Traversing barriers to health care among LGBTQ+ Latinx emerging adults: Utilizing patient experiences to model access

Enduring multiple sources of marginalization, lesbian, gay, bisexual, transgender, and/or queer (LGBTQ+) youth of color living at the United States-Mexico border navigate stigma and health challenges surrounding their LGBTQ+ and ethnic identities. This study sought to delineate barriers to health ca...

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Autores principales:	Rachel Schmitz, Jennifer Tabler
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2021
Materias:	young adults sexual and gender minorities lgbtq+ latinx health care access Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/9f2cfa3b0f2642c2a45427246668d072
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spelling	oai:doaj.org-article:9f2cfa3b0f2642c2a45427246668d0722021-11-15T04:33:55ZTraversing barriers to health care among LGBTQ+ Latinx emerging adults: Utilizing patient experiences to model access2372-0247https://doaj.org/article/9f2cfa3b0f2642c2a45427246668d0722021-08-01T00:00:00Zhttps://pxjournal.org/journal/vol8/iss2/8https://doaj.org/toc/2372-0247Enduring multiple sources of marginalization, lesbian, gay, bisexual, transgender, and/or queer (LGBTQ+) youth of color living at the United States-Mexico border navigate stigma and health challenges surrounding their LGBTQ+ and ethnic identities. This study sought to delineate barriers to health care experienced by marginalized young adult patients. We qualitatively examined the patient experiences of 41 LGBTQ+ Latinx young adults (ages 18-24) in the Rio Grande Valley between 2016 and 2017. Often tied to their experiences of emerging adulthood, most respondents emphasized how financial barriers, including cost of services and disruptions to insurance status, prevented them from seeking care (barriers to care). However, youth also underscored how prior patient experiences tied to their ethnic and LGBTQ+ identities, including apprehension discussing their sexuality with care providers (barriers within care), shaped their health care seeking strategies. This study utilized patient experiences to delineate potential sources of barriers to care experienced by LGBTQ+ Latinx young adults. Practitioners should seek to actively create inclusive and identity-affirming care environments and be sensitive to how prior negative experiences may be deterring young adult patients from seeking care or revealing personal details during the care encounter. If we are to better model access, we need to consider the patient experiences of diverse populations. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>Rachel SchmitzJennifer TablerThe Beryl Institutearticleyoung adultssexual and gender minoritieslgbtq+latinxhealth care accessMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	young adults sexual and gender minorities lgbtq+ latinx health care access Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	young adults sexual and gender minorities lgbtq+ latinx health care access Medicine (General) R5-920 Public aspects of medicine RA1-1270 Rachel Schmitz Jennifer Tabler Traversing barriers to health care among LGBTQ+ Latinx emerging adults: Utilizing patient experiences to model access
description	Enduring multiple sources of marginalization, lesbian, gay, bisexual, transgender, and/or queer (LGBTQ+) youth of color living at the United States-Mexico border navigate stigma and health challenges surrounding their LGBTQ+ and ethnic identities. This study sought to delineate barriers to health care experienced by marginalized young adult patients. We qualitatively examined the patient experiences of 41 LGBTQ+ Latinx young adults (ages 18-24) in the Rio Grande Valley between 2016 and 2017. Often tied to their experiences of emerging adulthood, most respondents emphasized how financial barriers, including cost of services and disruptions to insurance status, prevented them from seeking care (barriers to care). However, youth also underscored how prior patient experiences tied to their ethnic and LGBTQ+ identities, including apprehension discussing their sexuality with care providers (barriers within care), shaped their health care seeking strategies. This study utilized patient experiences to delineate potential sources of barriers to care experienced by LGBTQ+ Latinx young adults. Practitioners should seek to actively create inclusive and identity-affirming care environments and be sensitive to how prior negative experiences may be deterring young adult patients from seeking care or revealing personal details during the care encounter. If we are to better model access, we need to consider the patient experiences of diverse populations. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>
format	article
author	Rachel Schmitz Jennifer Tabler
author_facet	Rachel Schmitz Jennifer Tabler
author_sort	Rachel Schmitz
title	Traversing barriers to health care among LGBTQ+ Latinx emerging adults: Utilizing patient experiences to model access
title_short	Traversing barriers to health care among LGBTQ+ Latinx emerging adults: Utilizing patient experiences to model access
title_full	Traversing barriers to health care among LGBTQ+ Latinx emerging adults: Utilizing patient experiences to model access
title_fullStr	Traversing barriers to health care among LGBTQ+ Latinx emerging adults: Utilizing patient experiences to model access
title_full_unstemmed	Traversing barriers to health care among LGBTQ+ Latinx emerging adults: Utilizing patient experiences to model access
title_sort	traversing barriers to health care among lgbtq+ latinx emerging adults: utilizing patient experiences to model access
publisher	The Beryl Institute
publishDate	2021
url	https://doaj.org/article/9f2cfa3b0f2642c2a45427246668d072
work_keys_str_mv	AT rachelschmitz traversingbarrierstohealthcareamonglgbtqlatinxemergingadultsutilizingpatientexperiencestomodelaccess AT jennifertabler traversingbarrierstohealthcareamonglgbtqlatinxemergingadultsutilizingpatientexperiencestomodelaccess
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Traversing barriers to health care among LGBTQ+ Latinx emerging adults: Utilizing patient experiences to model access

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