Sexual Orientation Disclosure to Health Care Providers Among Urban and Non-Urban Southern Lesbians
Sexual Orientation Disclosure to Health Care Providers Among Urban and Non-Urban Southern Lesbians
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DOI：
10.1080/03630242.2012.743497
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发表时间：
2013-01-01
期刊：
影响因子：
1.6
通讯作者：
Austin, Erika Laine
中科院分区：
文献类型：
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作者：
Austin, Erika Laine
关于向卫生保健提供者披露性取向的担忧被认为是护理的障碍，这可能是女同性恋者相对于异性恋妇女在医疗保健利用方面存在差异的原因。本研究探讨了934名生活在南方城市和非城市地区的女同性恋者向卫生保健提供者披露性取向的相关性。社会心理资源，如自尊，社会支持，掌握，沿着几个女同性恋特有的经验（女同性恋，男同性恋，双性恋，或变性人的朋友的比例，进入女同性恋，男同性恋，双性恋，或变性人社区，被淘汰的程度），都独立与更大的可能性，已披露给医疗保健提供者。内化的同性恋恐惧症和女同性恋相关的耻辱感降低了披露的可能性。生活在非城市地区的女同性恋者比城市地区的妇女披露的可能性要小得多，这表明披露可能会对非城市地区的人口产生特别的影响。
Concerns regarding sexual orientation disclosure to health care providers have been suggested as a barrier to care which may account for documented differences in the health care utilization of lesbians relative to heterosexual women. This study explored the correlates of sexual orientation disclosure to health care providers among 934 lesbian women living in urban and non-urban areas of the South. Psychosocial resources, such as self-esteem, social support, and mastery, along with several lesbian-specific experiences (proportion of lesbian, gay, bisexual, or transgender friends, access to the lesbian, gay, bisexual, or transgender community, degree of being out), were all independently associated with greater likelihood of having disclosed to a health care provider. Internalized homophobia and lesbian-related stigma decreased the likelihood of disclosure. Lesbians living in non-urban areas were significantly less likely to have disclosed than women in urban areas, suggesting that disclosure may present a special concern for populations in non-urban areas.