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Internalized Sexual Stigma, Sexual Orientation Disclosure, and Patient Experience Among Gay Men and Lesbian Women in Taiwan: A Cross-Sectional Survey.
Lee, Yen-Fan; Chang, Te-Sheng; Haynes, Alexander MacDonald.
Afiliación
  • Lee YF; Department of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
  • Chang TS; Department of Nursing, College of Medicine, Tzu Chi University, Hualien, Taiwan.
  • Haynes AM; Department of Education and Human Potentials Development, Hua-Shih College of Education, National Dong Hwa University, Shoufeng, Taiwan.
LGBT Health ; 2024 Aug 29.
Article en En | MEDLINE | ID: mdl-39207256
ABSTRACT

Purpose:

Previous research has found that stigma, discrimination, and depression are associated with the sexual minority population's medical experiences. However, there is still a lack of relevant research results in Taiwan. This study investigated the health-seeking experiences and influencing factors of gay men and lesbian women in Taiwan.

Methods:

We recruited gay men and lesbian women through lesbian, gay, bisexual, and transgender (LGBT)-friendly websites and associations between November 2019 and June 2020. Surveys included the demographics, medical visiting experiences, Measure of Internalized Stigma, Patient Health Questionnaire-9, and Daily Heterosexist Experiences Questionnaire.

Results:

There were 270 participants, including 188 gay men and 82 lesbian women. Most respondents refused to disclose their sexual orientation to health care providers; some feared seeking medical care and preferred seeking LGBT-friendly health care services. Compared with lesbian women, gay men had higher levels of internalized sexual stigma, victimization, concealing sexual orientation, and experiences of medical staff denying services. Discrimination, depressive severity, and internalized sexual stigma affected the medical visit experience.

Conclusion:

In Taiwan, the health care experiences of gay men and lesbian women are affected by discrimination, internalized sexual stigma, and severe depression, while facing challenges of fear of seeking medical care or reluctance to disclose their sexual orientation.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: LGBT Health Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: LGBT Health Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos