Department of Counseling, Clinical and School Psychology, University of California Santa Barbara, Santa Barbara, California, USA.
Department of Counseling, San Francisco State University, San Francisco, California, USA.
J Homosex. 2023 Apr 16;70(5):782-805. doi: 10.1080/00918369.2021.1999123. Epub 2021 Nov 29.
Major strides have been made in understanding the impact of intersectionality in everyday life. However, there is a significant gap in the research literature on how individuals with multiple minority statuses must uniquely interact and navigate health services. We carried out an exploratory qualitative study with twenty sexual minority gender expansive women of Latinx and African American descent to explore participants' access to health services and the impact of cultural factors on their health decisions and behaviors. Participants described long-term challenges with accessing health services that were primarily tied to income and discriminatory treatment on the part of health providers. Participants also shared regular discouragement from family members to engage with U.S./Western medicine and health traditions. Together, participants' early life experiences and the continued messages from family members, influenced their health behaviors (e.g., delaying care). Implications for future research and health services are discussed.
在理解交叉性在日常生活中的影响方面已经取得了重大进展。然而,关于具有多种少数群体地位的个人必须如何独特地相互作用并驾驭卫生服务的研究文献中存在重大差距。我们对二十名拉丁裔和非裔美国裔性少数性别扩张的女性进行了探索性定性研究,以探讨参与者获得卫生服务的情况以及文化因素对他们的健康决策和行为的影响。参与者描述了长期以来在获得卫生服务方面面临的挑战,这些挑战主要与收入以及卫生提供者的歧视性待遇有关。参与者还经常因家人的反对而感到沮丧,不愿接受美国/西方医学和健康传统。参与者的早期生活经历以及家人的持续信息共同影响了他们的健康行为(例如,延迟治疗)。讨论了对未来研究和卫生服务的影响。