“Being dealt with as a whole person.” Care seeking and adherence: the benefits of culturally competent care
The purpose of this study is to characterize the relationship between identity and health care experiences (including antiretroviral therapy utilization) among HIV-positive sexual minority males. This qualitative study used grounded theory with data collection occurring through focus groups and inte...
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| Veröffentlicht in: | Social science & medicine (1982) 2001-06, Vol.52 (11), p.1643-1659 |
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| creator | Schilder, Arn J Kennedy, Cornelis Goldstone, Irene L Ogden, Russel D Hogg, Robert S O’Shaughnessy, Michael V |
| description | The purpose of this study is to characterize the relationship between identity and health care experiences (including antiretroviral therapy utilization) among HIV-positive sexual minority males. This qualitative study used grounded theory with data collection occurring through focus groups and interviews. A questionnaire was used to complete a demographic profile. The study included 47 HIV positive participants from three minorities: gay men, bisexual men and transgendered persons, gender identifying as female and or living as women. Sessions elicited information on: (1) general experiences with health care, (2) experiences with HIV antiretroviral therapies and issues surrounding access, and (3) adherence to these therapies and identity in relation to health care. These textual data revealed three themes: (1) the importance of sexual identity and its social and cultural context, (2) the differences in the health concerns between the sexual minorities and (3) a wide spectrum of experiences with the health care system that provide information surrounding the access to and adequacy of health care. Successful health care providers are aware of different issues that may play a role in the provision of health care to these sexual minorities. Providers awareness of sexual and social identity and the related different cultural values, beliefs and custom enhance care seeking and therapeutic adherence. For sexual minorities, primary care remains the most important entry point into the health care system. Cultural competence of care providers can foster patient's care seeking and adherence to treamtment. |
| doi_str_mv | 10.1016/S0277-9536(00)00274-4 |
| format | Article |
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This qualitative study used grounded theory with data collection occurring through focus groups and interviews. A questionnaire was used to complete a demographic profile. The study included 47 HIV positive participants from three minorities: gay men, bisexual men and transgendered persons, gender identifying as female and or living as women. Sessions elicited information on: (1) general experiences with health care, (2) experiences with HIV antiretroviral therapies and issues surrounding access, and (3) adherence to these therapies and identity in relation to health care. These textual data revealed three themes: (1) the importance of sexual identity and its social and cultural context, (2) the differences in the health concerns between the sexual minorities and (3) a wide spectrum of experiences with the health care system that provide information surrounding the access to and adequacy of health care. Successful health care providers are aware of different issues that may play a role in the provision of health care to these sexual minorities. Providers awareness of sexual and social identity and the related different cultural values, beliefs and custom enhance care seeking and therapeutic adherence. For sexual minorities, primary care remains the most important entry point into the health care system. Cultural competence of care providers can foster patient's care seeking and adherence to treamtment.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/S0277-9536(00)00274-4</identifier><identifier>PMID: 11327138</identifier><identifier>CODEN: SSMDEP</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Acquired Immune Deficiency Syndrome ; Adult ; Attitude of Health Personnel ; Biological and medical sciences ; Bisexuality ; Bisexuality - psychology ; Bisexuals ; British Columbia ; Canada ; Clinical Competence - standards ; Crosscultural Treatment ; Cultural competence ; Focus Groups ; Gays & lesbians ; Gender Identity ; Health care ; Health Care Services ; Health Care Utilization ; Health services utilization ; HIV ; HIV Seropositivity - ethnology ; HIV Seropositivity - therapy ; HIV Sexual minority health Sexual identity Social identity ; Holistic Health ; Homosexuality ; Homosexuality, Male - psychology ; Homosexuals ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Identity ; Infectious diseases ; Interviews ; Male ; Males ; Medical sciences ; Medical sociology ; Men ; Minority Groups ; Minority Groups - psychology ; Patient Acceptance of Health Care - ethnology ; Prejudice ; Professional-Patient Relations ; Qualitative research ; Self Concept ; Sex Role Identity ; Sexual identity ; Sexual minority health ; Sexuality ; Social identity ; Surveys and Questionnaires ; Transsexualism - psychology ; Transsexuals ; Truth Disclosure ; Vancouver ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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This qualitative study used grounded theory with data collection occurring through focus groups and interviews. A questionnaire was used to complete a demographic profile. The study included 47 HIV positive participants from three minorities: gay men, bisexual men and transgendered persons, gender identifying as female and or living as women. Sessions elicited information on: (1) general experiences with health care, (2) experiences with HIV antiretroviral therapies and issues surrounding access, and (3) adherence to these therapies and identity in relation to health care. These textual data revealed three themes: (1) the importance of sexual identity and its social and cultural context, (2) the differences in the health concerns between the sexual minorities and (3) a wide spectrum of experiences with the health care system that provide information surrounding the access to and adequacy of health care. Successful health care providers are aware of different issues that may play a role in the provision of health care to these sexual minorities. Providers awareness of sexual and social identity and the related different cultural values, beliefs and custom enhance care seeking and therapeutic adherence. For sexual minorities, primary care remains the most important entry point into the health care system. Cultural competence of care providers can foster patient's care seeking and adherence to treamtment.