Quinn Gwendolyn P, Sutton Steven K, Winfield Brian, Breen Shannon, Canales Jorge, Shetty Gina, Sehovic Ivana, Green B Lee, Schabath Matthew B
H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida.
University of South Florida, Tampa, Florida.
J Gay Lesbian Soc Serv. 2015;27(2):246-261. doi: 10.1080/10538720.2015.1022273. Epub 2015 Jun 10.
The goal study of this was to explore attitudes, health knowledge, and experiences with healthcare setting and providers among gay, lesbian, bisexual, transgender, queer/questioning (GLBTQ) individuals and to identify areas for improvement.
Members of Equality Florida™ residing in the five counties of the Tampa Bay region were recruited through email invitation to complete a 60-item questionnaire assessing demographics, attitudes, and experiences with healthcare providers (HCPs). Additional open-ended questions focused on experiences with HCPs and suggestions for ways to improve HCPs' cultural competency.
632 respondents completed the survey of which 41% were gay men and 29% were lesbian. The majority of participants was White, non-Hispanic (93%), married/partnered (78%), and had health insurance (88%). The majority (67%) reported they always or often disclosed their sexual orientation/identity to an HCP and few had negative reactions in the healthcare setting (<10%). Healthcare settings with equality signs and gender-neutral language were perceived as safer. Participants' responses suggested need for policy changes and improved cultural competence among HCPs.
Results show high rates of sexual orientation disclosure, greater acceptance from providers of GLBTQ status, and the need for examination of hospital policies and improved cultural competency.
本研究的目标是探索男同性恋、女同性恋、双性恋、跨性别者、酷儿/疑问者（GLBTQ）群体对医疗环境和医疗服务提供者的态度、健康知识及经历，并确定改进领域。
通过电子邮件邀请居住在坦帕湾地区五个县的佛罗里达平等组织（Equality Florida™）成员完成一份60项的问卷，评估人口统计学特征、态度以及与医疗服务提供者（HCPs）的经历。另外的开放式问题聚焦于与HCPs的经历以及提高HCPs文化能力的方法建议。
632名受访者完成了调查，其中41%为男同性恋者，29%为女同性恋者。大多数参与者为非西班牙裔白人（93%），已婚/有伴侣（78%），且有医疗保险（88%）。大多数人（67%）报告他们总是或经常向HCPs披露自己的性取向/身份，在医疗环境中很少有人有负面反应（<10%）。带有平等标志和中性语言的医疗环境被认为更安全。参与者的回答表明需要改变政策并提高HCPs的文化能力。
结果显示性取向披露率高，医疗服务提供者对GLBTQ身份的接受度更高，并且需要审查医院政策并提高文化能力。
