Puill Céline, Romby Axelle
Sante Publique. 2023;34(HS2):163-168. doi: 10.3917/spub.hs2.0163.
While more and more women say they are non-heterosexual, they feel that they benefit from poorer follow-up, both quantitative and qualitative, in general medicine than heterosexual women. Few studies focus on the experience of general practitioners with this audience.
To identify the medical practionners' representations and pratices in approaching the sexual orientation with female patients.
This is a qualitative study with data from 10 interviews with general practitioners selected as part of a theoretical sampling. Grounded theory-based analysis was used.
General practioners deduced sexual orientation from one of its 3 components: attraction, practices and sexual identity. General practitioners described heteronormative behaviors but some operated a progressive distancing from it. In practice, this resulted in an inclusive approach of non-heterosexual people with an absence of presumption of heterosexuality. Whether or not to discuss sexual orientation depended on general practioners' perceptions of the usefulness and intrusiveness of this data. Social representations and stereotypes of the sexuality of non-heterosexual female patients could lead to discrimination in access to care.
Identifying one's social representations and questioning one's heteronormativity allows for more inclusive care of non-heterosexual female patients. Supporting students and professionals in this process is one of the keys to better support for minority people.
虽然越来越多的女性表示自己并非异性恋，但她们觉得自己在普通医学领域得到的随访，无论在数量上还是质量上，都比异性恋女性差。很少有研究关注全科医生与这类人群打交道的经历。
确定医疗从业者在对待女性患者性取向方面的观念和做法。
这是一项定性研究，数据来自对10名全科医生的访谈，这些医生是通过理论抽样选取的。采用基于扎根理论的分析方法。
全科医生从性取向的三个组成部分之一（吸引力、行为和性身份）来推断性取向。全科医生描述了异性规范行为，但有些人逐渐与之保持距离。在实践中，这导致了对非异性恋者的包容态度，不存在对异性恋的推定。是否讨论性取向取决于全科医生对这些数据的有用性和侵扰性的看法。非异性恋女性患者性取向的社会观念和刻板印象可能导致在获得医疗服务方面的歧视。
识别自己的社会观念并质疑自己的异性规范性，有助于对非异性恋女性患者提供更具包容性的护理。在这个过程中支持学生和专业人员是更好地支持少数群体的关键之一
