Henriquez Nadine R, Ahmad Nora
Department of Nursing, Faculty of Health Studies, Brandon University, Brandon, Manitoba, Canada.
SAGE Open Nurs. 2021 Oct 16;7:23779608211051174. doi: 10.1177/23779608211051174. eCollection 2021 Jan-Dec.
Lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) people experience significant health inequities with well-documented negative health impacts due to their status as a sexual and gender minority population. Insensitive or discriminatory attitudes toward LGBTQ people within the health care system have negatively impacted access to health services and the overall physical and mental health and well-being of this at risk population. Few studies of LGBTQ populations in rural areas have been conducted, with even fewer in the Canadian context. Rural areas often create greater visibility for LGBTQ persons, contain fewer supports and alternatives in the face of discrimination, and are often are less accepting of LGBTQ populations due to increased stigma and social isolation.
The purpose of this study is to examine the lived experiences of LGBTQ people utilizing health care services in rural Manitoba.
12 individuals who self-identified as LGBTQ who had accessed health care services in Manitoba were recruited. Using qualitative methodology, interviews were recorded and analyzed for themes.
Analysis revealed themes including stigma and discrimination, judgments and assumptions, gender identities, lack of knowledge, limited access/systemic barriers, rural considerations, and recommendations for changes to address the gaps in health care services and barriers to access.
This study of the LGBTQ community provides an expression of their opinions and experiences, but also provides a voice to this underserved population. The findings of this study provide a better understanding of the unique health needs and experiences of LGBTQ people in rural Manitoba, creating opportunities for meaningful change in health care delivery.
女同性恋、男同性恋、双性恋、跨性别者、酷儿/疑问者(LGBTQ)群体经历着严重的健康不平等,因其作为性取向和性别少数群体的身份,对健康产生了有充分记录的负面影响。医疗保健系统中对LGBTQ群体的冷漠或歧视态度对他们获得医疗服务以及这一高危人群的整体身心健康和福祉产生了负面影响。针对农村地区LGBTQ群体的研究很少,在加拿大背景下的研究更少。农村地区往往使LGBTQ群体更容易被看见,面对歧视时支持和选择更少,而且由于耻辱感增加和社会孤立,农村地区对LGBTQ群体的接纳度通常较低。
本研究旨在考察在曼尼托巴农村地区使用医疗服务的LGBTQ群体的生活经历。
招募了12名自我认定为LGBTQ且在曼尼托巴使用过医疗服务的个体。采用定性研究方法,对访谈进行记录并分析主题。
分析揭示的主题包括耻辱和歧视、评判和假设、性别认同、知识匮乏、获得服务有限/系统性障碍、农村因素,以及关于改变以弥补医疗服务差距和获得服务障碍的建议。
这项对LGBTQ群体的研究不仅表达了他们的意见和经历,也为这个未得到充分服务的群体发出了声音。本研究结果有助于更好地理解曼尼托巴农村地区LGBTQ群体独特的健康需求和经历,为医疗服务提供方面的有意义变革创造机会。