Goldberg Abbie E, Ross Lori E, Manley Melissa H, Mohr Jonathan J
Department of Psychology, Clark University.
Dalla Lana School of Public Health, University of Toronto.
Psychol Sex Orientat Gend Divers. 2017 Mar;4(1):105-114. doi: 10.1037/sgd0000215. Epub 2017 Jan 9.
Male-partnered sexual minority women (SMW) have received little research attention, despite the fact that they represent a large proportion of SMW - particularly child-bearing SMW. Male-partnered SMW are less "out" than female-partnered SMW and will likely be "read" as heterosexual by perinatal providers. Given this, and evidence that pregnant women have unique mental health care needs, the current study focuses on male-partnered SMW ( = 28) during the perinatal period, recruited from Toronto, Canada and Massachusetts, USA, in an effort to understand disclosure and concealment processes in general and to perinatal heath care providers specifically. Women generally reported that they did not disclose (but made no effort to conceal) their sexual identities and histories in new or unfamiliar relationships, largely because the topic rarely came up, although some women highlighted bisexual invisibility and fear of biphobia as reasons for non-disclosure. Despite overall positive experiences with perinatal providers, less than one-quarter of the sample ( = 6) had disclosed their sexual identities and histories to them. Most women felt that this information was generally not relevant to their health care, and particularly their reproductive/obstetric care, although some believed that disclosure would be appropriate under conditions of sexual health risk ( = 8). Others noted that although they did not feel the need to disclose, they did prefer an LGBQ-affirming provider ( = 7). Findings provide insight into male-partnered SMW's views and patterns of disclosure during the perinatal period, and have implications for providers, organizations, and scholars who interface with SMW. Pregnant sexual minority women with male partners are often assumed to be heterosexual, raising questions about whether and when these women disclose their sexual minority status in the perinatal context. This qualitative study of 28 women found that most participants did not share their sexual identity or sexual histories with their perinatal health care providers because this information was perceived as not relevant to their care, although some women nevertheless valued having LGBTQ friendly providers.
有男性伴侣的性少数女性（SMW）很少受到研究关注，尽管她们在性少数女性中占很大比例——尤其是生育期的性少数女性。有男性伴侣的性少数女性比有女性伴侣的性少数女性更不“出柜”，围产期医护人员很可能会将她们视为异性恋。鉴于此，以及有证据表明孕妇有独特的心理健康护理需求，本研究聚焦于来自加拿大多伦多和美国马萨诸塞州的28名有男性伴侣的性少数女性在围产期的情况，旨在总体上了解披露和隐瞒过程，尤其是向围产期医护人员披露和隐瞒的过程。女性普遍表示，在新的或不熟悉的关系中，她们不会披露（但也不会刻意隐瞒）自己的性身份和性史，主要是因为这个话题很少被提及，不过一些女性强调双性恋的隐形状态以及对双性恋恐惧症的恐惧是不披露的原因。尽管与围产期医护人员的总体体验良好，但样本中不到四分之一（即6人）向他们披露了自己的性身份和性史。大多数女性认为这些信息通常与她们的医疗护理，尤其是生殖/产科护理无关，不过一些人认为在有性健康风险的情况下披露是合适的（8人）。其他人指出，虽然她们觉得没有必要披露，但确实更喜欢支持女同性恋、男同性恋、双性恋和跨性别者的医护人员（7人）。研究结果深入了解了有男性伴侣的性少数女性在围产期的观点和披露模式，对与性少数女性接触的医护人员、组织和学者具有启示意义。有男性伴侣的怀孕性少数女性通常被认为是异性恋，这引发了关于这些女性在围产期是否以及何时披露其性少数身份的问题。这项对28名女性的定性研究发现，大多数参与者没有与围产期医护人员分享她们的性身份或性史，因为她们认为这些信息与护理无关，不过一些女性仍然重视有支持女同性恋、男同性恋、双性恋和跨性别者的医护人员。
