Comparing the health information practices of sapphic people by age group and generation

This qualitative research examines how sapphic people (i.e., umbrella term inclusive of lesbian, bisexual, and pansexual trans femmes, mascs, nonbinary people, and ciswomen) in South Carolina navigate informational barriers within healthcare systems. An information practices lens that examines how sapphic people create, seek, use, and share information to achieve desired healthcare outcomes describes such navigation. The research focuses on how intersectional identities, with a particular emphasis on age and considerations of race/ethnicity, geography, and gender, mediate these practices and their outcomes. The research uses participant data from semi-structured interviews and focus groups with 34 sapphic people about their health information practices. Participants varied in age and generational representation from 18 through 64. Data analysis utilized qualitative coding to compare how participants experience and circumnavigate health information barriers across age and generation. Data analysis highlighted age-related and generational barriers and facilitators in health information practices within SC sapphic communities. These barriers, shaped by cultural and community dynamics, affected how participants sought and shared health information. Older participants faced barriers rooted in historical experiences, leading to mistrust of healthcare systems, while younger ones encountered challenges imposed by adults. Despite differences, both groups sought sources aligned with their identities and shared frustrations with changing LGBTQIA + language. Across generations, there was a consistent effort to support younger members through protective and defensive health information practices. Implications of these findings identify strategies for healthcare providers and information professionals to dismantle health and healthcare information barriers experienced by those under the LGBTQIA + umbrella who experience less visibility than white gay men from urban areas-additional implications center on strategies for sapphic communities to engender communal care spanning generations.