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医疗保健服务利用和感知差距:马尼托巴省说法语的 2S/LGBTQI+人群的体验。

Healthcare Service Utilization and Perceived Gaps: The Experience of French-Speaking 2S/LGBTQI+ People in Manitoba.

机构信息

Full Professor Faculty of Science Université de Saint-Boniface Winnipeg, MB.

Student (MA in Counselling Psychology) Department of Educational and Counselling Psychology McGill University Montreal, QC.

出版信息

Healthc Policy. 2024 Feb;19(3):62-77. doi: 10.12927/hcpol.2024.27239.

Abstract

Ethnolinguistically diverse 2S/LGBTQI+ (two-spirit, lesbian, gay, bisexual, transgender, queer and intersex) populations have unique healthcare needs and experience health inequities compared to their cisgender or heterosexual peers. This community-based participatory study sought to describe the profile and healthcare needs and experiences of official language minority French-speaking 2S/LGBTQI+ adults in Manitoba. Participants ( 80) reported that gender and sexual identity were often concealed from service providers; many respondents faced discrimination based on their ethnolinguistic and sexual identities. Service gaps are identified pertaining to mental and sexual health; locating 2S/LGBTQI+-friendly, patient-centred care in French is difficult. Policy and practice should address systemic inequity and discrimination experienced by this equity-seeking population.

摘要

讲两种语言和具有多元文化背景的 2S/LGBTQI+(双灵、女同性恋、男同性恋、双性恋、跨性别、酷儿和间性)人群与顺性别或异性恋同龄人相比,有独特的医疗保健需求,并经历着健康方面的不平等。这项基于社区的参与性研究旨在描述马尼托巴省讲法语的官方少数民族 2S/LGBTQI+成年人的特征、医疗保健需求和经历。参与者(80 人)报告说,他们的性别和性身份经常对服务提供者保密;许多受访者因他们的语言和性身份而面临歧视。在心理健康和性健康方面存在服务差距;在法语中找到 2S/LGBTQI+-友好、以患者为中心的护理是困难的。政策和实践应该解决这个寻求公平的群体所经历的系统性不平等和歧视问题。

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