Differences in Health Care Access, Utilization, and Experiences Among LGBTQ+ Subgroups in the Southern United States.

IF 1.5 4区医学 Q3 FAMILY STUDIES Family & Community Health Pub Date : 2023-01-01 DOI:10.1097/FCH.0000000000000340

Natalie R Holt, Elizabeth D Eldridge-Smith, James A Griffin, Lara M Stepleman, Christopher F Drescher, Tracy Casanova

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引用次数: 3

Abstract

Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) individuals experience health inequities and barriers to accessing appropriate, affirming care. Little is known about differing health care experiences within the LGBTQ+ population, particularly among individuals living in underserved areas. This study explored health care experiences and utilization among LGBTQ+ subgroups: lesbian and gay cisgender individuals (n = 258), bisexual+ cisgender individuals (n = 71), and transgender and gender-diverse individuals (n = 80). Participants were recruited from a geographic region in South Carolina and Georgia and completed an online survey regarding negative health care experiences, barriers to care, and utilization of different health care venues and services. Results revealed significant differences between LGBTQ+ subgroups, with transgender and gender-diverse participants reporting more discriminatory experiences and greater barriers to care. Bisexual+ cisgender individuals also experienced some disparities compared with lesbian and gay cisgender individuals. Most participants endorsed a need for more competent providers. Findings and recommendations are considered within the context of the Southeastern United States for addressing access and utilization disparities among LGBTQ+ communities.

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美国南部LGBTQ+亚群体在医疗保健获取、利用和经验方面的差异

女同性恋、男同性恋、双性恋、变性人、酷儿和其他性少数群体(LGBTQ+)在获得适当的、肯定的护理方面面临卫生不平等和障碍。人们对LGBTQ+人群中不同的医疗保健经历知之甚少，特别是生活在服务不足地区的个人。本研究探讨LGBTQ+亚群:男女同性恋顺性者(n = 258)、双性恋+顺性者(n = 71)、跨性别者和性别多元者(n = 80)的医疗保健体验和利用情况。参与者从南卡罗来纳州和佐治亚州的一个地理区域招募，并完成了一项关于负面医疗保健经历、护理障碍以及不同医疗保健场所和服务的利用的在线调查。结果显示，LGBTQ+亚组之间存在显著差异，跨性别和性别多样化的参与者报告了更多的歧视经历和更大的护理障碍。双性恋+顺性个体与女同性恋和男同性恋顺性个体相比也存在一些差异。大多数与会者赞同需要更有能力的提供者。调查结果和建议是在美国东南部的背景下考虑的，以解决LGBTQ+社区之间的获取和利用差异。

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来源期刊

Family & Community Health Multiple-

CiteScore

2.70

自引率

4.30%

发文量

期刊介绍： Family & Community Health is a practical quarterly which presents creative, multidisciplinary perspectives and approaches for effective public and community health programs. Each issue focuses on a single timely topic and addresses issues of concern to a wide variety of population groups with diverse ethnic backgrounds, including children and the elderly, men and women, and rural and urban communities.