RESUMEN

OBJECTIVE: The purpose of this study was to explore the experiences of cultural competence and humility among patients of the lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) community in physical therapy. Researchers sought to understand the perspectives of adults over 18 years old who have received physical therapy and identify as a member of the LGBTQIA+ community. METHODS: A phenomenological qualitative approach was utilized for this study. Patients were recruited through social media and LGBTQIA+ advocacy organizations across the United States. Twenty-five patients agreed to participate in the study. Focus groups and individual interviews were conducted using a semi-structured interview guide informed by Campinha-Bacote's domains of cultural competence (cultural awareness, skill, knowledge, encounter, and desire) to collect individual experiences, discussions, thoughts, perceptions, and opinions. RESULTS: Three central themes and subthemes emerged from the data and were categorized according to cultural acceptance (societal impact, implicit and explicit bias), power dynamics between the in-group and out-group (out-group hyperawareness of their otherness), and participant solutions (policy, training, education). CONCLUSION: An LGBTQIA+ patient's experience is influenced by the provider cultural acceptance, and the resulting power dynamics that impact LGBTQIA+ patients' comfort, trust, and perceptions of care. Enhanced patient experiences were found more prevalent with providers that possessed elevated levels of education or experience with this community, supporting Campinha-Bacote's assumption that there is a direct relationship between level of competence in care and effective and culturally responsive service. IMPACT: Awareness of the underlying issues presented in these themes will assist in the development of effective solutions to improve LGBTQIA+ cultural competence among physical therapists and physical therapist assistants on a systemic level.

RESUMEN

This commentary describes some of the reported challenges of health participation for the gender- and sexuality-diverse (GSD) population, particularly related to medical imaging practice. The approach and student feedback of an undergraduate education initiative to support students in the delivery of culturally competent care are described. The experiences of delivery over a three-year period are reported, including the 2020 online delivery due to COVID-19 precautions. Student feedback demonstrates positive outcomes from the workshops and activities.

Asunto(s)

RESUMEN

Sexting has become part of the repertoire of adolescents' sexual behaviors, especially among those who identify as gender and sexually diverse. Whereas body dissatisfaction increases during adolescence and is associated with negative sexuality outcomes, little research has examined how body appreciation may contribute to adolescents' sexting. The present study examined associations between body appreciation and sexting behaviors, and whether these differed by gender and sexual orientation, using path analysis in a sample of 2904 adolescents (Mage = 14.53; SD = 0.61) comprised of five groups: heterosexual cisgender and gender and sexually diverse boys (heterosexual cisgender = 1193; gender and sexually diverse = 157), heterosexual cisgender and gender and sexually diverse girls (heterosexual cisgender = 1152; gender and sexually diverse = 320), and non-binary adolescents (n = 18). Lower levels of body appreciation were associated with higher sexting frequency in heterosexual cisgender girls and gender and sexually diverse boys. Adolescents preoccupied with their appearance may use sexting for body image-related validation.

Asunto(s)

Asunto(s)

RESUMEN

The review aimed to examine the views and experiences of ageing gender and sexually diverse (GSD) women-a triple minority in relation to their age, gender and sexual orientation-in accessing health, social and aged care services. Eighteen peer reviewed articles identified from seven electronic databases in health and social sciences were evaluated according to predefined criteria and a thematic review methodology drawing upon socio-ecological theory was used to analyse and interpret the findings. Four major themes were identified from the analysis: "The Dilemma of Disclosure", "Belonging/Connection", "Inclusiveness of Aged Care" and "Other Barriers to Access Care". In the dilemma of disclosure, older GSD women consider factors such as previous experiences, relationship with the provider and anticipated duration of stay with the provider before disclosing their sexual identifies. The review also revealed that aged care services lack inclusiveness in their policies, advertising materials, aged care spaces and provider knowledge and attitude to provide sensitive and appropriate care to GSD women. Overall, older GSD women experience multiple and multilevel challenges when accessing health, aged and social services and interventions are needed at all levels of the socio-ecological arena to improve their access and quality of care.

Asunto(s)