Perrin E C, Kulkin H
Department of Pediatrics, University of Massachusetts Medical Center, Worcester., 01655-0001, USA.
Pediatrics. 1996 May;97(5):629-35.
A growing number of children have at least one parent who is gay or lesbian. There is no evidence that these children experience any particular difficulties as a result of their parents' sexual orientation. Considerable evidence suggests that the provision of health care may not address the special needs and concerns of gay men and lesbians adequately. No research has been done regarding the pediatric care of children whose parents are gay or lesbian. It is likely that there are predictable challenges and development transitions for these children and parents for which pediatricians and other health care providers might be helpful advisers.
This exploratory project sought to describe the experiences that lesbian and gay parents and their children have had with the pediatric health care system. We were interested in describing experiences that had been especially affirming and others that had been troublesome and in gathering suggestions regarding changes in the structure and process of care.
Two hundred fifty-five parents completed an open-ended questionnaire. Responses were coded and tabulated.
Most parents described considerable success in obtaining pediatric care that was affirming, supportive, and satisfactory. On the other hand, many parents noted deficiencies in pediatric offices, clinics, emergency departments, and hospitals, many of which could be corrected easily.
We have summarized the accumulated advice to pediatric health care providers and have described some of the developmental transitions that are potentially appropriate opportunities for pediatric intervention.
越来越多儿童的父母中至少有一方是同性恋者。没有证据表明这些孩子会因其父母的性取向而遇到任何特殊困难。大量证据表明，医疗保健服务可能无法充分满足男同性恋者和女同性恋者的特殊需求与关切。尚未有关于父母为同性恋者的儿童的儿科护理研究。对于这些儿童及其父母而言，很可能存在一些可预见的挑战和成长转变，而儿科医生和其他医疗保健提供者或许能成为有益的顾问。
这个探索性项目旨在描述女同性恋和男同性恋父母及其子女在儿科医疗保健系统中的经历。我们感兴趣的是描述那些特别令人肯定的经历以及那些麻烦的经历，并收集有关护理结构和流程变革的建议。
255位家长填写了一份开放式问卷。对回复进行编码和制表。
大多数家长表示在获得肯定、支持且令人满意的儿科护理方面相当成功。另一方面，许多家长指出儿科诊所、急诊部门和医院存在不足，其中许多问题很容易纠正。
我们总结了给儿科医疗保健提供者的累积建议，并描述了一些可能适合儿科干预的成长转变。
