University of Texas at San Antonio, USA.
California State University, USA.
J Health Psychol. 2022 Aug;27(9):2181-2196. doi: 10.1177/13591053211027652.
This qualitative, community-based participatory research (CBPR) study examines the occurrence of LGBTQ+ stigma in healthcare guided by the Health Stigma and Discrimination Framework. We conducted focus groups with healthcare professionals, analyzed using a thematic analysis approach. Stigma drivers included knowledge deficits and transphobia. Facilitators were the binary organization of medical education and training, cisnormative system procedures, a lack of enforceable policy to reduce stigma, and workplace culture and norms. Stigma practices, such as prejudicial attitudes, gossip, and misgendering, primarily focused on transgender individuals. This study reinforces the need to reduce LGBTQ+ stigma in healthcare settings, with implications for multi-level interventions.
本研究采用健康污名与歧视框架，通过定性的社区参与式研究（CBPR），调查医疗保健领域中 LGBTQ+污名的发生情况。我们对医疗保健专业人员进行了焦点小组讨论，采用主题分析方法进行了分析。污名驱动因素包括知识不足和跨性别恐惧症。促进因素包括医学教育和培训的二元组织、顺性别规范系统程序、缺乏可执行的减少污名政策，以及工作场所文化和规范。污名行为，如偏见态度、八卦和性别错误，主要针对跨性别者。本研究强调了在医疗保健环境中减少 LGBTQ+污名的必要性，对多层次干预具有启示意义。
