Skip to main content
Erschienen in: Journal of Bioethical Inquiry 4/2018

02.10.2018 | Symposium: Sex, Gender, and the Body

LGBT+ Individuals’ Perceptions of Healthcare Services in Turkey: A Cross-sectional Qualitative Study

verfasst von: Şükrü Keleş, Mustafa Volkan Kavas, Neyyire Yasemin Yalım

Erschienen in: Journal of Bioethical Inquiry | Ausgabe 4/2018

Einloggen, um Zugang zu erhalten

Abstract

When accessing healthcare services, LGBT+ individuals are often exposed to segregating and marginalizing discourses. Knowledge about how such experiences are reflected in the moral world of LGBT+ individuals living in Turkey is limited. This study examined LGBT+ individuals’ lived experiences when utilizing healthcare services. The findings are discussed in terms of moral discourses related to LGBT+ individuals’ gender identity and sexual orientation. A qualitative field study was conducted using semi-structured interviews with fifty-five LGBT+ individuals from Turkish cities who were in contact with various non-governmental organizations that conduct studies on gender identity and sexual orientation. A questionnaire was administered with items on participants’ demographic information, experiences, behavioural patterns, and knowledge regarding healthcare services. The data were analysed thematically. The findings were evaluated within the framework of “access to healthcare service” theme related to “healthcare service demand” context. Additionally, the “interaction with physicians” theme was addressed in the context of “physician–patient/counselee relationship.” LGBT+ individuals state that they are exposed to stigmatizing and segregating discourses by healthcare professionals, which might pose an obstacle for adaptive health-seeking behaviours. These results suggest that physicians’ professional approach has a considerable influence on LGBT+ individuals’ capacity for utilizing healthcare services.
Fußnoten
1
The protocol number assigned to participants was coded as followed: “Abbreviation of sexual orientation/gender identity, year of the interview, sequence number of the interviewee.” Abbreviations for sexual orientation and gender identity were arranged as follows: L: Lesbian, G: Gay, BW: Bisexual woman, BM: Bisexual man, MtF: Male to Female, FtM: Female to Male.
 
