Nursing Education and Inclusion of LGBTQ Topics

Englund, Heather; Basler, Jennifer; Meine, Katherine

doi:10.1097/nne.0000000000000749

Cited by 9 publications

(1 citation statement)

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“…Discrimination is experienced by sexual and gender minorities not only in society, but also within the health care system (Alday-Mondaca & Lay-Lisboa, 2021; Ayhan et al, 2020). Health care providers including physicians (Prairie et al, 2018; Sabin et al, 2015), nurses (Englund et al, 2020; Grudzinski, 2019; Prairie et al, 2018; Stewart & O’Reilly, 2017), and mental health providers (Sabin et al, 2015) contribute to these discriminatory environments and experiences whether consciously or unconsciously. Some health care providers’ care for lesbian and gay patients is unequitable, discriminating, and even of lower quality than the care provided to other patients (Casey et al, 2019; Hswen et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

The Impact of Primary Care Providers’ Bias on Depression Screening for Lesbian Women

Sha

Aleshire

2021

Health Promotion Practice

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Primary care providers’ (PCPs) implicit and explicit bias can adversely affect health outcomes of lesbian women including their mental health. Practice guidelines recommend universal screening for depression in primary care settings, yet the guidelines often are not followed. The intersection of PCPs’ implicit and explicit bias toward lesbian women may lead to even lower screening and diagnosis of depression in the lesbian population than in the general population. The purpose of this secondary analysis was to examine the relationship between PCPs’ implicit and explicit bias toward lesbian women and their recommendations for depression screening in this population. PCPs ( n = 195) in Kentucky completed a survey that included bias measures and screening recommendations for a simulated lesbian patient. Bivariate inferential statistical tests were conducted to compare the implicit and explicit bias scores of PCPs who recommended depression screening and those who did not. PCPs who recommended depression screening demonstrated more positive explicit attitudes toward lesbian women ( p < .05) and their implicit bias scores were marginally lower than the providers who did not recommend depression screening (p = .068). Implications for practice: Depression screening rates may be even lower for lesbian women due to implicit and explicit bias toward this population. Training to increase providers’ awareness of bias and its harm is the first step to improve primary care for lesbian women. Policies must protect against discrimination based on sexual orientation or gender identity.

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