Feeling 'not enough' or 'too much': Exploring how LGBTQ+ adults experiencing disability navigate Canadian health contexts.

IF 2.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Health Psychology Pub Date : 2025-11-01 Epub Date: 2025-03-24 DOI:10.1177/13591053251327263

Shannon S C Herrick, Erica V Bennett, Andrea Bundon

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Abstract

Disability and LGBTQ+ communities experience healthcare disparities, however, most research has looked at these communities separately which erases the unique health experiences of people who belong to both. This project sought to explore intersections between gender, sexuality and disability within Canadian health contexts through three life-story interviews with seven adults (aged 25-35; 21 interviews total) who identified as LGBTQ+ and experiencing disability. Thematic narrative analysis resulted in interrelated themes associated with axes of self-identification that demonstrated how participants navigated tensions between being perceived as not disabled, trans and/or queer 'enough' or 'too much' within healthcare settings. Participants relayed stories of strategically omitting and/or sharing aspects of their intersectional identities with healthcare providers to receive the care they needed. This study, in demonstrating some of the difficult compromises and decisions LGBTQ+ adults who experience disability navigate to access healthcare, highlights how ableism, cis-heterosexism and racism intertwine to shape medical systems.

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感觉“不够”或“太多”：探索LGBTQ+残疾成年人如何应对加拿大的健康环境。

残疾人和LGBTQ+社区经历着医疗保健方面的差异，然而，大多数研究都是单独研究这些社区的，这抹去了属于这两个社区的人的独特健康经历。该项目试图通过对七名成年人(25-35岁；总共21个访谈)，他们被认为是LGBTQ+并且正在经历残疾。主题叙事分析产生了与自我认同轴相关的相互关联的主题，展示了参与者如何在医疗保健环境中被视为没有残疾、变性和/或酷儿“足够”或“太多”之间的紧张关系中进行导航。参与者讲述了战略性地忽略和/或与医疗保健提供者分享他们交叉身份的各个方面以获得所需护理的故事。这项研究展示了残疾的LGBTQ+成年人在获得医疗服务时所做出的一些艰难的妥协和决定，强调了残疾歧视、顺性异性恋歧视和种族主义是如何交织在一起塑造医疗系统的。

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来源期刊

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.