Factors that impact assigned female at birth sexual minority individuals' health care experiences : a qualitative descriptive study
Abstract
The purpose of this qualitative descriptive study was to identify factors that impact the health seeking behaviors of young, assigned female at birth (AFAB) sexual minority individuals. This understudied population is less likely to engage in health care services and health screenings as compared to their cisgender counterparts. Purposive sampling was used to recruit ten AFAB sexual minority individuals between 18-30 years of age who lived, attended school, and sought health care services in the Chicago metropolitan area. One overarching theme and two main themes emerged from data acquired through individual interviews: overarching theme "the right questions"; main themes (1) lack of trust in health professionals; (2) the need for better sexual health education. An important finding was that assigned female at birth sexual minority individuals want to be asked about their sexual orientation, sexual behavior, and gender identity. Participants wanted to be able to share their sexual orientation and gender identity with health professionals so they could receive appropriate care, accurate information, and feel comfortable sharing aspects about their life. Participants also desired the ability to have a relationship with health professionals that did not include awkward conversations or feeling judged. Additionally, the results suggested that general and health sciences curricula should include content about diverse sexual and gender minority populations. The addition of this type of education might increase the awareness of the person seeking care and the health care professional to the health needs of assigned female at birth sexual minority individuals. Such instruction might also normalize individuals with diverse sexual orientations and gender identities. Findings have important implications for education and clinical practice. Novel strategies are needed to enhance health-seeking behaviors, and thereby the health outcomes, of the AFAB sexual minority population.
Degree
Ph. D.