for sexual minority women (Bernhard, 2001; Dearing & Hequembourg, 2014; McNair, 2003; Molina, Lehavot, Beadnell, & Simoni, 2014). …”

Section: Minority Stress Framework Health Disparities and Gendermentioning

confidence: 99%

Unevenness in Health at the Intersection of Gender and Sexuality: Sexual Minority Disparities in Alcohol and Drug Use Among Transwomen in the San Francisco Bay Area

Arayasirikul

Pomart

Raymond

et al. 2017

Journal of Homosexuality

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Research on the health of transwomen is largely focused on heterosexual HIV risk. Little is known about the health of sexual minority transwomen. We conducted a secondary cross-sectional analysis of data from a HIV risk and resilience study of transwomen aged 16 to 24 years in the San Francisco Bay Area (N=259). Prevalence and demographic characteristics of sexual minority transwomen was assessed and logistic regression models were used to examine the relationship between sexual minority status and alcohol and drug use. In logistic regression models, sexual minority transwomen had greater fold odds of heavy episodic drinking and illicit prescription drug use compared to their heterosexual counterparts, controlling for race/ethnicity, age, income, nativity, hormone status and history of feminization procedures. These results suggest that sexual minority status may be an important social determinant of health among gender minorities. Populations of transwomen are heterogeneous; effective interventions must consider sexual minority status.

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“…There is a well-established body of international research evidence regarding the scope and extent of the health needs, including psychosocial concerns, experienced by LGBTIQ+ people per se. This evidence clearly sets out the challenges and negative attitudes faced by some LGBTIQ+ people in their everyday lives and when accessing and using health services (Dearing and Hequembourg, 2014;McCann, Keogh, Doyle, and Coyne, (2019); Su, Irwin, Fisher, Ramos, Kelley, Mendoza, and Coleman, 2016;Stewart and O'Reilly, 2017). To assist with understanding, the term LGBTIQ+ is used internationally as the wider rainbow umbrella conceptualization of these diverse populations.…”

Section: Discussionmentioning

confidence: 99%

The views and experiences of bisexual people regarding their psychosocial support needs: a qualitative evidence synthesis

McCann

Brown

Taylor

2020

Psychiatric Ment Health Nurs

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Accessible Summary What is known on the subject? Bisexual people experience significantly poorer mental health and higher rates of self‐harm and suicidality than their gay, lesbian or heterosexual counterparts. Although little is understood about why these disparities exist, bisexual people have been found to have unique life experiences that separate them from other sexual minority groups. Despite these health disparities and unique experiences, in research and in clinical settings, bisexual people are often incorporated under the LGBTQI+ umbrella and their needs are not seen as being different to those of other sub‐groups. What the paper adds to existing knowledge? This paper brings together the findings of the small but growing body of literature reporting on the psychosocial support needs of bisexual people. The findings reported on herein provide novel insights, collated and synthesized that will prove valuable to policy makers, service providers and researchers. What are the implications for practice? This paper clearly illustrates that bisexual people experience significant barriers to accessing the support services they need and that current competent service provision for this population is severely limited. The findings presented in this paper shed light on the unique psychosocial needs of bisexual people and highlight the need for practice change to reduce barriers to service access and ensure inclusive and culturally competent care for this community. Abstract IntroductionDespite consistent evidence of poor mental health among what is a relatively large population group, research examining bisexual mental health remains sparse. AimTo identify the psychosocial needs of people who are bisexual and establish factors that may support or inhibit access to appropriate psychosocial interventions and supports. MethodA qualitative evidence syntheses of the empirical evidence. ResultsA total of 15 papers were included in the review. The PRISMA process was used. Following data analysis, four main themes emerged that were (a) experiences of being bisexual, (b) mental health experiences and concerns, (c) service access and responses and (iv) communities and supports. DiscussionBisexual people have unique and specific psychosocial support needs that relate to, but are also different from, the needs of the broader LGBTIQ+ community. This study provides valuable insights into how future policy, practice, education and training and research can better address the needs of this highly vulnerable group. Implications for PracticeThis study highlights the psychosocial complexities associated with bisexuality and provides evidence for the need for improvement in current support services to ensure inclusivity and culturally competent care.

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Culturally (In)competent? Dismantling Health Care Barriers for Sexual Minority Women

Cited by 21 publications

References 103 publications

Racial/ethnic differences in unmet needs for mental health and substance use treatment in a community‐based sample of sexual minority women

Racial/ethnic differences in unmet needs for mental health and substance use treatment in a community‐based sample of sexual minority women

Unevenness in Health at the Intersection of Gender and Sexuality: Sexual Minority Disparities in Alcohol and Drug Use Among Transwomen in the San Francisco Bay Area

The views and experiences of bisexual people regarding their psychosocial support needs: a qualitative evidence synthesis

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