Physicians don't ask, sometimes patients tell

Ulrike Boehmer · Patricia Case

137 citations0/0 files storedCancer

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LGBTQ Health, Identity, and Policy HIV/AIDS Research and Interventions Patient-Provider Communication in Healthcare

Abstract

BACKGROUND: The disclosure of sexual orientation to physicians is uncertain and the reasons are poorly understood. The current study was undertaken to describe the disclosure of sexual orientation among sexual minority women with breast carcinoma. METHODS: Individual semi-structured interviews were conducted with a sample of 39 sexual minority women with a diagnosis of breast carcinoma who lived in New England. Transcribed interviews were analyzed using qualitative data analysis software. Through constant comparison methods, themes related to disclosure were identified from the narrative data. RESULTS: Sexual minority patient-provider relationships were marked by apprehension, and providers did not inquire about sexual orientation. The majority of women actively disclosed their sexual orientation, whereas 11 women passively refused disclosure. CONCLUSIONS: Providers should create opportunities for the disclosure of sexual orientation to provide more comprehensive care.

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References

1992Basics of Qualitative Research: Grounded Theory Procedures and Techniques.1993Basics of Qualitative Research: Grounded Theory Procedures and Techniques 2003Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence.1981Snowball Sampling: Problems and Techniques of Chain Referral Sampling 1994National Lesbian Health Care Survey: Implications for mental health care.2000Health Behaviors, Health Status, and Access to and Use of Health Care: A Population-Based Study of Lesbian, Bisexual, and Heterosexual Women 2001A model of predictors and outcomes of outness among lesbian and bisexual women.1999Lesbian Health

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2014Social Support, Self-Rated Health, and Lesbian, Gay, Bisexual, and Transgender Identity Disclosure to Cancer Care Providers 2018“Treat us with dignity”: a qualitative study of the experiences and recommendations of lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients with cancer 2009Lesbian women's experiences with health care: A qualitative study 2009Acesso a cuidados relativos à saúde sexual entre mulheres que fazem sexo com mulheres em São Paulo, Brasil

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