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The doctor said I didn’t look gay: Young adults’ experiences of disclosure and non-disclosure of LGBTQ identity to healthcare providers

机译：医生说我看上去不是同性恋：年轻人向医疗服务提供者披露和不透露LGBTQ身份的经历

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摘要

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.
机译：不断变化的文化观念和法律越来越关注女同性恋，男同性恋，双性恋，变性者和同性恋者（LGBTQ）患者的医疗保健需求。但是，患者不公开LGBTQ身份会给获得医疗服务带来障碍。这项研究检查了LGBTQ年轻人的不同样本以及他们向医疗提供者披露和不披露的经历。参与者（N = 206，年龄范围18-27）完成了问卷调查，评估了医疗保健的获取和使用，这是一项较大研究的一部分。主题分析了参与者对不限成员名额项目的答复，询问向医疗提供者披露LGBTQ身份的经历以及未披露的原因。结果显示与患者披露有关的人际和人际因素。参与者未公开的原因包括提供者没有询问身份，内部污名化以及健康与LGBTQ身份无关的信念。当参与者确实公开时，他们会经历从歧视和怀疑到肯定和尊重的反应。研究结果证实并扩展了有关年轻人身份公开的先前研究，并为从事LGBTQ患者工作的卫生专业人员提供了继续教育的途径。

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