J Pediatr Health Care. 2023 May-Jun;37(3):291-301. doi: 10.1016/j.pedhc.2022.11.008. Epub 2023 Mar 12.
This study explored the impact of health care (HC) bias and discrimination on lesbian, gay, bisexual, transgender, and queer (LGBTQ) parents and their children with developmental disabilities.
We conducted a national online survey of LGBTQ parents of children with developmental disabilities using social media and professional networks. Descriptive statistics were compiled. Open-ended responses were coded using inductive and deductive approaches.
Thirty-seven parents completed the survey. Most participants identified as highly educated, White, lesbian or queer, cisgender women and reported positive experiences. Some reported bias and discrimination, including heterosexist forms, LGBTQ disclosure challenges, and, because of their LGBTQ identity, feeling mistreated by their children's providers or being refused needed HC for their child.
This study advances knowledge around LGBTQ parents' experiences of bias and discrimination while accessing children's HC. Findings highlight the need for additional research, policy change, and workforce development to improve HC for LGBTQ families.
本研究探讨了医疗保健(HC)偏见和歧视对女同性恋、男同性恋、双性恋、跨性别和酷儿(LGBTQ)父母及其发育障碍儿童的影响。
我们使用社交媒体和专业网络对发育障碍儿童的 LGBTQ 父母进行了全国性的在线调查。编制了描述性统计数据。使用归纳和演绎方法对开放式回答进行了编码。
37 位家长完成了调查。大多数参与者受教育程度较高,是白人,是女同性恋或酷儿,是顺性别女性,报告了积极的体验。一些人报告了偏见和歧视,包括异性恋形式、LGBTQ 披露挑战,并且因为他们的 LGBTQ 身份,他们感到自己受到了孩子提供者的虐待,或者他们的孩子得不到所需的 HC。
本研究增进了关于 LGBTQ 父母在获得儿童 HC 时经历偏见和歧视的知识。研究结果强调需要进一步研究、政策变革和劳动力发展,以改善 LGBTQ 家庭的 HC。