Wang Ya-Ching, Griffiths Jane, Grande Gunn
a Department of Nursing, College of Nursing , Tzu Chi University of Science and Technology , Hualien City , Taiwan.
b School of Nursing, Midwifery and Social Work , University of Manchester , Manchester , UK.
Women Health. 2017 Sep;57(8):962-975. doi: 10.1080/03630242.2016.1222331. Epub 2016 Aug 11.
This article presents the qualitative findings of a mixed-methods study that explored factors influencing lesbians' breast health-care behavior and intentions. A total of 37 semi-structured face-to-face interviews were conducted among women who self-identified as lesbians or women who partnered with the same gender who were aged 20 years or above in four areas of Taiwan (North, Central, South, and East Taiwan) between August 2012 and October 2012. Interviews were audio recorded with participants' consent. The interviews were analyzed using constant comparative analysis with Nvivo audio-coding support. Four themes were identified to be strongly associated with the lesbians' breast health-care behavior and their intentions, namely, gender identity, gender role expression, partners' support, and concerns about health-care providers' reactions. Important barriers to the women's breast health-care behavior and intentions were masculine identity ("T-identity" in Taiwan), masculine appearance, concerns about health-care providers' lack of knowledge of multiple gender diversity, and their attitudes toward lesbians. Conversely, their partners' support was a factor facilitating the women's breast health-care behavior and intentions, particularly for the T-identity lesbians. These findings suggest the significance of and need for culturally competent care and are important for improving Taiwanese lesbians' breast health.
本文介绍了一项混合方法研究的定性研究结果，该研究探讨了影响女同性恋者乳房保健行为和意愿的因素。2012年8月至2012年10月期间，在台湾四个地区（台湾北部、中部、南部和东部）对年龄在20岁及以上、自我认同为女同性恋者或与同性伴侣在一起的女性进行了总共37次半结构化面对面访谈。经参与者同意，访谈进行了录音。在Nvivo音频编码支持下，使用持续比较分析法对访谈进行了分析。确定了与女同性恋者乳房保健行为及其意愿密切相关的四个主题，即性别认同、性别角色表达、伴侣支持以及对医疗服务提供者反应的担忧。女性乳房保健行为和意愿的重要障碍包括男性身份认同（台湾的“T身份”）、男性化外表、对医疗服务提供者缺乏多元性别多样性知识及其对女同性恋者态度的担忧。相反，她们伴侣的支持是促进女性乳房保健行为和意愿的一个因素，特别是对具有T身份的女同性恋者而言。这些研究结果表明了提供具有文化胜任力护理的重要性和必要性，对改善台湾女同性恋者的乳房健康具有重要意义。
