Rural Lesbians' Strategies for Coming Out to Health Care Professionals

Tiemann, Kathleen A.; Kennedy, Sally A.; Haga, Myrna P.

doi:10.1300/j155v02n01_05

Cited by 19 publications

(38 citation statements)

References 19 publications

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“…Since the mid-1990s, there has been a small upsurge in the number of qualitative studies of rural sexualities (Barton, 2010;Bell & Valentine, 1995;Black & Rhorer, 2001;Boulden, 2001;Cody & Welch, 1997;Fellows, 1998;Gottschalk & Newton, 2009;Gray, 2009;Kramer, 1995;McCarthy, 2000;Oswald & Culton, 2003;Tiemann, Kennedy & Haga, 1998;Williams, Bowan & Horwath, 2005;Yarbrough, 2003). Ruralbased LGBs overwhelmingly described living in bleak and inhospitable social climates.…”

Section: Location and Minority Stressmentioning

confidence: 99%

“…Rural Downloaded by [York University Libraries] at 08:16 14 December 2014 locations often lack visible LGB communities, although resources dedicated to the promotion of LGB health and well-being are often scarce or non-existent (Gonzalez et al, 2009;Oswald & Culton, 2003;Tiemann et al, 1998;Willging, Salvador, & Kano, 2006). Rural LGBs may therefore lack access to community coping resources that are theorised to buffer the negative effects of minority stress, such as psychological connectedness to LGB communities (Frost & Meyer, 2012;Kertzner et al, 2009;Meyer, 2003a).…”

Section: Location and Minority Stressmentioning

confidence: 99%

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Rural location and exposure to minority stress among sexual minorities in the United States

Swank

Frost

Fahs

2012

Psychology & Sexuality

111

115

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Section: Location and Minority Stressmentioning

confidence: 99%

Section: Location and Minority Stressmentioning

confidence: 99%

Rural location and exposure to minority stress among sexual minorities in the United States

Swank

Frost

Fahs

2012

Psychology & Sexuality

111

115

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“…Furthermore, Austin's 39 study focused on primary health care and did not specifically assess aspects of gynecological care. Next, Tiemann and colleagues 40 conducted a qualitative study involving a small (N=8), geographically limited (Midwest USA) sample of rural lesbians that was also primarily focused on disclosure to providers. Participants were asked to describe their healthcare disclosure-related behaviors and related experiences with providers in their areas.…”

mentioning

confidence: 99%

Women’s health care: the experiences and behaviors of rural and urban lesbians in the USA

Barefoot

Warren

Smalley

2017

Rural Remote Health

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Introduction:Previous research has consistently demonstrated that, in comparison to their cisgender heterosexual counterparts, lesbians face a multitude of women's healthcare-related disparities. However, very little research has been conducted that takes an intersectionality approach to examining the potential influences of rural-urban location on the health-related needs and experiences of lesbians. The purpose of this study was to quantitatively compare rural and urban lesbians' access to women's health care, experiences with women's healthcare providers (WHCPs), and preventive behavior using a large, diverse sample of lesbians from across the USA. Methods: A total of 895 (31.1% rural and 68.9% urban) lesbian-identified cisgender women (ie not transgender) from the USA participated in the current online study. As part of a larger parent study, participants were recruited from across the USA through email communication to lesbian, gay, bisexual, and transgender (LGBT)-focused organizations and online advertisements. Participants were asked to complete a series of questions related to their women's healthcare-related experiences and behaviors (ie access to care, experiences with WHCPs, and preventive behavior). A series of χ 2 analyses were utilized in order to examine rural-urban differences across dependent variables. Results: An examination of sexual risks revealed that relatively more rural lesbians reported at least one previous male sexual partner in comparison to the urban sample of lesbians (78.1% vs 69.1%, χ 2 (1, N=890)=7.56, p=0.006). A similarly low percentage of rural (42.4%) and urban (42.9%) lesbians reported that they have a WHCP that they see on a regular basis for preventive care. In terms of experiences with WHCP providers, relatively fewer rural lesbians indicated that their current WHCP had discussed/recommended the human papillomavirus (HPV) vaccination in comparison to urban lesbians (27.5% vs. 37.2%; (1, N=163)=8.36, p=0.004) when compared to their urban counterparts. No other significant rural-urban differences in preventive behaviors emerged. A similarly low percentage of rural and urban lesbians indicated that they have received the HPV vaccination (22.8% and 29.0%, respectively) and/or have had a HIV/STI screening (43.0% and 47.8%), Pap test (62.0% and 64.5%) or breast exam (59.2% and 62.8%), in the past 3 years. Conclusions: The current findings highlight that rural lesbians in the USA, in comparison to urban lesbians, may experience elevated health risks related to being more likely to have at least one previous male sexual partner, less likely to be recommended the HPV vaccination by a WHCP, and, for those 40 or older, less likely to receive routine mammogram screenings. Furthermore, rural lesbians appear to engage in similarly low rates of HPV vaccination and regular HIV/STI screenings, Pap tests, and clinical breast exams as their urban counterparts. Given the increased cervical and breast cancer risks associated with rural living, the current findings underscore the dire need f...

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“…These were later reflected in Gibbons et al (2007) research in the North Western Region of Ireland, which reflects international research namely: disclosure of sexual orientation (Spinks et al 2000); recognition of partnerships/next of kin (Tiemann et al 1998); parenthood (Lehmann et al 1998); mental health and sexual/gynecological health (Gibbons et al 2007).…”

Section: Lesbian Women's Experience Of Health Carementioning

confidence: 97%

Lesbian Women’s Experience of Coming Out in an Irish Hospital Setting: A Heremeutic Phenomenological Approach

Duffy

2011

Sex Res Soc Policy

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There is a dearth of knowledge about lesbian women's lives and social experiences in Irish society. In their day to day living, lesbian women know how to act, react and behave to exist within society, having developed what Draucker (Journal of Advanced Nursing, 30(2), p. 361; 1999) calls 'everyday skilful coping'. However, these taken-for-granted ways of understanding of being in the world are thrown or brought to the forefront when lesbian women seek health care. The overall aim of the research is to investigate lesbian women's experiences of Irish health care as service users. Within this article, I will explore how four lesbian women understand and give meaning to 'coming out' to a health care provider. Coming out is a precarious affair whereby lesbian women choose when, where and to whom to relate their sexuality. The experiences of these women are explored by utilising Sartre's (1969) concepts of being objectified by the Other, shame, freedom, illustrating how the self can be disrupted.

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Rural Lesbians' Strategies for Coming Out to Health Care Professionals

Cited by 19 publications

References 19 publications

Rural location and exposure to minority stress among sexual minorities in the United States

Rural location and exposure to minority stress among sexual minorities in the United States

Women’s health care: the experiences and behaviors of rural and urban lesbians in the USA

Lesbian Women’s Experience of Coming Out in an Irish Hospital Setting: A Heremeutic Phenomenological Approach

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