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Examining Clinicians' Experiences Providing Sexual Health Services for LGBTQ Youth: Considering Social and Structural Determinants of Health in Clinical Practice

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Title: Examining Clinicians' Experiences Providing Sexual Health Services for LGBTQ Youth: Considering Social and Structural Determinants of Health in Clinical Practice
Language: English
Authors: Knight, R. E., Shoveller, J. A., Carson, A. M., Contreras-Whitney, J. G.
Source: Health Education Research. Aug 2014 29(4):662-670.
Availability: Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
Peer Reviewed: Y
Page Count: 9
Publication Date: 2014
Document Type: Journal Articles
Reports - Research
Descriptors: Sex Education, Health Promotion, Homosexuality, Sexual Orientation, Sexual Identity, Attitude Measures, Allied Health Personnel, Semi Structured Interviews, Health Services, Cultural Relevance, Social Bias, Competence, Sexuality, Barriers, Foreign Countries
Geographic Terms: Canada
DOI: 10.1093/her/cyt116
ISSN: 0268-1153
Abstract: Although barriers related to lesbian, gay, bisexual, transgender and queer (LGBTQ) youth's experiences accessing sexual health services have been examined in detail, research into the experiences and perceptions of clinicians providing these services has been conspicuously absent. The aim of this article is to explore the perceptions and experiences of clinicians providing sexual health services for LGBTQ youth. Drawing on in-depth, semi-structured interviews, this study examines 24 clinicians' experiences providing sexual health services to LGBTQ youth in five communities in British Columbia, Canada. Our findings reveal how many clinicians provide services to LGBTQ youth with a lack of cultural competency--either implicitly (e.g. by describing heteronormative practices) or explicitly (e.g. by expressing frustration that they had not been sufficiently provided with appropriate training related to LGBTQ youth sexual health). Institutional norms and values were identified as the dominant barriers in the effective provision of LGBTQ-tailored services. Many clinicians find themselves unprepared to provide culturally competent sexual health services that have both the capacity to address individual-level issues (e.g. promoting condom use) while considering (and adapting services to) the broader socio-cultural and structural conditions that can render LGBTQ youth socially vulnerable.
Abstractor: As Provided
Entry Date: 2014
Accession Number: EJ1034363
Database: ERIC
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+Research%22"><i>Health Education Research</i></searchLink>. Aug 2014 29(4):662-670.
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  Data: Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
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  Data: 10.1093/her/cyt116
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  Data: Although barriers related to lesbian, gay, bisexual, transgender and queer (LGBTQ) youth's experiences accessing sexual health services have been examined in detail, research into the experiences and perceptions of clinicians providing these services has been conspicuously absent. The aim of this article is to explore the perceptions and experiences of clinicians providing sexual health services for LGBTQ youth. Drawing on in-depth, semi-structured interviews, this study examines 24 clinicians' experiences providing sexual health services to LGBTQ youth in five communities in British Columbia, Canada. Our findings reveal how many clinicians provide services to LGBTQ youth with a lack of cultural competency--either implicitly (e.g. by describing heteronormative practices) or explicitly (e.g. by expressing frustration that they had not been sufficiently provided with appropriate training related to LGBTQ youth sexual health). Institutional norms and values were identified as the dominant barriers in the effective provision of LGBTQ-tailored services. Many clinicians find themselves unprepared to provide culturally competent sexual health services that have both the capacity to address individual-level issues (e.g. promoting condom use) while considering (and adapting services to) the broader socio-cultural and structural conditions that can render LGBTQ youth socially vulnerable.
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        Value: 10.1093/her/cyt116
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        PageCount: 9
        StartPage: 662
    Subjects:
      – SubjectFull: Sex Education
        Type: general
      – SubjectFull: Health Promotion
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      – SubjectFull: Homosexuality
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      – SubjectFull: Attitude Measures
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