Health Care Providers’ Implicit and Explicit Attitudes Toward Lesbian Women and Gay Men

Sabin, Janice A.; Riskind, Rachel G.; Nosek, Brian A.

doi:10.2105/ajph.2015.302631

Cited by 365 publications

(236 citation statements)

References 64 publications

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“…This finding is in line with previous research showing that healthcare providers tend to prefer heterosexual patients to sexual minority patients [34], lending support to the belief that many gay men endorse of medicine in general being heterosexist and ignorant of issues regarding sexuality [35]. However, it is important to note that in the fourth multiple regression, other discrimination was not a significant predictor of intent to engage in sexual behavior, suggesting that this effect (which also emerged in the bivariate correlations) was generally eclipsed by work/school discrimination.…”

Section: Heterosexism and Sexual Behavior In Smmsupporting

confidence: 93%

Connecting Experiences with Heterosexism and Sexual Behavior in a Sample of Ethnically Diverse Sexual Minority Men

Smith¹,

Perrin²

2017

Sex Health Issues

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This study examined associations between heterosexist experiences and sexual behaviors in sexual minority men (SMM). Ethnically diverse cis-gender SMM completed a national online survey assessing experiences with heterosexism and various sexual behaviors they had engaged in over the past year. High reported rates of a number of sexual behaviors over the past 6 months emerged: left social event with someone (46.1%), sexual behavior with an acquaintance (63%), regretted sexual encounter (55%), fellatio without a condom (80.9%), anal sex without a condom (62.9%), analingus without protection (57.3%), sex with uncommitted partners (61.8%), sex under the influence of substances (60.7%), and sex before discussing risk factors (53.9%). A canonical correlation found that experiences with heterosexism and sexual behaviors had 25% overlapping variance. The standardized canonical coefficients suggested that SMM who have experienced high levels of work/school and other discrimination report a larger intent to engage in sexual acts. Multiple regressions showed that harassment/rejection, work/school, and other heterosexism significantly explained 19.5% of the variance in intent to engage in sexual acts and 12.2% of the variance in impulsive sexual acts, with work/school heterosexism being a unique predictor of the intent to engage in sexual acts. Experiences with heterosexist discrimination were robustly associated with sexual behavior, suggesting that some SMM may use sexual behavior as a method of coping with discrimination. Interventions that help SMM become aware of this possible link in their own life and identify more effective coping strategies may be particularly valuable.

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Section: Heterosexism and Sexual Behavior In Smmsupporting

confidence: 93%

Connecting Experiences with Heterosexism and Sexual Behavior in a Sample of Ethnically Diverse Sexual Minority Men

Smith¹,

Perrin²

2017

Sex Health Issues

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“…For participants in this study, the desire for privacy and confidentiality hindered PrEP discussions with their routine medical providers out of caution that doing so could change the provider's attitudes towards them and impact the quality of care they receive. Perceived stigma in clinical settings may discourage MSM from accessing needed health care services to advance sexual health and overall well-being (Clift & Kirby, 2012;Eaton et al, 2015;Sabin, Riskind, & Nosek, 2015). Experiences may be exacerbated in socially conservative and rural areas where LGBT populations have less access to quality, LGBT-sensitive care (Kano, Silva-Bañuelos, Sturm, & Willging, 2016;Rosenkrantz, Black, Abreu, Aleshire, & Fallin-Bennett, 2016;Whitehead et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Barriers to Access and Adoption of Pre-Exposure Prophylaxis for the Prevention of HIV Among Men Who Have Sex With Men (MSM) in a Relatively Rural State

Hubach

Currin

Sanders

et al. 2017

AIDS Education and Prevention

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“…Recruiting LGBTQIA+ people is difficult because they are "seldom-heard" and "hard-to-reach" populations given that they lack voice in care provision, they are in a system that does not fully meet their needs (Willis et al, 2011) and for fear of discriminatory care (Sabin, Riskind, & Nosek, 2015). In the United States, 22 of 50 states protect persons identifying within the LGBTQIA+ community.…”

Section: Discussionmentioning

confidence: 99%

Changing the culture of neurodisability through language and sensitivity of providers: Creating a safe place for LGBTQIA+ people

Moreno

Laoch

Zasler

2017

NRE

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Abstract. BACKGROUND:There is an increasing interest in sexual and gender diversity in neurorehabilitation. Healthcare professionals wanting to improve their practice know the importance of understanding the needs and expectations of specific communities. OBJECTIVE: To critically review the literature about neurological disorders in people who identify as lesbian, gay, bisexual, transgender, queer, intersex, asexual, and people with other sexual orientations and forms of gender expression (LGBTQIA+). METHODS: Systematic search in electronic databases (CINAHL, EMBASE, Medline, PsycINFO, Scopus, and Web of Science) and identification of relevant studies. RESULTS: Quantitative and qualitative findings are summarized and reported by neurological disorders: a) neurodisability/epilepsy (17.7%), b) intellectual disability/autism spectrum disorders (19.6%), c) dementia/HIV-related dementia (39.2%), d) spinal cord injury (7.8%), and e) traumatic brain injury/stroke (15.7%). CONCLUSIONS:LGBTQIA+ people with neurodisabilities and their partners/families of choice can conceal their sexual orientation or gender identity for fear of diminished quality of care. Their invisibility translates into health disparities, lack of policies and services that meet their unique needs. Dementia is the most common neurodisability documented in LGBTQIA+ people. We provide recommendations to increase LGBTQIA+ cultural competency for clinical practice, research, and policy to help different stakeholders to promote a positive change in the culture of neurodisability.

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Health Care Providers’ Implicit and Explicit Attitudes Toward Lesbian Women and Gay Men

Abstract: Implicit preferences for heterosexual people versus lesbian and gay people are pervasive among heterosexual health care providers. Future research should investigate how implicit sexual prejudice affects care.

Cited by 365 publications

References 64 publications

Connecting Experiences with Heterosexism and Sexual Behavior in a Sample of Ethnically Diverse Sexual Minority Men

Connecting Experiences with Heterosexism and Sexual Behavior in a Sample of Ethnically Diverse Sexual Minority Men

Barriers to Access and Adoption of Pre-Exposure Prophylaxis for the Prevention of HIV Among Men Who Have Sex With Men (MSM) in a Relatively Rural State

Changing the culture of neurodisability through language and sensitivity of providers: Creating a safe place for LGBTQIA+ people

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