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Perceptions of Emergency Care by Sexual and Gender Minorities in Colorado: Barriers, Quality, and Factors Affecting Identity Disclosure.
LaPlant, William G; Kattari, Leonardo; Ross, Lexie K; Zhan, Jennifer; Druck, Jeffrey P.
Afiliação
  • LaPlant WG; Good Samaritan Medical Center, Department of Emergency Medicine, Brockton, Massachusetts.
  • Kattari L; Michigan State University School of Social Work, East Lansing, Michigan.
  • Ross LK; University of Colorado School of Medicine, Aurora, Colorado.
  • Zhan J; California Hospital Medical Center, Department of Emergency Medicine, Los Angeles, California.
  • Druck JP; Public Health Institute California Bridge Program, Oakland, California.
West J Emerg Med ; 22(4): 903-910, 2021 Jul 14.
Article em En | MEDLINE | ID: mdl-35354007
ABSTRACT

INTRODUCTION:

Expanding on data concerning emergency department (ED) use and avoidance by the sexual minority (those who identify as lesbian, gay, bisexual, queer, other [LGTBQ+]) and gender minority (those who identify as transgender, gender nonconforming, other) community may inform future ED LGTBQ+ training and clinical practice. Investigation objectives included characterizing rates of emergency care avoidance, identifying barriers to emergency care, and assessing emergency care quality and cultural competency for sexual and gender minorities.

METHODS:

In this population-based, cross-sectional needs assessment, sexual minority, gender minority, and/or cisgender heterosexual-identified participants were selected based on participants' subscription to newsletters or social media accounts for One Colorado, an LGBTQ+ advocacy organization. Each participant completed a single digital survey that collected qualitative and quantitative data about ED perception, use, and demographics.

RESULTS:

A total of 477 LGBTQ+ or heterosexual-identified individuals (mean age = 44.3 (standard deviation [SD] = 16.7)) participated in the study. Lifetime emergency care avoidance rates for gender minorities were markedly increased (odds ratio [OR] 3.8, 95% confidence interval [CI], 2.2 - 6.6; P <.001), while avoidance rates for sexual minorities were similar to those of cisgender heterosexual respondents (17% vs 14%; P <.001). Gender minorities were more likely than sexual minorities to both avoid emergency care due to fear of discrimination (43% vs 15%; P =.002) and to have experienced discrimination during their last ED visit (OR 11, [95% CI, 5-24]; P <.001). No significant differences were observed between participants in care avoidance due to financial reasons or prior negative experiences. No cited ED factors that influenced identity disclosure decisions were distinctly predictive.

CONCLUSION:

Gender minorities are more likely than sexual minorities and heterosexual cisgender individuals to report ED avoidance and discrimination at last ED visit. Future work characterizing deficits in LGBTQ+ ED care might reduce these avoidance and discrimination rates, enhancing the level of patient care provided to this population.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Serviços Médicos de Emergência / Minorias Sexuais e de Gênero Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Female / Humans País/Região como assunto: America do norte Idioma: En Revista: West J Emerg Med Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Serviços Médicos de Emergência / Minorias Sexuais e de Gênero Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Female / Humans País/Região como assunto: America do norte Idioma: En Revista: West J Emerg Med Ano de publicação: 2021 Tipo de documento: Article