在英国卫生政策中纳入LGBTQ+群体:批判性话语分析
Debbie Braybrook1, William E Rosa2, Charlotte Norman1
1Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, Bessemer Road, London, SE5 9PJ, UK.
International journal for equity in health
|April 2, 2025
概括
女同性恋,男同性恋,双性恋,跨性别者和酷尔 (LGBTQ+) 个人面临着健康不平等,英格兰的综合护理体系策略未能充分解决他们的特定需求. 进一步制定政策对于公平的包容和改善所有少数群体的健康结果至关重要.
科学领域:
- 卫生政策分析 卫生政策分析
- 公共卫生 公共卫生
- 卫生社会学 卫生社会学
背景情况:
- 卫生政策制定者可以通过利用变化来改善公平,患者体验和结果.
- 尽管法律取得了进展,但社会不公正仍然存在,导致女同性恋,男同性恋,双性恋,跨性别者和酷尔 (LGBTQ +) 个人因歧视而增加健康风险和较差的结果.
- 在2022年,英格兰建立了42个综合护理系统,以减少健康不平等,提高当地居民的福祉.
研究的目的:
- 分析英国平等法 (2010) 在42个综合护理系统战略中包含受保护特征的情况.
- 专门研究LGBTQ+社区,他们的需求,经验和结果是如何在这些战略中被代表的.
主要方法:
- 使用了批判性话语分析 (CDA).
- 这项研究是在社会建设主义范式中进行的.
- 分析的重点是英格兰42个公开可用的综合护理系统策略.
主要成果:
- 虽然年龄,残疾,性别,种族和怀孕经常被提及,但只有27/42个策略提到宗教,没有提到婚姻状况.
- 22/42战略中提到了LGBTQ+群体,但只有25%提供了他们特定需求,健康不平等或服务的背景.
- 提到跨性别人士是有限的 (8/42),没有具体讨论他们的健康需求或包容性护理;对LGBTQ+人的系统歧视很少被引用 (4/42).
结论:
- 尽管承认其他少数群体的需求,但LGBTQ+个人在卫生政策中仍然被边缘化.
- 政策制定者需要进一步的教育,以有效地倡导LGBTQ+社区.
- 确保所有少数群体在卫生战略中得到公平和尊重的纳入至关重要.
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