Literatur
Zurück zum Zitat Beagan, B.L., A. Chiasson, C.A. Fiske, et al. 2013. Working with transgender clients: Learning from physicians and nurses to improve occupational therapy practice. Canadian Journal of Occupational Therapy 80(2): 82–91.CrossRef Beagan, B.L., A. Chiasson, C.A. Fiske, et al. 2013. Working with transgender clients: Learning from physicians and nurses to improve occupational therapy practice. Canadian Journal of Occupational Therapy 80(2): 82–91.CrossRef
Zurück zum Zitat Conron, K.J., M.J Mimiaga, and S.J. Landers. 2010. A population-based study of sexual orientation identity and gender differences in adult health. American Journal of Public Health 100(10): 1953–1960.CrossRef Conron, K.J., M.J Mimiaga, and S.J. Landers. 2010. A population-based study of sexual orientation identity and gender differences in adult health. American Journal of Public Health 100(10): 1953–1960.CrossRef
Zurück zum Zitat Daniel, H., and R. Butkus. 2015. Lesbian, gay, bisexual, and transgender health disparities: Executive summary of a policy position paper from the American College of Physicians. Health and Public Policy Committee of the American College of Physicians. Annals of Internal Medicine 163(2): 135–137.CrossRef Daniel, H., and R. Butkus. 2015. Lesbian, gay, bisexual, and transgender health disparities: Executive summary of a policy position paper from the American College of Physicians. Health and Public Policy Committee of the American College of Physicians. Annals of Internal Medicine 163(2): 135–137.CrossRef
Zurück zum Zitat Drescher, J. 2009. Queer diagnoses: Parallels and contrasts in the history of homosexuality, gender variance, and the Diagnostic and Statistical Manual. Archives of Sexual Behavior 39(2): 427–460.CrossRef Drescher, J. 2009. Queer diagnoses: Parallels and contrasts in the history of homosexuality, gender variance, and the Diagnostic and Statistical Manual. Archives of Sexual Behavior 39(2): 427–460.CrossRef
Zurück zum Zitat Eckstrand, K.L., M.R. Lunn, and B.R. Yehia. 2017. Applying organizational change to promote lesbian, gay, bisexual, and transgender inclusion and reduce health disparities. LGBT Health 4(3): 174–180.CrossRef Eckstrand, K.L., M.R. Lunn, and B.R. Yehia. 2017. Applying organizational change to promote lesbian, gay, bisexual, and transgender inclusion and reduce health disparities. LGBT Health 4(3): 174–180.CrossRef
Zurück zum Zitat Flanders, C.E., L.A. Tarasoff, M.M. Legge, M. Robinson, and G. Gos. 2017. Positive identity experiences of young bisexual and other nonmonosexual people: A qualitative inquiry. Journal of Homosexuality 64(8): 1014–1032.CrossRef Flanders, C.E., L.A. Tarasoff, M.M. Legge, M. Robinson, and G. Gos. 2017. Positive identity experiences of young bisexual and other nonmonosexual people: A qualitative inquiry. Journal of Homosexuality 64(8): 1014–1032.CrossRef
Zurück zum Zitat Flentje, A., A. Leon, A. Carrico, D. Zheng, and J. Dilley. 2016. Mental and physical health among homeless sexual and gender minorities in a major urban US city. Journal of Urban Health 93(6): 997–1009.CrossRef Flentje, A., A. Leon, A. Carrico, D. Zheng, and J. Dilley. 2016. Mental and physical health among homeless sexual and gender minorities in a major urban US city. Journal of Urban Health 93(6): 997–1009.CrossRef
Zurück zum Zitat Friedman, M.S., M.P. Marshal, T.E. Guadamuz, et al. 2011. A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals. American Journal of Public Health 101(8): 1481–1494.CrossRef Friedman, M.S., M.P. Marshal, T.E. Guadamuz, et al. 2011. A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals. American Journal of Public Health 101(8): 1481–1494.CrossRef
Zurück zum Zitat Göçmen, İ., and V. Yılmaz. 2017. Exploring perceived discrimination among LGBT individuals in Turkey in education, employment, and health care: Results of an online survey. Journal of Homosexuality 64(8): 1052–1068.CrossRef Göçmen, İ., and V. Yılmaz. 2017. Exploring perceived discrimination among LGBT individuals in Turkey in education, employment, and health care: Results of an online survey. Journal of Homosexuality 64(8): 1052–1068.CrossRef
Zurück zum Zitat Göregenli, M. 2011. LGBT bireylerin gündelik yaşamda karşılaştıkları ayrımcılık [Discrimination against LGBT people in daily life]. Ankara: Ayrıntı Publishing. Göregenli, M. 2011. LGBT bireylerin gündelik yaşamda karşılaştıkları ayrımcılık [Discrimination against LGBT people in daily life]. Ankara: Ayrıntı Publishing.
