Department of Social and Public Health, Ohio University, Athens, OH, USA.
J Ment Health. 2022 Oct;31(5):634-641. doi: 10.1080/09638237.2020.1793126. Epub 2020 Jul 15.
Gender and sexual minorities are more likely to report unfavourable experiences with primary care. Aside from being refused care, additional challenges include stigma, discrimination, social and societal rejection, and violence.
The purpose of this study was to determine which aspects of the client-provider relationship affected perceived satisfaction with the quality of mental healthcare received.
Data was collected via electronic survey, which yielded 177 responses. Univariate and ordinal logistic regression were used to determine if a significant relationship existed between the variables of interest.
Results indicate that clients who felt less trust for their providers, reported inadequate time spent in therapeutic encounters, and felt their providers looked down on or judged them were less satisfied with the quality of mental healthcare they received. In addition, LGBTQ+ clients who were less satisfied with the quality of care they received were significantly less confident in their ability to receive adequate future mental healthcare.
Results of this study highlight the importance of provider awareness, attitude, and access to information regarding the mental health needs of the LGBTQ+ population because these support culturally competent care, which potentially encourages future care-seeking behaviors.
性别和性少数群体更有可能报告在初级保健方面的不良体验。除了被拒绝治疗外，他们还面临着污名化、歧视、社会排斥和暴力等额外挑战。
本研究旨在确定医患关系的哪些方面影响了对所接受精神保健质量的感知满意度。
通过电子调查收集数据，共获得 177 份回复。采用单变量和有序逻辑回归来确定感兴趣变量之间是否存在显著关系。
结果表明，对提供者信任度较低、治疗会面时间不足、以及感到提供者轻视或评判他们的客户对所接受的精神保健质量的满意度较低。此外，对护理质量不满意的 LGBTQ+客户对自己未来获得足够精神保健的能力的信心明显较低。
本研究结果强调了提供者对 LGBTQ+群体精神健康需求的意识、态度和获取信息的重要性，因为这支持文化能力的护理，从而可能鼓励未来的护理寻求行为。
