Shared Decision Making Among Clinicians and Asian American and Pacific Islander Sexual and Gender Minorities: An Intersectional Approach to Address a Critical Care Gap

被引:19
|
作者
Tan, Judy Y. [1 ]
Xu, Lucy J. [2 ,3 ]
Lopez, Fanny Y. [2 ]
Jia, Justin L. [2 ,4 ]
Pho, Mai T. [5 ]
Kim, Karen E. [6 ,7 ]
Chin, Marshall H. [2 ,8 ]
机构
[1] Univ Calif San Francisco, Dept Med, Ctr AIDS Prevent Studies, 550 16th St,3rd Floor, San Francisco, CA 94158 USA
[2] Univ Chicago, Dept Med, Gen Internal Med Sect, 5841 S Maryland Ave, Chicago, IL 60637 USA
[3] Univ Chicago, Pritzker Sch Med, Chicago, IL 60637 USA
[4] Univ Chicago, Coll, Chicago, IL 60637 USA
[5] Univ Chicago, Dept Med, Sect Infect Dis & Global Hlth, 5841 S Maryland Ave, Chicago, IL 60637 USA
[6] Univ Chicago, Dept Med, Sect Gastroenterol Hepatol & Nutr, 5841 S Maryland Ave, Chicago, IL 60637 USA
[7] Univ Chicago, Ctr Asian Hlth Equ, Chicago, IL 60637 USA
[8] Univ Chicago, Robert Wood Johnson Fdn Finding Answers Solving D, Chicago, IL 60637 USA
基金
美国医疗保健研究与质量局;
关键词
Asian American and Pacific Islander (AAPI); intersectionality; sexual and gender minorities (SGM); shared decision making (SDM); ACHIEVE HEALTH EQUITY; HIV RISK BEHAVIORS; MENTAL-HEALTH; THEORETICAL-MODELS; RACIAL BIAS; RACE; DISPARITIES; STEREOTYPES; IDENTITY; DISCRIMINATION;
D O I
10.1089/lgbt.2015.0143
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Shared decision making (SDM) is a model of patient-provider communication. Little is known about the role of SDM in health disparities among Asian American and Pacific Islander (AAPI) sexual and gender minorities (SGM). We illustrate how issues at the intersection of AAPI and SGM identities affect SDM processes and health outcomes. We discuss experiences of AAPI SGM that are affected by AAPI heterogeneity, SGM stigma, multiple minority group identities, and sources of discrimination. Recommendations for clinical practice, research, policy, community development, and education are offered.
引用
收藏
页码:327 / 334
页数:8
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