Risk factors to mental health challenges among the LGBTI+ community in Gaborone, Botswana

David S. Mangwegape, M. E. Manyedi, B. Molato
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Abstract

Background: Lesbian, Gay, Bisexual, Transgender, Intersex and other gender diverse groupings symbolised by + (LGBTI+) individuals experience adverse mental health problems, and several factors have been documented to facilitate such problems. However, in Botswana, the factors facilitating LGBTI+ individuals to experience mental health challenges have not been explored with previous studies only highlighting the poor mental health outcomes they experience.Objectives: The aim of the study was to explore and describe factors that could cause mental health challenges in LGBTI+ individuals in Gaborone, Botswana.Method: A qualitative, descriptive, phenomenological design was employed to examine the research question. In data collection, 15 unstructured in-depth telephonic interviews were conducted until data saturation. Data were analysed with a co-coder using the data analysis method by Colaizzi.Results: Three themes emerged following data analysis and were reasons for experiencing mental health challenges, experiences of challenges in accessing healthcare services and the social challenges of everyday life.Conclusion: The findings indicate that a variety of factors influence the mental health problems in some LGBTI+ individuals.Contribution: The knowledge of the factors that cause LGBTI+ individuals’ mental health challenges can inform mental healthcare to be rendered. The findings can apprise nursing curriculum development and policy regarding the needs of LGBTI+ individuals.
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博茨瓦纳哈博罗内 LGBTI+ 群体面临心理健康挑战的风险因素
背景:女同性恋、男同性恋、双性恋、变性人、雌雄同体人和其他以+(LGBTI+)为标志的不同性别群体(LGBTI+)的人会遇到不良的心理健康问题,有文献记载,有几个因素会导致这些问题的出现。然而,在博茨瓦纳,促进 LGBTI+ 个人经历心理健康挑战的因素尚未得到探讨,以往的研究仅强调了他们经历的不良心理健康结果:研究目的:本研究旨在探索和描述可能导致博茨瓦纳哈博罗内 LGBTI+ 人士面临心理健康挑战的因素:方法:采用定性、描述性、现象学设计来研究问题。在数据收集过程中,进行了 15 次非结构化的深入电话访谈,直至数据饱和。采用科莱兹的数据分析方法,与一名共同编码者对数据进行了分析:数据分析后出现了三个主题,分别是经历心理健康挑战的原因、获得医疗服务的挑战经历和日常生活中的社会挑战:结论:研究结果表明,多种因素影响着一些 LGBTI+ 人士的心理健康问题:贡献:对导致 LGBTI+ 人士心理健康问题的因素的了解可以为心理保健提供参考。研究结果可为护理课程的开发和有关 LGBTI+ 人士需求的政策提供参考。
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