Background
It has been demonstrated
that health disparities between lesbian, gay, bisexual and queer (LGBQ)
populations and the general population can be improved by disclosure of sexual
identity to a health care provider (HCP). However, heteronormative assumptions
(that is, assumptions based on a heterosexual identity and experience) may
negatively affect communication between patients and HCPs more than has been
recognized. The aim of this study was to understand LGBQ patients’ perceptions
of their experiences related to disclosure of sexual identity to their primary
care provider (PCP).
Methods
One-on-one
semi-structured telephone interviews were conducted, audio-recorded, and
transcribed. Participants were self-identified LGBQ adults with experiences of
health care by PCPs within the previous five years recruited in Toronto,
Canada. A qualitative descriptive analysis was performed using iterative coding
and comparing and grouping data into themes.
Results
Findings revealed that
disclosure of sexual identity to PCPs was related to three main themes: 1)
disclosure of sexual identity by LGBQ patients to a PCP was seen to be as
challenging as coming out to others; 2) a solid therapeutic relationship can
mitigate the difficulty in disclosure of sexual identity; and, 3) purposeful
recognition by PCPs of their personal heteronormative value system is key to establishing
a strong therapeutic relationship.
Conclusion
Improving physicians’
recognition of their own heteronormative value system and addressing structural
heterosexual hegemony will help to make health care settings more inclusive.
This will allow LGBQ patients to feel better understood, willing to disclose,
subsequently improving their care and health outcomes.
Full article at: http://goo.gl/s3JWfn
By: Marcus Law, Anila Mathai, Paula Veinot, Fiona Webster, and Maria Mylopoulos
Faculty of
Medicine, University of Toronto, Medical Sciences Building, 1 King’s College
Circle, Room 3157, Toronto, ON M5S 1A8 Canada
Department of
Family & Community Medicine, University of Toronto, 500 University Avenue,
5th Floor, Toronto, ON M5G 1V7 Canada
The Wilson
Centre, 200 Elizabeth Street, 1ES-565, Toronto, ON M5G 2C4 Canada
Marcus Law, Phone: +416-978-4543, Email: ac.otnorotu@wal.sucram.
More at: https://twitter.com/hiv_insight
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