Kano Miria, Silva-Bañuelos Alma Rosa, Sturm Robert, Willging Cathleen E
From the Department of Family and Community Medicine, University of New Mexico, Albuquerque (MK); the University of New Mexico LGBTQ Resource Center, Albuquerque (ARS-B); the New Mexico Community AIDS Partnership, Santa Fe (RS); and the Pacific Institute for Research and Evaluation, Behavioral Health Research Center of the Southwest, Albuquerque, NM (CEW).
J Am Board Fam Med. 2016 Jan-Feb;29(1):156-60. doi: 10.3122/jabfm.2016.01.150205.
Individuals among gender/sexual minorities share experiences of stigma and discrimination, yet have distinctive health care needs influenced by ethnic/racial minority and rural realities.
We collected qualitative data from lesbian/gay/bisexual/transgender (LGBT) and queer persons across the largely rural, multicultural state of New Mexico, particularly those from understudied ethnic groups, regarding factors facilitating or impeding patient-centered primary care. The themes identified formed the basis for a statewide summit on LGBT health care guidelines and strategies for decreasing treatment gaps.
Three to 15 individuals, ages 18 to 75 years, volunteered for 1 of 4 town hall dialogues (n = 32), and 175 people took part in the summit. Participants acknowledged health care gaps pertinent to LGBT youth, elders, American Indians, and Latinos/Latinas, expressing specific concern for rural residents.
This preliminary research emphasizes the need to improve primary care practices that treat rural and ethnic-minority LGBT people and offers patient-driven recommendations to enhance care delivery while clinic-level transformations are implemented.
性别/性少数群体中的个体有着遭受污名化和歧视的经历，但他们有着受少数族裔和农村实际情况影响的独特医疗保健需求。
我们从新墨西哥州这个多为农村地区且文化多元的州的女同性恋者/男同性恋者/双性恋者/跨性别者（LGBT）及酷儿群体中收集了定性数据，尤其是来自研究较少的族裔群体的相关数据，内容涉及促进或阻碍以患者为中心的初级保健的因素。所确定的主题构成了关于LGBT医疗保健指南及缩小治疗差距策略的全州峰会的基础。
18至75岁的3至15人自愿参加了4场市政厅对话中的1场（共32人），175人参加了峰会。参与者承认LGBT青年、老年人、美国印第安人和拉丁裔存在医疗保健差距，并对农村居民表示了特别关注。
这项初步研究强调了改善治疗农村和少数族裔LGBT人群的初级保健做法的必要性，并在实施诊所层面的转变时提供了以患者为导向的建议，以加强医疗服务的提供。
