Sexual healthcare to meet the needs of sexuality and gender diverse aboriginal young people: imagined possibilities

人类性学 主题分析 医疗保健 女同性恋 奇怪的 生殖健康 性别研究 人口 变性人 心理学 定性研究 社会学 政治学 社会科学 人口学 法学
作者
Heather McCormack,Michelle Dickson,T. C. Harrington,Mahlia Garay,Robert Whybrow,Julie Mooney‐Somers,Peter Aggleton,Lise Lafferty,Elke Mitchell,Jessica Morris,Bridget Haire
出处
期刊:Culture, Health & Sexuality [Informa]
卷期号:: 1-16
标识
DOI:10.1080/13691058.2024.2394649
摘要

In Australia, Aboriginal young people who are lesbian, gay, bisexual, trans, queer or otherwise sexuality and gender diverse (LGBTQ+) are recognised within several overlapping priority populations in state and federal sexually transmissible infection and HIV strategies. However, limited research has documented their unique sexual health experiences, needs and preferences. In this qualitative study, semi-structured interviews were conducted with 10 LGBTQ+ Aboriginal young people aged 16–24 years in New South Wales. Interviews incorporated questions about service access, positive and negative experiences and self-determined healthcare priorities. We conducted a strengths-based thematic analysis to understand the issues of greatest importance in sexual healthcare for participants. Using the framework of 'imaginaries', we explored how participants imagined sexual healthcare that would meet their individual and cultural needs. The dominant imaginary centred on respect, representation and the as-yet-unrealised possibility of sexual healthcare designed by and for people who shared the intersection of Aboriginal and LGBTQ+ experience. We identified individual-level, service-level and societal-level factors influencing this imaginary, including relationships, accessibility and experiences of racism. Analysing the imaginaries constructed by LGBTQ+ Aboriginal young people of empowering, culturally safe sexual healthcare that is 'for them' provides insight into potential service design to improve sexual health outcomes for this population.

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