Community and sociodemographic factors associated with disclosure of sexual orientation and comfort in discussing care needs in primary care: Results from the OutLook Study.
Lesbian, gay, bisexual, and diverse sexual orientation minorities are disproportionately represented in the prevalence of adverse health conditions, even in Canada, suggested as one of the more progressive countries when it comes to social acceptance and human rights protections. This highlights the...
| Published in: | Canadian Journal of Human Sexuality Vol. 33; no. 1; pp. 1 - 15 |
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| Main Authors: | , , , , , , , , |
| Format: | research tables/charts Journal Article |
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University of Toronto Press
Apr2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176812580&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176812580 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11884517 1QX jtl: Canadian Journal of Human Sexuality issn: 11884517 maglogo: N pubinfo: dt: Apr2024 vid: 33 iid: 1 pid: 678 pub: University of Toronto Press place: North York, Ontario artinfo: ui: 176812580 175431889 176812580 176812580 10.3138/cjhs-2022-0057 176812580 ppf: 1 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Community and sociodemographic factors associated with disclosure of sexual orientation and comfort in discussing care needs in primary care: Results from the OutLook Study. aug: au: Coleman, Todd A. Tse, Samson Gergyek, Lucas Cameron, Ruth Coulombe, Simon Davis, Charlie Travers, Robb Wilson, Ciann Woodford, Michael affil: Department of Health Sciences, Wilfrid Laurier University, Waterloo, Ontario, Canada sug: subj: Sociodemographic Factors Community Role Self Disclosure Sexual Orientation Canada Comfort Needs Assessment Primary Health Care Discussion LGBTQ+ Persons Human Secondary Analysis Sexual Identity Cross Sectional Studies Surveys Canada Minority Groups Descriptive Statistics Poisson Distribution Self Concept Social Networks Adolescence Adult Middle Age Aged Aged, 80 and Over Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over ab: Lesbian, gay, bisexual, and diverse sexual orientation minorities are disproportionately represented in the prevalence of adverse health conditions, even in Canada, suggested as one of the more progressive countries when it comes to social acceptance and human rights protections. This highlights the inclusion of sexual orientation identity as a point of consideration when providers interact with patients and to consider facilitating sexual orientation identity disclosure when accessing health care. This study explored factors associated with different facets of sexual orientation disclosure to primary care providers. A cross-sectional survey of sexual orientation minority participants, 16 years or older, living, working, or residing in Waterloo Region was distributed (n = 437). Modified Poisson regression methods modelled (a) comfort sharing sexual orientation with their regular primary care provider (RPCP), (b) disclosure of sexual orientation to their RPCP, and (c) talking to their RPCP about health issues related to their sexual orientation. Increasing outness within one's social network was consistently significant across all three outcomes of comfort, disclosure, and talking about health issues related to sexual orientation. Self-esteem was also identified as salient in comfort and when talking to providers. The authors also observed significant associations between sexual orientation identity and relationship status variables. Findings highlight important factors to consider in discussing and disclosing sexual orientation identity and associated health issues with health care providers. Implications for practice include training new health care providers and providing opportunities for continued education for established providers to ensure appropriate care is provided based on sexual orientation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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