SESSTIM, Aix-Marseille Univ, Inserm, IRD, ISSPAM, Marseille, France.
SAGE, Université de Strasbourg, Strasbourg, France.
BMJ Open. 2023 Apr 19;13(4):e068716. doi: 10.1136/bmjopen-2022-068716.
Discrimination and structural violence experienced by sexual and gender minorities are the source of social inequalities in health. The last decade has been marked by major developments in the provision of sexual health services for these minorities in France. This paper presents the research protocol of the Services for Minorities-Lesbian Gays Bisexuals Transgender Intersex+ (SeSAM-LGBTI+) study, which aims to document the health, social and professional challenges in the organisation of current health services for sexual and gender minorities in France.
The SeSAM-LGBTI+ study relies on a multidisciplinary qualitative study. It has two objectives: (1) to analyse the history of the development of LGBTI+ health services in France, through interviews with key informants and rights activists and through a study of archives and (2) to study the functioning and challenges of a sample of health services currently offered to LGBTI+ people in France, through a multiple case study, using a multilevel and multisited ethnography. The study will rely on approximately 100 interviews. The analysis will be based on an inductive and iterative approach, combining sociohistorical data and the cross-sectional analysis of the case studies.
The study protocol has undergone a peer review by the Institut de Recherche En santé Publique's scientific committee and has been approved by the research ethical committee of Aix-Marseille University (registration number: 2022-05-12-010). The project has received funding from December 2021 to November 2024. The results of the research will be disseminated from 2023 onwards to researchers, health professionals and community health organisations.
性少数群体和性别少数群体所经历的歧视和结构性暴力是造成健康方面社会不平等的根源。过去十年，法国在为这些少数群体提供性健康服务方面取得了重大进展。本文介绍了少数群体-女同性恋、男同性恋、双性恋、跨性别、间性者+（SeSAM-LGBTI+）研究的研究方案，该研究旨在记录法国当前为性少数群体和性别少数群体组织卫生服务方面的健康、社会和专业挑战。
SeSAM-LGBTI+研究依赖于一项多学科定性研究。它有两个目标：（1）通过对关键知情人和权利活动家进行访谈，以及对档案进行研究，分析法国 LGBTI+健康服务发展的历史；（2）通过多案例研究，使用多层次和多地点民族志，研究法国目前为 LGBTI+人群提供的卫生服务的运作和挑战。该研究将依赖于大约 100 次访谈。分析将基于一种归纳和迭代的方法，结合社会历史数据和案例研究的横断面分析。
研究方案已经由公共卫生研究所的科学委员会进行了同行评审，并获得了艾克斯-马赛大学研究伦理委员会的批准（注册号：2022-05-12-010）。该项目从 2021 年 12 月到 2024 年 11 月获得资金。研究结果将于 2023 年开始向研究人员、卫生专业人员和社区卫生组织传播。
