(In)visibility of LGBTQIA+ people and relationships in healthcare: A scoping review.

Mitchell, LA; Jacobs, C; McEwen, A

(In)visibility of LGBTQIA+ people and relationships in healthcare: A scoping review.

Mitchell, LA Jacobs, C

McEwen, A

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Patient Educ Couns, 2023, 114, pp. 107828
Issue Date:: 2023-09

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Field	Value	Language
dc.contributor.author	Mitchell, LA
dc.contributor.author	Jacobs, C https://orcid.org/0000-0002-9557-9080
dc.contributor.author	McEwen, A https://orcid.org/0000-0001-8705-1190
dc.date.accessioned	2023-09-06T01:12:29Z
dc.date.available	2023-05-27
dc.date.available	2023-09-06T01:12:29Z
dc.date.issued	2023-09
dc.identifier.citation	Patient Educ Couns, 2023, 114, pp. 107828
dc.identifier.issn	0738-3991
dc.identifier.issn	1873-5134
dc.identifier.uri	http://hdl.handle.net/10453/171935
dc.description.abstract	OBJECTIVE: To identify and map research into the visibility of LGBTQIA+ people and their relationships in healthcare, with the view to inform future research and practice. METHOD: Five databases were systematically searched for published and grey literature. Primary research reporting on visibility of LGBTQIA+ people in healthcare was included. Two reviewers independently screened the studies until an acceptable level of agreement was reached. A narrative synthesis was conducted and findings mapped to a taxonomy of microaggressions involving three sub-categories: microinsults, microassaults and microinvalidations. RESULTS: The microaggressions identified included Microinsults: 'Perception of health professionals' knowledge and comfort' and 'Disclosure'; Microassaults: 'Discrimination and stigma'; Microvalidations: 'Accessing and navigating through services', 'Encounters of assumptions and stereotypes', 'Validating identities and including relationships', and 'Reading the environment'. CONCLUSION: Despite growing societal acceptance, microaggressions still exist within healthcare. Groups within LGBTQIA+ communities have varying levels of visibility in research and healthcare based on the studies included. PRACTICE IMPLICATIONS: The limited visibility of LGBT and lack of visibility of QIA+ people and their relationships in healthcare highlight the need to include the views of all LGBTQIA+ communities in research, and to ensure health professionals and clinical services are equipped to address this (in)visibility gap.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Patient Educ Couns
dc.relation.isbasedon	10.1016/j.pec.2023.107828
dc.rights	info:eu-repo/semantics/embargoedAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	Public Health
dc.subject.classification	4203 Health services and systems
dc.subject.mesh	Humans
dc.subject.mesh	Delivery of Health Care
dc.subject.mesh	Health Personnel
dc.subject.mesh	Sexual and Gender Minorities
dc.subject.mesh	Social Stigma
dc.subject.mesh	Humans
dc.subject.mesh	Delivery of Health Care
dc.subject.mesh	Health Personnel
dc.subject.mesh	Sexual and Gender Minorities
dc.subject.mesh	Social Stigma
dc.title	(In)visibility of LGBTQIA+ people and relationships in healthcare: A scoping review.
dc.type	Journal Article
utslib.citation.volume	114
utslib.location.activity	Ireland
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Genetic Counselling
utslib.copyright.status	embargoed	*
utslib.copyright.embargo	2024-09-01T00:00:00+1000Z
dc.date.updated	2023-09-06T01:12:28Z
pubs.publication-status	Published
pubs.volume	114

Abstract:

OBJECTIVE: To identify and map research into the visibility of LGBTQIA+ people and their relationships in healthcare, with the view to inform future research and practice. METHOD: Five databases were systematically searched for published and grey literature. Primary research reporting on visibility of LGBTQIA+ people in healthcare was included. Two reviewers independently screened the studies until an acceptable level of agreement was reached. A narrative synthesis was conducted and findings mapped to a taxonomy of microaggressions involving three sub-categories: microinsults, microassaults and microinvalidations. RESULTS: The microaggressions identified included Microinsults: 'Perception of health professionals' knowledge and comfort' and 'Disclosure'; Microassaults: 'Discrimination and stigma'; Microvalidations: 'Accessing and navigating through services', 'Encounters of assumptions and stereotypes', 'Validating identities and including relationships', and 'Reading the environment'. CONCLUSION: Despite growing societal acceptance, microaggressions still exist within healthcare. Groups within LGBTQIA+ communities have varying levels of visibility in research and healthcare based on the studies included. PRACTICE IMPLICATIONS: The limited visibility of LGBT and lack of visibility of QIA+ people and their relationships in healthcare highlight the need to include the views of all LGBTQIA+ communities in research, and to ensure health professionals and clinical services are equipped to address this (in)visibility gap.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/171935