Grigorovich Alisa
a Department of Occupational Science and Occupational Therapy , University of Toronto , Toronto , Canada.
Cult Health Sex. 2015;17(8):947-61. doi: 10.1080/13691058.2015.1011237. Epub 2015 Feb 23.
There is evidence that lesbians and bisexual women often face prejudice and stigma when accessing routine primary healthcare services. However, limited research to date has examined their experiences outside of primary healthcare contexts or the perspectives of older healthcare users. This paper presents findings from a qualitative study of older lesbians and bisexual women in Ontario who accessed publicly-funded home care services. In qualitative in-depth interviews, 16 women responded to questions about their decision making around disclosure of their sexuality, home care workers' reactions to disclosure and their experiences of receiving care. The thematic analysis of participants' responses demonstrated that they experienced isolation and ongoing anxiety, as well overt and subtle examples of heterosexism and discrimination. However, there was also evidence of participants' resilience and resistance to heteronormativity and sexual minority stress. These findings have implications for our understanding of lesbians' and bisexual women's healthcare experiences and for policy recommendations.
有证据表明,女同性恋者和双性恋女性在获得常规初级医疗服务时经常面临偏见和污名。然而,迄今为止,有限的研究考察了她们在初级医疗环境之外的经历,或者老年医疗服务使用者的观点。本文呈现了对安大略省使用公共资金资助的家庭护理服务的老年女同性恋者和双性恋女性进行定性研究的结果。在定性深入访谈中,16名女性回答了关于她们在披露性取向方面的决策、家庭护理人员对披露的反应以及她们接受护理的经历等问题。对参与者回答的主题分析表明,她们经历了孤立和持续的焦虑,以及异性恋主义和歧视的明显和微妙例子。然而,也有证据表明参与者具有恢复力,并且对异性规范和性少数群体压力具有抵抗力。这些发现对于我们理解女同性恋者和双性恋女性的医疗经历以及政策建议具有启示意义。