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交叉性理论与 LGBT 癌症患者

Intersectionality and the LGBT Cancer Patient.

作者信息

Damaskos Penny, Amaya Beau, Gordon RuthAnn, Walters Chasity Burrows

出版信息

Semin Oncol Nurs. 2018 Feb;34(1):30-36. doi: 10.1016/j.soncn.2017.11.004. Epub 2018 Jan 8.

DOI:10.1016/j.soncn.2017.11.004
PMID:29325815
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7424551/
Abstract

OBJECTIVES

To present the ways in which race, ethnicity, class, gender, and sexual orientation interact in the context of cancer risk, access to care, and treatment by health care providers. Cancer risk factors, access to care, and treatment for lesbian, gay, bisexual, and transgender (LGBT) patients are discussed within the context of intersectionality and cultural humility.

DATA SOURCES

Peer reviewed articles, cancer organizations, and clinical practice.

CONCLUSION

LGBT patients have multiple identities that intersect to create unique experiences. These experiences shape their interactions with the health care system with the potential for positive or negative consequences. More data is needed to describe the outcomes of those experiences and inform clinical practice.

IMPLICATIONS FOR NURSING PRACTICE

Oncology nurses have an obligation to acknowledge patients' multiple identities and use the practice of cultural humility to provide individualized, patient-centered care.

摘要

目的

阐述种族、族裔、阶层、性别和性取向在癌症风险、获得医疗服务以及医疗服务提供者的治疗等方面相互作用的方式。在交叉性和文化谦逊的背景下,讨论女同性恋、男同性恋、双性恋和跨性别(LGBT)患者的癌症风险因素、获得医疗服务的情况以及治疗。

数据来源

同行评审文章、癌症组织和临床实践。

结论

LGBT患者具有多种相互交叉的身份,从而产生独特的经历。这些经历塑造了他们与医疗系统的互动,可能产生积极或消极的后果。需要更多数据来描述这些经历的结果并为临床实践提供信息。

对护理实践的启示

肿瘤学护士有义务承认患者的多种身份,并运用文化谦逊的做法提供个性化的、以患者为中心的护理。

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本文引用的文献

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J Clin Oncol. 2017 Jul 1;35(19):2203-2208. doi: 10.1200/JCO.2016.72.0441. Epub 2017 Apr 3.
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Intersectionality and Shared Decision Making in LGBTQ Health.LGBTQ群体健康中的交叉性与共同决策
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Cancer statistics for African Americans, 2016: Progress and opportunities in reducing racial disparities.2016 年非裔美国人癌症统计数据:减少种族差异方面的进展和机会。
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Sexual Minority Health and Health Risk Factors: Intersection Effects of Gender, Race, and Sexual Identity.性少数群体健康与健康风险因素:性别、种族和性取向的交叉影响
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