导航心理健康边界:对农村LGBTIQA+社区的可访问性进行全面审查
Sonja Maria1, Pauletta Irwin2, Pauline Gillan2
1Paramedicine, Charles Sturt University, Albury, Australia.
Journal of homosexuality
|July 1, 2024
概括
农村的LGBTQIA+个人由于有限的服务和歧视而面临重大的心理健康护理障碍. 解决这些差异对于公平获得性和性别少数群体的护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 农村健康差异 农村健康差异
背景情况:
- 在农村环境中,LGBTQIA+ (女同性恋,男同性恋,双性恋,跨性别者,酷儿,跨性别者,无性恋者和其他人) 人群获得心理健康护理是不公平的.
- 现有的包容性社会进步并没有转化为农村地区平等获得心理健康护理.
- 农村的LGBTQIA+个人遇到独特的障碍,包括有限的服务,劳动力短缺和旅行负担,加剧了心理健康不平等.
研究的目的:
- 检查LGBTQIA+个人在农村地区获得心理健康护理时面临的具体障碍.
- 确定农村心理健康服务对这一群体的可靠性,可接受性,可用性,负担能力和适当性的差异.
- 强调需要有针对性的干预措施,以加强农村性和性别少数群体获得心理健康的机会.
主要方法:
- 按照乔安娜·布里格斯研究所的方法进行系统审查.
- 在SCOPUS,EBSCO Host (All) 和Ovid数据库中进行了广泛的文献搜索,产生了2373篇文章.
- 来自五个国家的21篇文章的选择,主要使用定性访谈和定量在线调查,通过Lévesque框架进行分析.
主要成果:
- 分析揭示了农村精神卫生保健机构中LGBTQIA+个体面临的复杂挑战.
- 确定的主要障碍包括地理隔离,歧视,缺乏LGBTQIA+专业人士,社会耻辱和经济限制.
- 在服务的可靠性,可接受性,可用性,负担能力和适当性方面发现了显著的差异.
结论:
- 农村的LGBTQIA+人口在获得和参与心理健康服务方面遇到重大障碍.
- 地理隔离,歧视以及缺乏文化能力的专业人士加剧了心理健康的不平等.
- 有目的,有针对性的干预措施对于改善性和性别少数群体农村心理健康护理的可访问性和质量至关重要.
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