Embodied disruption: "Sorting out" gender and nonconformity in the doctor's office.
Embodied disruption: "Sorting out" gender and nonconformity in the doctor's office.
复制标题
DOI：
10.1016/j.socscimed.2018.06.039
复制
发表时间：
2018-08
期刊：
影响因子：
--
通讯作者：
Paine EA
中科院分区：
文献类型：
--
作者：
Paine EA
在LGBTQ人群中，那些性别歧视（GNC）的人可能面临更高的歧视和医疗保健利用不足的风险，但人们对医疗保健遇到的情况知之甚少，迫使GNC个人继续或避免寻求未来的护理。本研究定性地考察了34名成年LGBTQ顺式女性，变性男性和非二元个体在美国大都市地区的种族多样化样本的医疗保健经验，这些人不符合性和性别的主要生物医学模式。当患者被错误/识别时，GNC个体在医疗环境中经历了具体的中断;提供者以进一步困扰患者的方式对中断做出反应。从广义上讲，参与者报告了不同种族和性别身份的类似经历，但患者对干扰的管理方式有所不同，这取决于他们对性别规范的具体立场。这项研究有助于文学的压力，耻辱，和性，性别和性在医学上阐明如何污名化的医疗保健互动阻止LGBTQ个人寻求医疗保健。研究结果指出，在未来的研究中，考虑结构因素和具体可见性的重要性，以解决卫生环境中的耻辱和歧视如何表现为对LGBTQ群体不利。
Among LGBTQ people, those who are gender nonconforming (GNC) may be at heightened risk of both discrimination and underutilization of healthcare—yet little is known about what happens during healthcare encounters to compel GNC individuals to continue or avoid seeking future care. This study qualitatively examines the healthcare experiences of a racially diverse sample of 34 adult LGBTQ cis women, transgender men, and nonbinary individuals in a metropolitan area of the United States who do not conform to dominant biomedical schemas of sex and gender. GNC individuals experience embodied disruption in medical settings when patients are mis/recognized; providers respond to disruption in ways that further distress patients. Broadly, participants report similar experiences across racial and gender identities, but patients manage disruption somewhat differently depending on their embodied positions to gender norms. This study contributes to literature of stress, stigma, and sex, gender, and sexuality within medicine by illuminating how stigmatizing healthcare interactions deter LGBTQ individuals from seeking healthcare. Findings point to the importance of considering both structural factors and embodied visibility in future research addressing how stigma and discrimination manifest within health settings to disadvantage LGBTQ groups.
登录
查看更多内容
影响因子：
3
作者：
Kosenko, Kami;Rintamaki, Lance;Maness, Kathleen
通讯作者：
Maness, Kathleen
影响因子：
5.5
作者：
Davis, Georgiann;Dewey, Jodie M.;Murphy, Erin L.
通讯作者：
Murphy, Erin L.
影响因子：
12.7
作者：
Hatzenbuehler, Mark L.;Phelan, Jo C.;Link, Bruce G.
通讯作者：
Link, Bruce G.
影响因子：
2
作者：
Chisolm-Straker, Makini;Jardine, Logan;Shearer, Peter L
通讯作者：
Shearer, Peter L
影响因子：
2.4
作者：
Everett, Bethany G.;Mollborn, Stefanie
通讯作者：
Mollborn, Stefanie