A Culturally Informed Educational Program to Promote Sexual Health and Well-being Among Refugee Women
Abstract
Objectives Previous research suggests that sexual minority women (SMW) are more likely to disclose identity when seeking sexual or reproductive healthcare, and that disclosure of identity to healthcare providers is related to better outcomes and improved quality of care. Little distinction is made between identity groups (e.g. lesbian, bisexual, queer), despite the different barriers, stigma, and health outcomes that exist between them. This research examines the interactions that SMW have with their healthcare providers around sexual identity and health. Material and Methods Using a mixed-methods approach through an online survey tool, we gathered both qualitative and quantitative data on clinician-patient interactions around identity, sexuality and health among a sample of (N = 354) lesbian, bisexual, queer and pansexual women in the United States. The qualitative and quantitative data were analyzed concurrently, and qualitative themes were quantified and explored through bivariate and regression analysis. Results Having to correct the assumption of heterosexuality through identity disclosure was a common negative experience among participants, who described being presumed irresponsible about pregnancy and birth control. Participants also described practitioners who fundamentally misunderstand the myriad possibilities for what “sex” might mean for sexual minority women.