From the Perspectives of Black lgbts  in the US: Medical Providers’ Comfort with Patients’ Sexuality

Turner, Carlene Buchanan; Pastrana, Antonio; Battle, Juan

doi:10.1353/bsr.2014.0010

Cited by 4 publications

(6 citation statements)

References 35 publications

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“…The current study used data from the Social Justice Sexuality (SJS) project [81,82,83]. Data collection of the SJS project was conducted between January to December 2010 [84,85,86]. Although more information about the SJS project is available elsewhere [84,85,86], we briefly explain the SJS goals and methods here.…”

Section: Methodsmentioning

confidence: 99%

“…Participants were sampled from all 50 US states, including Washington DC, and Puerto Rico. Participants were drawn from rural and suburban areas, as well as large urban areas [84,85,86].…”

Section: Methodsmentioning

confidence: 99%

“…Homosexual status was defined as identifying either as gay or lesbian. Thus, transgender individuals were excluded from this analysis [83,84,85].…”

Section: Methodsmentioning

confidence: 99%

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Education Attainment and Obesity：Differential Returns Based on Sexual Orientation

Assari

2019

Behavioral Sciences

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Background: Although high educational attainment is linked to better health and lower health risk behaviors, this effect may be systemically smaller for racial and ethnic minority groups compared to Whites. However, it is still unknown whether these diminished returns also apply to marginalization based on sexual orientation. Aims: In a national sample of adults which was composed of people of color, we compared straight and homosexual people for the association between education attainment and obesity. Methods: The Social Justice Sexuality Project (SJS-2010) is a cross-sectional national survey of health and wellbeing of predominantly people of color who identify as homosexual. The current analysis included 2884 adults (age 24 or more) who were either heterosexual (n = 260) or homosexual (n = 2624). The predictor variable was education attainment, and the outcome variable was obesity status (body mass index larger than 30 kg/m2 [kilograms per meter squared]). Demographic factors (age and gender), household income, nativity (US born vs. immigrant), and health (self-rated health and current smoking) were the covariates. Sexual orientation was the moderator. Results: In the pooled sample, high education attainment was protective against obesity status. Sexual orientation interacted with education attainment on odds of obesity, which was suggestive of stronger protective effects of high education attainment against obesity for heterosexual than homosexual individuals. Conclusion: High education attainment better protects heterosexual than homosexual people against obesity, a pattern similar to what has been observed for comparison of Whites and non-Whites. Smaller protective effects of education attainment on health behaviors of marginalized people are possibly, due to prejudice and discrimination that they experience. Discrimination may minimize stigmatized individuals’ abilities to mobilize their economic and human resources and translate them to tangible outcomes. This finding extends the Minorities’ Diminished Returns theory, suggesting that it is not just race/ethnicity but possibly any marginalizing and stigmatizing social identity that results in diminished returns of socioeconomic status resources.

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Section: Methodsmentioning

confidence: 99%

“…Participants were sampled from all 50 US states, including Washington DC, and Puerto Rico. Participants were drawn from rural and suburban areas, as well as large urban areas [84,85,86].…”

Section: Methodsmentioning

confidence: 99%

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Education Attainment and Obesity：Differential Returns Based on Sexual Orientation

Assari

2019

Behavioral Sciences

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“…We argue that this dilemma is shaped by patients' rational responses to systems of oppression in medicine (both real and perceived), rather than a moral failure of patients. Many fear that disclosure would lead to discomfort or judgment on behalf of the provider [3,19,[39][40]]. Yet, failure to disclose can have adverse health outcomes, such as delaying medical diagnoses and hindering shared decision-making and patient autonomy [39][40].…”

Section: Discussionmentioning

confidence: 99%

“…LGBTQ patients' trust in the medical establishment may have already been compromised due to a history of medical legitimization of invasive procedures in homosexual males and refusal of treatment for transgender individuals [19]. Issues of trust are often exasperated by intersections of minority status, such as is the case for ethnic and racial minority LGBTQ individuals [10].…”

Section: Introductionmentioning

confidence: 99%

In Our Own Words: A Qualitative Exploration of Complex Patient-Provider Interactions in an LGBTQ Population

et al. 2019

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While sexual and gender minorities are at increased risk for poor health outcomes, there is limited data regarding patient-provider interactions. In this study, we explored the perspectives of LGBTQ patients and their encounters with physicians in order to improve our understanding of patient-physician experiences. Using purposive selection of self-identified LGBTQ patients, we performed fourteen in-depth semi-structured interviews on topics of sexual orientation and gender identity, as well as their perceived role in the patient-provider relationship. Coding using a modified grounded theory approach was performed to generate themes. We identified three major themes that demonstrate the complexity of LGBTQ patient experiences. The first, Lacking trust, identifies mistrust and loss of the physician-patient relationship resulting from physicians’ poor or judgmental communication, or from physicians making assumptions about gender, using incorrect pronouns, and not recognizing heterogeneity within the transgender community. A second theme, Being vulnerable, describes the challenges and fears related to comfort of patients with disclosing their sexual orientation and/or gender identity. A final theme, Navigating discrimination, outlines racial or ethnic discrimination which creates an additional burden on top of illness and stigmatized identity. Our results reveal the complex needs of individuals with multiple stigmatized identities when developing relationships with providers. By using an intersectional perspective that appreciates the plurality of patients’ identities, providers can help to improve their relationships with LGBTQ patients. Incorporating intersectional training for medical students and residents could greatly benefit both LGBTQ patients and their physicians.

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Battle¹,

Pastrana²,

Harris³

2016

An Examination of Black LGBT Populations Across the United States

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From the Perspectives of Black lgbts in the US: Medical Providers’ Comfort with Patients’ Sexuality

Cited by 4 publications

References 35 publications

Education Attainment and Obesity：Differential Returns Based on Sexual Orientation

Education Attainment and Obesity：Differential Returns Based on Sexual Orientation

In Our Own Words: A Qualitative Exploration of Complex Patient-Provider Interactions in an LGBTQ Population

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