LGBT individuals' opinions about their health care experiences: A qualitative research study

Karakaya, Seda; Kutlu, Yasemin

doi:10.1111/jonm.13199

Cited by 25 publications

(21 citation statements)

References 22 publications

(25 reference statements)

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“…After the search, we obtained a total of 381 records, of which 16 articles were selected: 1 systematic review and meta-analysis [28], 5 systematic reviews [29][30][31][32][33], 1 cross-sectional descriptive study [34], 4 qualitative studies [35][36][37][38], and 5 quasi-experimental pre-testpost-test studies [39][40][41][42][43]. Regarding the variables of the reviews, 6 articles addressed the specific health needs of LGBT people [28,29,[31][32][33][34], 3 focused on LGBT people's experiences and perceptions [35][36][37], and 10 presented nursing interventions in the LGBT community [30][31][32][33][38][39][40][41][42][43].…”

Section: Resultsmentioning

confidence: 99%

“…In terms of national contexts, 5 studies were conducted in the USA [38,39,[41][42][43], 2 in Canada [36,40], 1 in Ireland [37], 1 in Turkey [35], and 1 in Thailand [34]. According to the classification by the World Bank [44], 8 articles were from high-income economies (the USA, Canada, and Ireland) and 2 were from upper-middle-income economies (Turkey and Thailand).…”

Section: Resultsmentioning

confidence: 99%

“…According to the classification by the World Bank [44], 8 articles were from high-income economies (the USA, Canada, and Ireland) and 2 were from upper-middle-income economies (Turkey and Thailand). Of the articles selected, 4 studies centred their investigation on LGBT people in general [34][35][36][37], 3 focused on LGBT youth [29,32,33], 1 specifically analysed trans youth [31], and another examined trans women and trans men [28]; 7 studies assessed the training of health professionals and students [30,[38][39][40][41][42][43], some of which focused on nurses [40,43] or nursing students [38,41].…”

Section: Resultsmentioning

confidence: 99%

“…The results of the selected qualitative studies [35][36][37] showed that LGBT people had reported a lack of information on LGBT health and had suffered discriminatory experiences from health professionals, including the assumption that they were cis-heterosexual and prejudice and stigmatisation for being LGBT or having STIs. The interviewees in some of these studies [35][36][37] described how, when they came out as being LGBT, health professionals usually had prejudices against them or had stereotyped them, making assumptions about their sexual practices or demonstrating negative reactions. Trans people also expressed how they had suffered negative experiences with health professionals in relation to gender transition or by not respecting their name and pronouns [35,36].…”

Section: The Experiences and Perceptions Of Lgbt Peoplementioning

confidence: 99%

See 3 more Smart Citations

Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review

Medina-Martínez

Saus-Ortega

Sánchez-Lorente

et al. 2021

IJERPH

103

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Background: Lesbian, gay, bisexual, and transgender (LGBT) people present poorer mental and physical health results compared to the heterosexual and cisgender population. There are barriers in the healthcare system that increase these health inequities. Objective: To synthesise the available evidence on how nurses can intervene in reducing health inequities in LGBT people, identifying their specific health needs and describing their experiences and perceptions of the barriers they face in the healthcare system. Methods: Systematic review. Between March and April 2021, a bibliographic search was carried out in the Cuiden, LILACS, PubMed, Dialnet, SciELO, Trip Database, and Web of Science databases and metasearch engines. Inclusion criteria: Articles published in the last 5 years that address the specific health needs of LGBT people, their experiences and perceptions, or interventions in this group in which nurses may engage. Results: A total of 16 articles were selected. Health disparities were detected in the LGBT community, which exhibited higher rates of mental health problems, substance abuse, risky sexual behaviours, self-harm, and suicide. These inequalities were related to minority stress, and each of them differently impacted individual populations within the broader LGBT community depending on their sexual orientations and gender identities. The impact of these factors was, in turn, modified by the intersections of race/ethnicity, geographic region, and socioeconomic factors. LGBT people described discriminatory experiences by health professionals, as well as their distrust and fear in this setting. Nurses can carry out interventions such as inclusive education about sex and sexual and gender diversity and bullying and suicide prevention programmes, and can provide gender-affirming and family-centred care. Conclusions: LGBT people experience health inequities and discrimination in the healthcare system. Nurses can implement diverse interventions to reduce these problems and, moreover, these health professionals are obliged to acquire cultural competence regarding LGBT health.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: The Experiences and Perceptions Of Lgbt Peoplementioning

confidence: 99%

See 2 more Smart Citations

Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review

Medina-Martínez

Saus-Ortega

Sánchez-Lorente

et al. 2021

IJERPH

103

View full text Add to dashboard Cite

show abstract

“…Also, it should become normal to ask patients to share their identities, pronouns, and which terms they use for themselves. [86][87][88] When appropriate, one should take cues from patients regarding which terms to use (eg, the use of "husband" instead of "partner" if preferred by the patient).…”

