Assessing LGBTQ+ stigma among healthcare professionals: An application of the health stigma and discrimination framework in a qualitative, community-based participatory research study

Katelyn M. Sileo, Aleta Baldwin, Tina A. Huynh, Allison Olfers, Junda Woo, Sean L. Greene, Gregory L. Casillas, Barbara S. Taylor

Research output: Contribution to journalArticlepeer-review

Abstract

This qualitative, community-based participatory research (CBPR) study examines the occurrence of LGBTQ+ stigma in healthcare guided by the Health Stigma and Discrimination Framework. We conducted focus groups with healthcare professionals, analyzed using a thematic analysis approach. Stigma drivers included knowledge deficits and transphobia. Facilitators were the binary organization of medical education and training, cisnormative system procedures, a lack of enforceable policy to reduce stigma, and workplace culture and norms. Stigma practices, such as prejudicial attitudes, gossip, and misgendering, primarily focused on transgender individuals. This study reinforces the need to reduce LGBTQ+ stigma in healthcare settings, with implications for multi-level interventions.

Original languageEnglish (US)
Pages (from-to)2181-2196
Number of pages16
JournalJournal of Health Psychology
Volume27
Issue number9
DOIs
StatePublished - Aug 2022

Keywords

  • healthcare
  • LGBTQ
  • qualitative
  • stigma
  • transgender

ASJC Scopus subject areas

  • Applied Psychology

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