Programs in Biostatistics, Louisiana State University Health New Orleans School of Public Health, New Orleans, Louisiana, USA.
Programs in Health Policy and System Management, Louisiana State University Health New Orleans School of Public Health, New Orleans, Louisiana, USA.
AIDS Patient Care STDS. 2022 Nov;36(S2):127-142. doi: 10.1089/apc.2022.0098.
It has been well established that those identifying as a member of the sexual and gender minority (SGM) have difficulties accessing health care services. This is strongly associated with the desire to avoid discriminatory health care practices and prejudicial providers that many SGM individuals have encountered. Implementation of specific welcoming clinic space indicators (WCSIs) has been recommended to mitigate prior health care alienation experienced by SGM individuals. The project supported three HIV clinical care sites in Louisiana to implement and maintain identified SGM WCSIs as one of its interventions to improve sexually transmitted infection screening, testing, and treatment in people with and at-risk of HIV. This project found that SGM WCSIs had a positive impact on SGM individuals and were predominately unnoticed by those that were non-SGM-identifying individuals. Further, across the entire sample, the SGM WCSIs had an extremely low (<1%) level of negative impact, eliminating the misconception that SGW WCSI implementation may offend non-SGM individuals. There were differences in the implementation of the SGM WCSIs across the three sites associated with their governance structure and priority community. Implementation of SGM WCSIs should be considered as an important component of assuring culturally competent health care for SGM individuals.
已经充分证实，那些自认为是性少数群体和跨性别者（SGM）的人在获得医疗保健服务方面存在困难。这主要与他们希望避免遇到歧视性医疗保健做法和偏见提供者有关，许多 SGM 个体都曾遭遇过这种情况。已经建议实施特定的欢迎诊所空间指标（WCSI），以减轻 SGM 个体以前经历过的医疗保健疏远。该项目支持路易斯安那州的三个 HIV 临床护理点实施和维护确定的 SGM WCSI，作为改善 HIV 感染者和高危人群的性传播感染筛查、检测和治疗的干预措施之一。该项目发现，SGM WCSI 对 SGM 个体产生了积极影响，而且主要不为非 SGM 认同个体所注意。此外，在整个样本中，SGM WCSI 的负面影响极低（<1%），消除了实施 SGW WCSI 可能冒犯非 SGM 个体的误解。这三个地点的 SGM WCSI 的实施存在差异，这与它们的治理结构和重点社区有关。应该考虑将 SGM WCSI 的实施作为确保 SGM 个体获得文化上胜任的医疗保健的重要组成部分。
