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Perceptions of lesbian, gay and bisexual people of primary healthcare services.
J Adv Nurs. 2006 Aug; 55(4):407-15.JA

Abstract

AIM

This paper reports a study exploring people's perceptions of disclosure about lesbian, gay and bisexual identity to their primary healthcare providers.

BACKGROUND

Disclosure of sexual identity to healthcare professionals is integral to attending to the health needs of lesbian, gay and bisexual populations, as non-disclosure has been shown to have a negative impact on the health of these people. For example, an increased incidence of suicide, depression and other mental health problems have been reported.

METHOD

From April to July 2004, a national survey of lesbian, gay and bisexual persons was carried out in New Zealand. Participants were recruited through mainstream and lesbian, gay and bisexual media and venues, and 2,269 people completed the questionnaire, either electronically or via hard copy. The 133-item instrument included a range of closed-response questions in a variety of domains of interest.

RESULTS

In this paper, we report results from the health and well-being domain. More women than men identified that the practitioner's attitude toward their non-heterosexual identity was important when choosing a primary healthcare provider. Statistically significantly more women than men reported that their healthcare provider usually or always presumed that they were heterosexual and in addition more women had disclosed their sexual identity to their healthcare provider.

CONCLUSION

Nurses need to reconsider their approach to all users of healthcare services by not assuming everyone is heterosexual, integrating questions about sexual identity into health interviews and ensuring that all other aspects of the assessment process are appropriate and safe for lesbian, gay and bisexual people.

Authors+Show Affiliations

School of Health Sciences, Massey University, Auckland, New Zealand. s.j.neville@massey.ac.nzNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16866836

Citation

Neville, Stephen, and Mark Henrickson. "Perceptions of Lesbian, Gay and Bisexual People of Primary Healthcare Services." Journal of Advanced Nursing, vol. 55, no. 4, 2006, pp. 407-15.
Neville S, Henrickson M. Perceptions of lesbian, gay and bisexual people of primary healthcare services. J Adv Nurs. 2006;55(4):407-15.
Neville, S., & Henrickson, M. (2006). Perceptions of lesbian, gay and bisexual people of primary healthcare services. Journal of Advanced Nursing, 55(4), 407-15.
Neville S, Henrickson M. Perceptions of Lesbian, Gay and Bisexual People of Primary Healthcare Services. J Adv Nurs. 2006;55(4):407-15. PubMed PMID: 16866836.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceptions of lesbian, gay and bisexual people of primary healthcare services. AU - Neville,Stephen, AU - Henrickson,Mark, PY - 2006/7/27/pubmed PY - 2007/3/16/medline PY - 2006/7/27/entrez SP - 407 EP - 15 JF - Journal of advanced nursing JO - J Adv Nurs VL - 55 IS - 4 N2 - AIM: This paper reports a study exploring people's perceptions of disclosure about lesbian, gay and bisexual identity to their primary healthcare providers. BACKGROUND: Disclosure of sexual identity to healthcare professionals is integral to attending to the health needs of lesbian, gay and bisexual populations, as non-disclosure has been shown to have a negative impact on the health of these people. For example, an increased incidence of suicide, depression and other mental health problems have been reported. METHOD: From April to July 2004, a national survey of lesbian, gay and bisexual persons was carried out in New Zealand. Participants were recruited through mainstream and lesbian, gay and bisexual media and venues, and 2,269 people completed the questionnaire, either electronically or via hard copy. The 133-item instrument included a range of closed-response questions in a variety of domains of interest. RESULTS: In this paper, we report results from the health and well-being domain. More women than men identified that the practitioner's attitude toward their non-heterosexual identity was important when choosing a primary healthcare provider. Statistically significantly more women than men reported that their healthcare provider usually or always presumed that they were heterosexual and in addition more women had disclosed their sexual identity to their healthcare provider. CONCLUSION: Nurses need to reconsider their approach to all users of healthcare services by not assuming everyone is heterosexual, integrating questions about sexual identity into health interviews and ensuring that all other aspects of the assessment process are appropriate and safe for lesbian, gay and bisexual people. SN - 0309-2402 UR - https://www.unboundmedicine.com/medline/citation/16866836/Perceptions_of_lesbian_gay_and_bisexual_people_of_primary_healthcare_services_ DB - PRIME DP - Unbound Medicine ER -