了解医疗不信任与未满足的医疗护理需求之间的关联 性别和性多样性有色人种在出生时被分配为女性
Lindsay J Wegner1, Elissa L Sarno2,3, Sarah W Whitton4
1Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
LGBT health
|August 16, 2024
概括
在LGBTQ+有色人种中对医疗的不信任加剧了未满足的医疗保健需求. 种族/民族和LGBTQ+不信任相互影响,增加了这一群体的护理障碍.
科学领域:
- 在健康方面存在差异.
- 医学社会学 医学社会学
- 公共卫生 公共卫生
背景情况:
- 医疗不信任是获得医疗保健的重要障碍.
- 在医疗保健环境中,LGBTQ+有色人种 (POC) 面临着独特的挑战.
- 了解不同形式的不信任的相互作用对于健康公平至关重要.
研究的目的:
- 调查基于性取向和/或性别认同 (LGBTQ+) 的医疗不信任和基于种族/种族的医疗不信任与未满足的医疗需求的联系.
- 检查LGBTQ+有色人种中这两种医疗不信任之间的相互作用,在出生时被分配为女性 (AFAB).
主要方法:
- 一项涉及266名LGBTQ+POC AFAB参与者的研究.
- 基于种族/种族和LGBTQ+身份的医疗不信任的评估.
- 多变量后勤回归分析医疗不信任和未满足的医疗保健需求之间的关系.
主要成果:
- 个人类型的医疗不信任对未满足的医疗护理需求没有显著的主要影响.
- 观察到一个显著的相互作用效应:每一种不信任都放大了对方与未满足需求的关联.
- 种族/种族的医疗不信任与更高的未满足的医疗需求有关,特别是当LGBTQ+医疗不信任也很高时.
结论:
- 种族/种族和LGBTQ+医疗不信任协同增加LGBTQ+有色人种未满足的医疗需求.
- 包容性临床实践对于解决交叉医疗不信任的复合效应至关重要.
- 医疗保健系统必须承认并减轻种族/种族和LGBTQ+身份对医疗保健获得权的综合影响.
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