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Bisexuality</subject><subject>Bisexuality - psychology</subject><subject>Bisexuals</subject><subject>British Columbia</subject><subject>Canada</subject><subject>Clinical Competence - standards</subject><subject>Crosscultural Treatment</subject><subject>Cultural competence</subject><subject>Focus Groups</subject><subject>Gays & lesbians</subject><subject>Gender Identity</subject><subject>Health care</subject><subject>Health Care Services</subject><subject>Health Care Utilization</subject><subject>Health services utilization</subject><subject>HIV</subject><subject>HIV Seropositivity - ethnology</subject><subject>HIV Seropositivity - therapy</subject><subject>HIV Sexual minority health Sexual identity Social identity</subject><subject>Holistic Health</subject><subject>Homosexuality</subject><subject>Homosexuality, Male - psychology</subject><subject>Homosexuals</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Identity</subject><subject>Infectious diseases</subject><subject>Interviews</subject><subject>Male</subject><subject>Males</subject><subject>Medical sciences</subject><subject>Medical sociology</subject><subject>Men</subject><subject>Minority Groups</subject><subject>Minority Groups - psychology</subject><subject>Patient Acceptance of Health Care - ethnology</subject><subject>Prejudice</subject><subject>Professional-Patient Relations</subject><subject>Qualitative research</subject><subject>Self Concept</subject><subject>Sex Role Identity</subject><subject>Sexual identity</subject><subject>Sexual minority health</subject><subject>Sexuality</subject><subject>Social identity</subject><subject>Surveys and Questionnaires</subject><subject>Transsexualism - psychology</subject><subject>Transsexuals</subject><subject>Truth Disclosure</subject><subject>Vancouver</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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Aids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schilder, Arn J</creatorcontrib><creatorcontrib>Kennedy, Cornelis</creatorcontrib><creatorcontrib>Goldstone, Irene L</creatorcontrib><creatorcontrib>Ogden, Russel D</creatorcontrib><creatorcontrib>Hogg, Robert S</creatorcontrib><creatorcontrib>O’Shaughnessy, Michael V</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schilder, Arn J</au><au>Kennedy, Cornelis</au><au>Goldstone, Irene L</au><au>Ogden, Russel D</au><au>Hogg, Robert S</au><au>O’Shaughnessy, Michael V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“Being dealt with as a whole person.” Care seeking and adherence: the benefits of culturally competent care</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>2001-06-01</date><risdate>2001</risdate><volume>52</volume><issue>11</issue><spage>1643</spage><epage>1659</epage><pages>1643-1659</pages><issn>0277-9536</issn><eissn>1873-5347</eissn><coden>SSMDEP</coden><abstract>The purpose of this study is to characterize the relationship between identity and health care experiences (including antiretroviral therapy utilization) among HIV-positive sexual minority males. 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Successful health care providers are aware of different issues that may play a role in the provision of health care to these sexual minorities. Providers awareness of sexual and social identity and the related different cultural values, beliefs and custom enhance care seeking and therapeutic adherence. For sexual minorities, primary care remains the most important entry point into the health care system. Cultural competence of care providers can foster patient's care seeking and adherence to treamtment.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>11327138</pmid><doi>10.1016/S0277-9536(00)00274-4</doi><tpages>17</tpages></addata></record> |
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| ispartof | Social science & medicine (1982), 2001-06, Vol.52 (11), p.1643-1659 |
| issn | 0277-9536 1873-5347 |
| language | eng |
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| source | MEDLINE; RePEc; Elsevier ScienceDirect Journals; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Acquired Immune Deficiency Syndrome Adult Attitude of Health Personnel Biological and medical sciences Bisexuality Bisexuality - psychology Bisexuals British Columbia Canada Clinical Competence - standards Crosscultural Treatment Cultural competence Focus Groups Gays & lesbians Gender Identity Health care Health Care Services Health Care Utilization Health services utilization HIV HIV Seropositivity - ethnology HIV Seropositivity - therapy HIV Sexual minority health Sexual identity Social identity Holistic Health Homosexuality Homosexuality, Male - psychology Homosexuals Human immunodeficiency virus Human viral diseases Humans Identity Infectious diseases Interviews Male Males Medical sciences Medical sociology Men Minority Groups Minority Groups - psychology Patient Acceptance of Health Care - ethnology Prejudice Professional-Patient Relations Qualitative research Self Concept Sex Role Identity Sexual identity Sexual minority health Sexuality Social identity Surveys and Questionnaires Transsexualism - psychology Transsexuals Truth Disclosure Vancouver Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids |
| title | “Being dealt with as a whole person.” Care seeking and adherence: the benefits of culturally competent care |
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