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Experience of sexual and gender minority youth when accessing health care in Turkey

  • Özge Ceren Apalı , İkra Baba , Fatma Bayrakcı , Deniz Değerli , Arda Erden , M. Sacit Peker , Fatma Gül Perk , İrem Sibel Sipahi , Ezgi Şenoğlu , Salih Yılmaz , Nur Yıldız Zengin and Sinem Akgül EMAIL logo
Published/Copyright: June 8, 2020

Abstract

Objectives

Lesbian, gay, bisexual, transgender and questioning (LGBTQ) patients report alarming rates of identity-based discrimination in healthcare settings. Despite the health risks and challenges impacting LGBTQ young adults, little is known about their healthcare experience, especially in Turkey. This study aimed to increase the knowledge base on LGBTQ young individuals’ experiences when accessing health care in an attempt to address the myriad of health disparities they might face.

Methods

Participants were recruited from the division of Adolescent Medicine at Hacettepe University, and also from an LGBTQ support group. Participants’ responded to open-ended items asking about their experiences in the healthcare setting, in particular to any case of discrimination and reasons for non-disclosure of gender identity/orientation.

Results

A total of 24 LGBTQ youth completed the interview, mean age 21.1 years. Overall participants reported alarming rates of identity-discrimination and non-disclosure when accessing health care. Additionally, participants reported high rates of postponing care as they felt they would be subjected to LGBTQ-based discrimination. Furthermore results suggest that transgender individuals face additional healthcare challenges compared with their LGB and cisgender counterparts.

Conclusions

To the best of our knowledge this is the first study in Turkey to evaluate the experiences of LGBTQ youth accessing medical care. This study shows that similar to barriers observed in previous studies on LGBTQ individuals, discrimination when accessing healthcare is a serious problem. Increasing knowledge concerning the discrimination LGBTQ people face when accessing healthcare is essential to decreasing healthcare disparities.


Corresponding author: Sinem Akgül, M.D., Ph.D., Department of Pediatrics, Division of Adolescent Medicine, Hacettepe Univeristy, İhsan Doğramacı Childrens Hospital, Ankara, Turkey, Phone: +00905064766250, E-mail:

Funding source: Hacettepe Üniversitesi

Acknowledgment

We would like to thank Dr. Koray Başar and Dr. Zeynep Tüzün for their help in recruiting patients and suggestions concerning survey questions.

  1. Competing interest: No competing financial interests exist.

References

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Received: 2019-09-30
Accepted: 2019-11-27
Published Online: 2020-06-08

© 2020 Walter de Gruyter GmbH, Berlin/Boston

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