Zurück zum Zitat Hadland, S.E., S.B. Austin, C.S. Goodenow, and J.P. Calzo. 2014. Weight misperception and unhealthy weight control behaviors among sexual minorities in the general adolescent population. Journal of Adolescent Health 54(3): 296–303.CrossRef Hadland, S.E., S.B. Austin, C.S. Goodenow, and J.P. Calzo. 2014. Weight misperception and unhealthy weight control behaviors among sexual minorities in the general adolescent population. Journal of Adolescent Health 54(3): 296–303.CrossRef
Zurück zum Zitat Kaptan S., and Ş. Yüksel. 2014. Homosexuals, social exclusion and mental health. Toplum ve Hekim 4: 259–265. Kaptan S., and Ş. Yüksel. 2014. Homosexuals, social exclusion and mental health. Toplum ve Hekim 4: 259–265.
Zurück zum Zitat King, M., J. Semlyen, S.S. Tai, et al. 2008. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry 8(1): 8–70.CrossRef King, M., J. Semlyen, S.S. Tai, et al. 2008. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry 8(1): 8–70.CrossRef
Zurück zum Zitat Lambda İstanbul. 2010. İt İti Isırmaz! Bir alan araştırması: İstanbulda yaşayan trans kadınların sorunları [Dog doesn’t bite dog! A field study: Problems of trans women who live in Istanbul]. İstanbul: Punto Publishing. Lambda İstanbul. 2010. İt İti Isırmaz! Bir alan araştırması: İstanbulda yaşayan trans kadınların sorunları [Dog doesn’t bite dog! A field study: Problems of trans women who live in Istanbul]. İstanbul: Punto Publishing.
Zurück zum Zitat Lee, J.G., J.R. Blosnich, and C.L. Melvin. 2012. Up in smoke: Vanishing evidence of tobacco disparities in the Institute of Medicine’s report on sexual and gender minority health. American Journal of Public Health 102(11): 2041–2043.CrossRef Lee, J.G., J.R. Blosnich, and C.L. Melvin. 2012. Up in smoke: Vanishing evidence of tobacco disparities in the Institute of Medicine’s report on sexual and gender minority health. American Journal of Public Health 102(11): 2041–2043.CrossRef
Zurück zum Zitat Maragh-Bass, A.C., M. Torain, R. Adler, et al. 2017a. Risks, benefits, and importance of collecting sexual orientation and gender identity data in healthcare settings: A multi-method analysis of patient and provider perspectives. LGBT Health 4(2): 141–152.CrossRef Maragh-Bass, A.C., M. Torain, R. Adler, et al. 2017a. Risks, benefits, and importance of collecting sexual orientation and gender identity data in healthcare settings: A multi-method analysis of patient and provider perspectives. LGBT Health 4(2): 141–152.CrossRef
Zurück zum Zitat ----. 2017b. Is it okay to ask: Transgender patient perspectives on sexual orientation and gender identity collection in healthcare. Academic Emergency Medicine 24(6): 655–667. ----. 2017b. Is it okay to ask: Transgender patient perspectives on sexual orientation and gender identity collection in healthcare. Academic Emergency Medicine 24(6): 655–667.
Zurück zum Zitat McClain, Z., L.A. Hawkins, and B.R. Yehia. 2016. Creating welcoming spaces for lesbian, gay, bisexual, and transgender (LGBT) patients: An evaluation of the health care environment. Journal of Homosexuality 63(3): 387–393.CrossRef McClain, Z., L.A. Hawkins, and B.R. Yehia. 2016. Creating welcoming spaces for lesbian, gay, bisexual, and transgender (LGBT) patients: An evaluation of the health care environment. Journal of Homosexuality 63(3): 387–393.CrossRef
Zurück zum Zitat McLaughlin, K.A., M.L. Hatzenbuehler, Z. Xuan, and K.J. Conron. 2012. Disproportionate exposure to early-life adversity and sexual orientation disparities in psychiatric morbidity. Child Abuse and Neglect 36(9): 645–655.CrossRef McLaughlin, K.A., M.L. Hatzenbuehler, Z. Xuan, and K.J. Conron. 2012. Disproportionate exposure to early-life adversity and sexual orientation disparities in psychiatric morbidity. Child Abuse and Neglect 36(9): 645–655.CrossRef
Zurück zum Zitat Meyer, I.H. 2003. Prejudice, social stress, and mental health in lesbian, gay and bisexual populations: conceptual issues and research evidence. Psychological Bulletin 129(5): 674–697.CrossRef Meyer, I.H. 2003. Prejudice, social stress, and mental health in lesbian, gay and bisexual populations: conceptual issues and research evidence. Psychological Bulletin 129(5): 674–697.CrossRef
Zurück zum Zitat Mitchell, R.J., and R.J. Ozminkowski. 2017. Comparison of health risks and changes in risks over time among a sample of lesbian, gay, bisexual, and heterosexual employees at a large firm. Population Health Management 20(2): 114–122.CrossRef Mitchell, R.J., and R.J. Ozminkowski. 2017. Comparison of health risks and changes in risks over time among a sample of lesbian, gay, bisexual, and heterosexual employees at a large firm. Population Health Management 20(2): 114–122.CrossRef
Zurück zum Zitat Murphy, T.F. 2015. LGBT people and the work ahead in bioethics. Bioethics 29(6): ii–v. Murphy, T.F. 2015. LGBT people and the work ahead in bioethics. Bioethics 29(6): ii–v.
