Schwab Ashlyn, Peter Nedra, Lawson Karen, Jessani Abbas
College of Dentistry, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
J Homosex. 2024 Jan 2;71(1):56-71. doi: 10.1080/00918369.2022.2103871. Epub 2022 Aug 5.
This project aimed to explore the experiences of perceived mistrust and stigma by the LGBTQ+ members while accessing healthcare services in Saskatchewan, Canada. In partnership with local organization, a community-based participatory research (CBPR) approach was employed and, semi structured descriptive interviews were conducted. Sixteen participants ranging from age 20-60 were recruited and interviewed. Inductive coding method with thematic data analysis was performed, and descriptive comprehensive results were produced. The LGBTQ+ community reported negative experiences within the context of four emerging themes: (a) perceived stigma and discrimination in healthcare settings, (b) practitioners' LGBTQ+-specific healthcare knowledge, (c) the need for LGBTQ+-specific cultural sensitivity and inclusion, and (d) a call for changes in healthcare policy. Each theme and its corresponding experiences serve as a baseline of information to demonstrate the need for improved access to safe healthcare and increased sustainable health for the LGBTQ+ community members. This calls for training and education, establishing cultural sensitivity, and mandating policy changes could improve the experiences of the LGBTQ+ community members.
该项目旨在探究加拿大萨斯喀彻温省的 LGBTQ+ 群体在获取医疗服务时所感受到的不信任和污名化经历。与当地组织合作，采用了基于社区的参与性研究（CBPR）方法，并进行了半结构化描述性访谈。招募并采访了 16 名年龄在 20 至 60 岁之间的参与者。采用归纳编码方法进行主题数据分析，并得出描述性综合结果。LGBTQ+ 群体在四个新出现的主题背景下报告了负面经历：（a）在医疗环境中感受到的污名化和歧视；（b）从业者对 LGBTQ+ 群体特定的医疗知识；（c）对 LGBTQ+ 群体特定文化敏感性和包容性的需求；（d）呼吁改变医疗政策。每个主题及其相应经历作为信息基线，以表明需要改善 LGBTQ+ 群体成员获得安全医疗服务的机会，并提高其可持续健康水平。这就要求进行培训和教育、建立文化敏感性以及强制实施政策变革，以改善 LGBTQ+ 群体成员的经历。
