“like finding a unicorn”: healthcare preferences among lesbian, gay, and bisexual people in the United States
Open accessAbstract
Lesbian, gay, and bisexual (LGB) peoples' healthcare preferences are often developed in response to social and institutional factors that can ultimately deter them from care. Prior qualitative explorations of LGB healthcare preferences have been limited in their ability to identify and compare patterns across age cohort, gender, and race/ethnicity. The current study examines qualitative data from 186 modified Life Story Interviews with three age cohorts of LGB people from New York City, NY, San Francisco, CA, Tucson, AZ, and Austin, TX to understand the factors influencing LGB people's healthcare preferences. Data are analyzed using a directed content analysis approach. Five key themes emerged regarding influences on healthcare preferences: Stigma, provider expertise, identity, service type, and access. Findings suggest that healthcare preferences among LGB people are both complex and closely linked to social changes over time. Healthcare preferences among LGB people are both complex and closely linked to social changes over time.
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Prior to the pandemic, LGBTQ+ individuals reported inadequate care due to stigmatizing experiences in health care settings.
“Prior to the onset of the pandemic, LGBTQ+ individuals reported inadequate care due to having stigmatizing experiences in health care settings [13] and lack of provider knowledge about their unique health care needs [14].”
From A randomized trial of acceptance-based behavioral therapy to improve mental health outcomes for LGBTQ+ persons: Study protocol (2023) · cites this paper as [13]
In Results > Stigma (page unavailable), participants describe stigma affecting communication with providers and their confidence in the care they receive. Results > Access gives an example of a participant reporting an offensive diagnosis, but she says her care was medically good for her primary condition. The study concerns lesbian, gay, and bisexual people, not the full LGBTQ+ population, and does not establish that participants generally received inadequate care because of stigmatizing experiences. (LLM, conf=0.84)
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Moitra, E., Brick, L. A., Cancilliere, M. K., Elwy, A. R., Erbe, A. M., Fenn, N., Nunn, A. S., Salhaney, P., & Chan, P. A. (2023) · Contemporary Clinical Trials · doi:10.1016/j.cct.2023.107211 · Cited by 2 · see citing works
“Prior to the onset of the pandemic, LGBTQ+ individuals reported inadequate care due to having stigmatizing experiences in health care settings [13] and lack of provider knowledge about their unique health care needs [14].”
- Authors
- Martos, A. J., Wilson, P. A., Gordon, A. R., Lightfoot, M., & Meyer, I. H.
- Affiliations
- University of California, Los Angeles (US)
- Columbia University (US)
- Boston Children's Hospital (US)
- University of California, San Francisco (US)
- Corresponding author
- Martos, Alexander J.
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2018-07
- Volume
- 208
- Pages
- 126-133
- ISSN
- 0277-9536 (ISSN-L)
- PMC
- PMC6382457
- OpenAlex
- W2800075097
- Cited by
- 91
- References
- 34
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 14 · 2023: 11 · 2022: 14 · 2021: 24 · 2020: 12 · 2019: 6
- FWCI
- 14.25
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD078526, P2CHD041022)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › Gender Studies › Gender and Feminist Studies
- Keywords
- lesbian, gay, and bisexual people, health care preferences, health care access, stigma, sexual identity, age cohorts, gender differences, race and ethnicity, barriers to care, social change
- MeSH terms
- Sexual and Gender Minorities, Adolescent, Adult, Female, Health Services Accessibility, Humans, Male, Middle Aged, United States, Homosexuality, Male, Homosexuality, Female, Young Adult, Patient Preference, Social Stigma
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