Section: Patient Carementioning

confidence: 99%

Sexual orientation, gender identity, and gender expression: From current state to solutions for the support of lesbian, gay, bisexual, transgender, and queer/questioning patients and colleagues

West-Livingston

Dittman

Park

et al. 2021

Journal of Vascular Surgery

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Many of the systemic practices in medicine that have alienated lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) individuals persist today, undermining the optimal care for these patients and isolating LGBTQ medical providers from their colleagues. The 2020 Task Force on Diversity, Equity, and Inclusion Report recently published by the Society for Vascular Surgery marked the first publication advocating for the inclusion of sexual orientation and sexual identity in the development of initiatives promoting and protecting diversity across vascular surgery. Vascular providers should be aware that it is crucial to cultivate an environment that is inclusive for LGBTQ patients because a large proportion of these patients have reported not self-disclosing their status to medical providers, either out of concern over potential personal repercussions or failing to recognize the potential relevance of LGBTQ status to their medical care. Safe Zone training has provided a standard resource for providers and staff that can be integrated into onboarding and routine training. Clarifying the current terminology for sexual orientation and identity will ensure that vascular providers will recognize patients who could benefit from screening for additional vascular risk factors relevant to this population related to sexual health, social behavior, physical health, and medical therapies. The adoption of gender neutral language on intake forms and general correspondence with colleagues is key to reducing the unintended exclusion of those with LGBTQ identities in both inpatient and outpatient environments. In many locales across the United States, the professional and personal repercussions for openly reporting LGBTQ status persist, complicating efforts toward quantifying, recognizing, and supporting these patients, practitioners, and trainees. Contributing to an inclusive environment for patients and peers and acting as a professional ally are congruent with the ethos in vascular surgery to treat all patients and colleagues with respect and optimize the healthcare of every vascular patient.

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The Nature and Impact of Informal Mental Health Support in an LGBTQ Context: Exploring Peer Roles and Their Challenges

et al. 2022

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Background Research shows that LGBTQ communities experience high levels of suicidality and mental ill health. They also face significant barriers to accessing adequate mental health treatment in service settings. In response to these factors, it is likely that LGBTQ community members turn to their peers for informal mental health-related support. Such support, however, is largely undefined, the extent of it poorly understood and its impacts on those who perform it underexplored. Methods We explored the nature and impact of informal mental health-related support provided by peers in LGBTQ communities in Melbourne, Australia. Drawing on semi-structured in-depth interviews with 25 LGBTQ adults in 2020, we explored how and why peers provided mental health support to friends, partners, housemates and even strangers and the impact this had on them. Results We found that participants performed support roles as extensions of their existing relationships. We demonstrate that the support roles of the safe friend, housemate and partner, among others, represent everyday relationships stretched—even to breaking point—to incorporate informal mental health support. Each of these support roles is distinct, but they can all potentially result in similar impacts on those performing them. One of the more significant of these is burnout. Conclusions LGBTQ community members face a diverse range of challenges when they support peers with their mental health. Informal peer-support roles are a significant responsibility for those performing them. LGBTQ community members stepping up to support others should be better supported to help manage their roles and the impacts of performing them. Policy Implications Findings can contribute to policy that not only addresses high levels of mental ill health in LGBTQ communities, but also seeks to help peers in support roles to prevent them from being negatively impacted.

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LGBT individuals' opinions about their health care experiences: A qualitative research study

Cited by 25 publications

References 22 publications

Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review

Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review

Sexual orientation, gender identity, and gender expression: From current state to solutions for the support of lesbian, gay, bisexual, transgender, and queer/questioning patients and colleagues

The Nature and Impact of Informal Mental Health Support in an LGBTQ Context: Exploring Peer Roles and Their Challenges

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