Perspectives on provider behaviors: A qualitative study of sexual and gender minorities regarding quality of care

Rounds, Kelsey E.; McGrath, Barbara Burns; Walsh, Elaine

doi:10.5172/conu.2013.44.1.99

Cited by 100 publications

(50 citation statements)

References 5 publications

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“…This finding suggests that communication barriers to sexual health services tied to anticipated heterosexist bias documented among older sexual minority patients 2191516171819 begins as early as 14 years of age. Importantly, we found that youth who reported that a provider had asked them questions about their sexual attractions or orientation reported higher levels of sexual health care communications and receiving HIV and STI preventive services, including HIV testing.…”

Section: Discussionmentioning

confidence: 88%

“…Barriers to receiving health care reported by older MSM include fear of sexual minority stigma or rejection by healthcare providers and failure of physicians to ask about sexual attractions 1516171819 . The few studies that have begun to address adolescent sexual health services among sexual minorities have not focused on AMSM exclusively, but rather, pooled lesbian, gay and bisexual adolescent and young adult populations.…”

Section: Introductionmentioning

confidence: 99%

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Patient–Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM

et al. 2018

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Adolescent males who have sex with males (AMSM) are at increased risk of contracting HIV/AIDS and other sexually transmitted infections (STIs). Healthcare providers are a critical source of HIV/STI prevention, yet little is known about AMSM patient-provider sexual health communications and services. To explore this issue, we surveyed a national sample of 198 AMSM 14 – 17 years. Four online psychometrically validated scales indicated over half the youth avoided communicating their sexual orientation and sexual health concerns to providers due to fear of heterosexist bias, concern their sexual health information would be disclosed to parents, and a general belief that sexual minority youth did not receive equitable treatment in health care settings. Youth who reported their physicians had initiated discussion about their sexual orientation were significantly more likely to have received HIV/STI preventive services and testing. Discussion includes the need for medical training that meets the unique sexual health needs of AMSM.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Patient–Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM

et al. 2018

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“…Rounds et al examined behaviors of healthcare providers that improve or impede quality of care. [31] The participants were SGM patients who had seen a healthcare provider in the past year. Focus groups were conducted to discuss positive and negative interactions with healthcare providers.…”

Section: Discussionmentioning

confidence: 99%

“…The study found the main barriers to care were a lack of provider knowledge and providers lack of inquiry about patient’s preferences for care. [31] Kitts surveyed physicians regarding LGBTQ adolescent health and found gaps in the practice, knowledge and attitudes of physicians. [26] Few physicians felt that they had the skills needed to address issues of sexual orientation.…”

Section: Discussionmentioning

confidence: 99%

Oncology healthcare providers’ knowledge, attitudes, and practice behaviors regarding LGBT health

Shetty

Sánchez

Lancaster

et al. 2016

Patient Education and Counseling

117

107

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Objective There are limited data on lesbian, gay, bisexual, and transgender (LGBT) health and healthcare experiences. An important part of healthcare experiences are interactions with the provider. This study assessed knowledge, attitudes, and practice behaviors of oncology providers regarding LGBT health. Methods A 32-item web-based survey was emailed to 388 oncology providers at a single institution. The survey was divided into five sections: demographics, knowledge, attitudes, practice behaviors, and open comments. Results 108 providers participated in the survey (28% response rate). Less than 50% answered the knowledge questions. 94% stated they were comfortable treating this population. 26% actively inquired about a patient’s sexual orientation when taking a history and 28% felt they were well informed on the health needs of this population. 36% felt the need for mandatory education on LGBT cultural competency at the institution. Results from the open comments section identified key themes such as the need for increased oncology provider education and a misconception that inquiring about a patient’s sexual orientation/gender identity wasn’t necessary. Conclusion This study revealed knowledge gaps about LGBT health risks in the majority of providers surveyed. Cultural competency training may aid oncology providers to understand the need to know a patient’s gender identity and sexual orientation. Practice Implications Health care providers who incorporate the routine collection of gender identity and sexual orientation (SOGI) in their patient history taking may improve patient care. While identifying as LGBT does not in itself increase risk for adverse health outcomes, this population tends to have increased risk behaviors. Providers who are aware of LGBT status of their patients may offer education, counseling and referrals for reduction of risk behaviors.

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“…For youth, the process of disclosing to healthcare providers can be as challenging as disclosing to friends and family (Law, Mathai, Veinot, Webster, & Mylopoulos, 2015). While multiple qualitative studies have examined experiences of disclosure for LGBTQ populations (Beehler, 2001; Hitchcock & Wilson; 1992; Law et al, 2015; Rounds, Burns, Mcgrath, & Walsh, 2013), few have focused specifically on the disclosure experiences of young adults.…”

Section: Healthcare and Patient Factors Influencing Disclosurementioning

confidence: 99%

A Qualitative Study Examining Young Adults’ Experiences of Disclosure and Nondisclosure of LGBTQ Identity to Health Care Providers

Rossman

Salamanca

Macapagal

2017

Journal of Homosexuality

141

115

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Shifting cultural attitudes and legislation have increased focus on the healthcare needs of lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients. However, patient non-disclosure of LGBTQ identity creates a barrier to accessing care. This study examined a diverse sample of LGBTQ young adults and their experiences of disclosure and non-disclosure to medical providers. Participants (N = 206, age range 18–27) completed questionnaires assessing healthcare access and use as part of a larger study. Participants’ responses to open-ended items asking about experiences of LGBTQ identity disclosure to medical providers and reasons for non-disclosure were analyzed thematically. Results revealed intra- and interpersonal factors related to patient disclosure. Reasons for participant non-disclosure included providers not asking about identity, internalized stigma, and belief that health and LGBTQ identity are not related. When participants did disclose, they experienced reactions ranging from discrimination and disbelief to affirmation and respect. Findings confirm and extend previous research on young adults’ identity disclosure and provide avenues continuing education for health professionals working with LGBTQ patients.

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Perspectives on provider behaviors: A qualitative study of sexual and gender minorities regarding quality of care

Cited by 100 publications

References 5 publications

Patient–Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM

Patient–Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM

Oncology healthcare providers’ knowledge, attitudes, and practice behaviors regarding LGBT health

A Qualitative Study Examining Young Adults’ Experiences of Disclosure and Nondisclosure of LGBTQ Identity to Health Care Providers

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