Disclosure of Sexual Orientation Among Women Who Have Sex With Women During Gynecological Care: A Qualitative Study In Brazil. Issue 7 (5th June 2018)
- Record Type:
- Journal Article
- Title:
- Disclosure of Sexual Orientation Among Women Who Have Sex With Women During Gynecological Care: A Qualitative Study In Brazil. Issue 7 (5th June 2018)
- Main Title:
- Disclosure of Sexual Orientation Among Women Who Have Sex With Women During Gynecological Care: A Qualitative Study In Brazil
- Authors:
- Rufino, Andréa Cronemberger
Madeiro, Alberto
Trinidad, Adriana Silva
Rodrigues dos Santos, Raiza
Freitas, Isadora - Abstract:
- Abstract: Background: Evidence shows that women who have sex with women (WSW) face disparities in access to health care when compared to heterosexual women in several countries. Aim: To investigate the experiences WSW have after disclosure of sexual orientation during gynecological care in Brazil. Methods: We performed a qualitative study using content analysis. We recorded and transcribed interviews with 34 WSW from the 5 regions in Brazil. Data were analyzed using descriptive content analysis. Outcomes: The main categories of analysis were decision-making process to disclose and attitude of gynecologists after disclosure. Results: WSW disclosed their sexual orientation in an un-favorable environment. Gynecologists rarely asked about patients' sexual orientation and used a script for hetero-normative anamnesis. The reactions of gynecologists were discriminatory, resulting in abbreviated consultations and un-comfortable gynecological exams. They missed a window of opportunity for prevention, diagnosis, and treatment of various diseases. The experiences Brazilian WSW had during gynecological care demonstrated the dominant hetero-normativity in the health care scenario. The attitudes of the gynecologists precarized the existence of WSW in health service. Clinical Implications: This study suggests that gynecologists missed an opportunity to use WSW's sexual orientation disclosure to offer specific care to them. Strengths & Limitations: This is the first qualitative study aboutAbstract: Background: Evidence shows that women who have sex with women (WSW) face disparities in access to health care when compared to heterosexual women in several countries. Aim: To investigate the experiences WSW have after disclosure of sexual orientation during gynecological care in Brazil. Methods: We performed a qualitative study using content analysis. We recorded and transcribed interviews with 34 WSW from the 5 regions in Brazil. Data were analyzed using descriptive content analysis. Outcomes: The main categories of analysis were decision-making process to disclose and attitude of gynecologists after disclosure. Results: WSW disclosed their sexual orientation in an un-favorable environment. Gynecologists rarely asked about patients' sexual orientation and used a script for hetero-normative anamnesis. The reactions of gynecologists were discriminatory, resulting in abbreviated consultations and un-comfortable gynecological exams. They missed a window of opportunity for prevention, diagnosis, and treatment of various diseases. The experiences Brazilian WSW had during gynecological care demonstrated the dominant hetero-normativity in the health care scenario. The attitudes of the gynecologists precarized the existence of WSW in health service. Clinical Implications: This study suggests that gynecologists missed an opportunity to use WSW's sexual orientation disclosure to offer specific care to them. Strengths & Limitations: This is the first qualitative study about WSW's experiences during gynecological care in Brazil. Future studies should be developed from a wider sampling, especially among lower-class WSW. Conclusion: The results point out the need for a change in medical training and guidelines to assist WSW in the country. … (more)
- Is Part Of:
- Journal of sexual medicine. Volume 15:Issue 7(2018)
- Journal:
- Journal of sexual medicine
- Issue:
- Volume 15:Issue 7(2018)
- Issue Display:
- Volume 15, Issue 7 (2018)
- Year:
- 2018
- Volume:
- 15
- Issue:
- 7
- Issue Sort Value:
- 2018-0015-0007-0000
- Page Start:
- 966
- Page End:
- 973
- Publication Date:
- 2018-06-05
- Subjects:
- Women Who Have Sex With Women -- Lesbian -- Bisexual Women -- Disclosure -- Doctor-Patient Relationship
Sexual disorders -- Periodicals
Sex -- Periodicals
Sexual health -- Periodicals
616.69005 - Journal URLs:
- http://firstsearch.oclc.org ↗
http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1743-6109 ↗
http://www.blackwell-synergy.com/openurl?genre=journal&eissn=1743-6109 ↗
http://www.blackwell-synergy.com/servlet/useragent?func=showIssues&code=jsm ↗
https://academic.oup.com/jsm ↗
http://onlinelibrary.wiley.com/ ↗ - DOI:
- 10.1016/j.jsxm.2018.04.648 ↗
- Languages:
- English
- ISSNs:
- 1743-6095
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 5064.060000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 26329.xml