Zurück zum Zitat Nelson, J.L. 2014. Medicine and making sense of queer lives. Hastings Center Report 44(4): S12–S16.CrossRef Nelson, J.L. 2014. Medicine and making sense of queer lives. Hastings Center Report 44(4): S12–S16.CrossRef
Zurück zum Zitat Radikal Newspaper 2014. Kadın doktor trans kadını tedavi etmedi: Durumunuzu tasvip etmiyorum [Female doctor did not treat the trans woman: I do not approve your situation]. http://www.radikal.com.tr. Accessed December 18, 2017. Radikal Newspaper 2014. Kadın doktor trans kadını tedavi etmedi: Durumunuzu tasvip etmiyorum [Female doctor did not treat the trans woman: I do not approve your situation]. http://​www.​radikal.​com.​tr. Accessed December 18, 2017.
Zurück zum Zitat Roberts, A.L., S.B. Austin, H.L. Corliss, A.K. Vandermorris, and K.C. Koenen. 2010. Pervasive trauma exposure among US sexual orientation minority adults and risk of posttraumatic stress disorder. American Journal of Public Health 100(12): 2433–2441.CrossRef Roberts, A.L., S.B. Austin, H.L. Corliss, A.K. Vandermorris, and K.C. Koenen. 2010. Pervasive trauma exposure among US sexual orientation minority adults and risk of posttraumatic stress disorder. American Journal of Public Health 100(12): 2433–2441.CrossRef
Zurück zum Zitat Rubin, R. 2015. Minimizing health disparities among LGBT patients. JAMA 315: 15–17.CrossRef Rubin, R. 2015. Minimizing health disparities among LGBT patients. JAMA 315: 15–17.CrossRef
Zurück zum Zitat Saulnier, C.F. 2002. Deciding who to see: Lesbians discuss their preferences in health and mental health care providers. Social Work 47(4): 355–365.CrossRef Saulnier, C.F. 2002. Deciding who to see: Lesbians discuss their preferences in health and mental health care providers. Social Work 47(4): 355–365.CrossRef
Zurück zum Zitat Sutter, M., and P.B. Perrin. 2016. Discrimination, mental health, and suicidal ideation among LGBTQ people of color. Journal of Counseling Psychology 63(1): 98–105.CrossRef Sutter, M., and P.B. Perrin. 2016. Discrimination, mental health, and suicidal ideation among LGBTQ people of color. Journal of Counseling Psychology 63(1): 98–105.CrossRef
Zurück zum Zitat Toscano, M.E., and E. Maynard. 2014. Understanding the link: ‘Homosexuality,’ gender identity, and the DSM journal of LGBT issues in counseling. Journal of LGBT Issues in Counseling 8(3): 248–263.CrossRef Toscano, M.E., and E. Maynard. 2014. Understanding the link: ‘Homosexuality,’ gender identity, and the DSM journal of LGBT issues in counseling. Journal of LGBT Issues in Counseling 8(3): 248–263.CrossRef
Zurück zum Zitat Turkish Medical Association. 2016. LGBT health for physicians (Tr: Hekimler İçin LGBT Sağlığı). Ankara: TMA Publishing. Turkish Medical Association. 2016. LGBT health for physicians (Tr: Hekimler İçin LGBT Sağlığı). Ankara: TMA Publishing.
Zurück zum Zitat Veltman, A. 2014. Mental health care for people who identify as lesbian, gay, bisexual, transgender, and (or) queer. Canadian Journal of Psychiatry 59(11): 1–8.PubMed Veltman, A. 2014. Mental health care for people who identify as lesbian, gay, bisexual, transgender, and (or) queer. Canadian Journal of Psychiatry 59(11): 1–8.PubMed
Zurück zum Zitat Wahlert, L. 2012. The painful reunion: The remedicalization of homosexuality and the rise of the queer. Bioethical Inquiry 9(3): 261–275.CrossRef Wahlert, L. 2012. The painful reunion: The remedicalization of homosexuality and the rise of the queer. Bioethical Inquiry 9(3): 261–275.CrossRef
Zurück zum Zitat ----. 2013. Anti-love or anti-‘lifestyle’: Historical reflections on reparative therapies for homosexuality. The American Journal of Bioethics 13(11): 36–38. ----. 2013. Anti-love or anti-‘lifestyle’: Historical reflections on reparative therapies for homosexuality. The American Journal of Bioethics 13(11): 36–38.
Zurück zum Zitat Wahlert, L., and A. Fiester. 2012a. Queer bioethics: Why its time has come? Bioethics 26(1): ii-iv.CrossRef Wahlert, L., and A. Fiester. 2012a. Queer bioethics: Why its time has come? Bioethics 26(1): ii-iv.CrossRef
Zurück zum Zitat ----. 2012b. Questioning scrutiny: Bioethics, sexuality, and gender identity. Journal of Bioethical Inquiry 9(3): 243–248. ----. 2012b. Questioning scrutiny: Bioethics, sexuality, and gender identity. Journal of Bioethical Inquiry 9(3): 243–248.
Metadaten
Titel
LGBT+ Individuals’ Perceptions of Healthcare Services in Turkey: A Cross-sectional Qualitative Study
verfasst von
Şükrü Keleş
Mustafa Volkan Kavas
Neyyire Yasemin Yalım
Publikationsdatum
02.10.2018
Verlag
Springer Singapore
Erschienen in
Journal of Bioethical Inquiry / Ausgabe 4/2018
Print ISSN: 1176-7529
Elektronische ISSN: 1872-4353
DOI
https://doi.org/10.1007/s11673-018-9874-5

Weitere Artikel der Ausgabe 4/2018

Journal of Bioethical Inquiry 4/2018 Zur Ausgabe