Experiences of discrimination in healthcare settings, trust in providers and disordered eating behaviors in LGBTQ+ college students.

IF 3.5 3区医学 Q2 PSYCHIATRY Eating Disorders Pub Date : 2025-01-01 Epub Date: 2024-10-23 DOI:10.1080/10640266.2024.2416343

Taryn Henning, Madison Weinstock, Suzanne E Mazzeo, An Pham

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Abstract

Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals report more experiences of healthcare discrimination and disordered eating behaviors (DEBs), and less trust in physicians than their cisgender and heterosexual counterparts. Although research supports a link between discrimination and DEBs among LGBTQ+ populations, few studies have specifically investigated healthcare discrimination and DEBs in this population. This study examined whether LGBTQ+ status moderated the relation between negative healthcare experiences and DEBs in undergraduates. Undergraduates (n = 322) from a Southeastern (United States) university completed measures of healthcare discrimination, trust in physicians, and DEBs. Analyses investigated whether LGBTQ+ status moderated the relation between healthcare discrimination and DEBs; trust in physicians and DEBs. LGBTQ+ individuals (35% of sample), reported less trust in physicians (p < .001), and more body dissatisfaction (p = .007) and shape/weight overvaluation (p = .008). Among all undergraduates, experiences of healthcare discrimination were associated with higher body dissatisfaction (p = .003) and shape/weight overvaluation (p = .008). Less trust in physicians was associated with greater shape/weight overvaluation (p = .005). LGBTQ+ status did not moderate either relation. It is important to reduce healthcare discrimination and foster patient-provider trust for all young adults. Future research should examine factors influencing patient-provider trust among LGBTQ+ individuals.

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LGBTQ+ 大学生在医疗环境中遭受歧视的经历、对医疗服务提供者的信任以及饮食失调行为。

女同性恋、男同性恋、双性恋、跨性别者和同性恋者（LGBTQ+）报告称，与同性别者和异性恋者相比，他们遭受的医疗歧视和饮食失调行为（DEBs）更多，对医生的信任度更低。尽管研究支持 LGBTQ+ 群体中的歧视和饮食失调行为之间存在联系，但很少有研究专门调查这一群体中的医疗歧视和饮食失调行为。本研究探讨了 LGBTQ+ 身份是否会调节大学生的负面医疗经历与 DEBs 之间的关系。来自美国东南部一所大学的本科生（n = 322）完成了关于医疗歧视、对医生的信任和 DEBs 的测量。分析调查了 LGBTQ+ 身份是否调节了医疗歧视与 DEBs、对医生的信任与 DEBs 之间的关系。LGBTQ+人群（占样本的35%）对医生的信任度较低（p p = .007），对体形/体重的高估也较低（p = .008）。在所有大学生中，医疗歧视经历与较高的身体不满意度（p = .003）和体形/体重高估（p = .008）相关。对医生的信任度较低与体形/体重高估程度较高有关（p = .005）。LGBTQ+身份并不影响这两种关系。对于所有年轻人来说，减少医疗歧视和促进患者与医疗服务提供者之间的信任非常重要。未来的研究应探讨影响 LGBTQ+ 患者与医护人员之间信任关系的因素。

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来源期刊

Eating Disorders PSYCHIATRY-PSYCHOLOGY

CiteScore

7.70

自引率

9.10%

发文量

期刊介绍： Eating Disorders is contemporary and wide ranging, and takes a fundamentally practical, humanistic, compassionate view of clients and their presenting problems. You’ll find a multidisciplinary perspective on clinical issues and prevention research that considers the essential cultural, social, familial, and personal elements that not only foster eating-related problems, but also furnish clues that facilitate the most effective possible therapies and treatment approaches.