Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge CB1 1PT, UK.
Academic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds, Leeds LS2 9JT, UK.
Int J Environ Res Public Health. 2019 Aug 21;16(17):3032. doi: 10.3390/ijerph16173032.
Sexual minority women (SMW) experience worse health and disproportionate behavioural risks to health than heterosexual women. This mixed-methods systematic review evaluated recent studies on health experiences of UK SMW, published 2010-2018. Analysis was through narrative thematic description and synthesis. Identified were 23,103 citations, 26 studies included, of which 22 provided qualitative and nine quantitative results. SMW had worse health experiences that might impact negatively on access, service uptake and health outcomes. Findings highlighted significant barriers facing SMW, including heteronormative assumptions, perceptions and experiences of negative responses to coming out, ignorance and prejudice from healthcare professionals, and barriers to raising concerns or complaints. Little information was available about bisexual and trans women's issues. Findings highlighted the need for explicit and consistent education for healthcare professionals on SMW issues, and stronger application of non-discrimination policies in clinical settings.
性少数群体女性（SMW）的健康状况比异性恋女性更差，行为风险也更高。本项混合方法系统综述评估了 2010 年至 2018 年间发表的有关英国 SMW 健康体验的最新研究。分析方法为叙述性主题描述和综合。共确定了 23,103 条引文，其中包括 26 项研究，其中 22 项提供了定性结果，9 项提供了定量结果。SMW 的健康体验更差，可能会对其获得医疗服务的机会、服务利用率和健康结果产生负面影响。研究结果突出了性少数群体女性面临的重大障碍，包括异性恋规范假设、出柜后负面反应的看法和体验、医疗专业人员的无知和偏见，以及提出担忧或投诉的障碍。关于双性恋和跨性别女性问题的信息很少。研究结果强调需要对医疗保健专业人员进行明确和一致的有关性少数群体女性问题的教育，并在临床环境中更有力地实施不歧视政策。
