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在美国-墨西哥边境城市为性少数群体和性别少数群体提供服务的医疗保健和社会服务提供者。

Healthcare and Social Services Providers Who Serve Sexual and Gender Minorities in a U.S.-Mexico Border City.

作者信息

Loza Oralia, Alvarez Carlos R, Peralta-Torres David

机构信息

Department of Public Health Sciences, College of Health Sciences, The University of Texas at El Paso, 500 W. University Ave. (HSSN 405), El Paso, TX, 79968, USA.

Texas Department of State Health Services, TB/HIV/STD Epidemiology and Surveillance Branch, Epidemiology and Supplemental Projects Group, MC 1873, P.O. Box 149347, Austin, TX, USA.

出版信息

J Immigr Minor Health. 2018 Dec;20(6):1537-1540. doi: 10.1007/s10903-018-0688-7.

Abstract

Sexual and gender minorities, including lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals, experience barriers to healthcare as a result of stigma, discrimination, and poor cultural competence by healthcare and social services providers (HCSSP). The purpose of the study is to increase access to care and services for the LGBTQ community in a U.S.-Mexico border city by identifying LGBTQ-friendly HCSSP. A survey, developed based on concerns voiced in a predominantly Hispanic LGBTQ community, was administered to HCSSP and used to create a referral list, "The Purple Pages of El Paso" (PPoEP). Overall, 77 HCSSP have responded and 43 are included in the most recent version of the PPoEP. This model for developing a referral list of providers can be adapted in areas where LGBTQ communities face similar barriers to care and services. To be effective in reducing barriers to care, PPoEP must be updatable and sustainable.

摘要

性少数群体和性别少数群体,包括女同性恋者、男同性恋者、双性恋者、跨性别者和酷儿(LGBTQ)个体,由于医疗保健和社会服务提供者(HCSSP)的污名化、歧视以及文化能力不足,在获得医疗保健方面面临障碍。本研究的目的是通过识别对LGBTQ友好的HCSSP,增加美国 - 墨西哥边境城市LGBTQ社区获得护理和服务的机会。一项基于一个主要为西班牙裔的LGBTQ社区所表达的关切而制定的调查,被施用于HCSSP,并用于创建一份转诊名单,即“埃尔帕索紫页”(PPoEP)。总体而言,有77家HCSSP做出了回应,43家被纳入PPoEP的最新版本。这种制定提供者转诊名单的模式可以在LGBTQ社区在获得护理和服务方面面临类似障碍的地区进行调整。为了有效减少护理障碍,PPoEP必须是可更新的且可持续的。

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