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Heteronormativity and practitioner-patient interaction.

Pooja Dushyant Utamsingh1, Laura Smart Richman1, Julie L Martin1

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Heteronormative communication in healthcare settings can negatively impact lesbian, gay, and bisexual patients, reducing their trust and willingness to disclose health information. Training healthcare professionals is crucial for equitable patient care.

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Area of Science:

  • Health Communication
  • Social Psychology
  • Medical Sociology

Background:

  • Heteronormativity, the assumption of heterosexuality as the default, can lead to discrimination against lesbian, gay, and bisexual (LGB) individuals.
  • Previous research indicates potential negative impacts of heteronormativity on marginalized populations within healthcare settings.

Purpose of the Study:

  • To experimentally investigate the effects of heteronormative versus non-heteronormative communication in doctor-patient interactions.
  • To examine how these communication styles influence health-relevant information disclosure and trust among LGB patients.

Main Methods:

  • LGB participants were randomly assigned to read either heteronormative or non-heteronormative vignettes depicting a doctor-patient interaction.
  • Participants reported their likelihood of disclosing health information and their level of trust in the depicted doctor.

Main Results:

  • Participants in the heteronormative condition reported significantly lower trust in the doctor compared to those in the non-heteronormative condition.
  • Lower willingness to disclose health-relevant information was observed in the heteronormative vignette condition.

Conclusions:

  • Heteronormative communication in healthcare can create barriers to effective patient care by eroding trust and discouraging information disclosure among LGB patients.
  • Enhanced education for healthcare professionals on respectful communication with non-heterosexual patients is essential for improving health equity and patient outcomes.