A Qualitative Study Examining Young Adults' Experiences of Disclosure and Nondisclosure of LGBTQ Identity to Health Care Providers.
A Qualitative Study Examining Young Adults' Experiences of Disclosure and Nondisclosure of LGBTQ Identity to Health Care Providers.
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一项定性研究，研究了年轻人对LGBTQ身份对医疗保健提供者的披露和不公开的经历。
DOI：
10.1080/00918369.2017.1321379
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发表时间：
2017
影响因子：
2.6
通讯作者：
Macapagal K
中科院分区：
文献类型：
--
作者：
Rossman K;Salamanca P;Macapagal K
不断变化的文化态度和立法越来越关注女同性恋者、男同性恋者、双性恋者、变性人和同性恋者(LGBTQ)患者的医疗需求。然而，患者不披露LGBTQ身份会给获得护理造成障碍。这项研究调查了LGBTQ年轻人的不同样本，以及他们向医疗提供者披露和不披露的经历。参与者(N=206，年龄范围18-27)完成了评估医疗保健获取和使用的问卷，这是一项更大规模研究的一部分。受试者对开放式问题的回答被问及LGBTQ向医疗提供者披露身份的经历和不披露的原因。结果揭示了与患者信息披露相关的内部和人际因素。参与者不披露身份的原因包括提供者不询问身份、内在化的污名以及认为健康和LGBTQ身份没有关联。当参与者披露信息时，他们的反应从歧视和不相信到肯定和尊重。研究结果证实并扩展了之前关于年轻人身份披露的研究，并为从事LGBTQ患者工作的卫生专业人员提供了继续教育的途径。
Shifting cultural attitudes and legislation have increased focus on the healthcare needs of lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients. However, patient non-disclosure of LGBTQ identity creates a barrier to accessing care. This study examined a diverse sample of LGBTQ young adults and their experiences of disclosure and non-disclosure to medical providers. Participants (N = 206, age range 18–27) completed questionnaires assessing healthcare access and use as part of a larger study. Participants’ responses to open-ended items asking about experiences of LGBTQ identity disclosure to medical providers and reasons for non-disclosure were analyzed thematically. Results revealed intra- and interpersonal factors related to patient disclosure. Reasons for participant non-disclosure included providers not asking about identity, internalized stigma, and belief that health and LGBTQ identity are not related. When participants did disclose, they experienced reactions ranging from discrimination and disbelief to affirmation and respect. Findings confirm and extend previous research on young adults’ identity disclosure and provide avenues continuing education for health professionals working with LGBTQ patients.
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影响因子：
4.8
作者：
Macapagal, Kathryn;Bhatia, Ramona;Greene, George J.
通讯作者：
Greene, George J.
影响因子：
2.4
作者：
Bidell, Markus P.
通讯作者：
Bidell, Markus P.
影响因子：
1.6
作者：
Rounds, Kelsey E.;McGrath, Barbara Burns;Walsh, Elaine
通讯作者：
Walsh, Elaine
影响因子：
--
作者：
Meckler, Garth D.;Elliott, Marc N.;Schuster, Mark A.
通讯作者：
Schuster, Mark A.
影响因子：
3.2
作者：
Johnson, Michael J.;Nemeth, Lynne S.
通讯作者：
Nemeth, Lynne S.