Check the Box that Best Describes You: Reflexively Managing Theory and Praxis in LGBTQ Health Communication Research

Abstract

The intersections between identity and health communication are complex and dynamic, yet few studies employ a critical–empirical research strategy to understand how these factors affect patient experiences. And although other disciplines have examined lesbian, gay, bisexual, transgendered, and queer (LGBTQ)-specific issues surrounding identity and health care, there is a gap in communication studies literature on the topic. The present study examines how LGBTQ patients experience the language and structure of medical intake forms by analyzing both existing forms and patient survey responses. Relying on a queer theory framework, we illustrate how intake forms can foreclose on LGBTQ identity with heteronormative assumptions about sexuality, gender, and relationships. We also offer recommendations for creating queer-friendly intake forms and avoiding heteronormativity in health communication research. Overall, we argue that researchers must use reflexive methodology in considering how identity categories can both limit and assist LGBTQ patients.

Notes

¹All names have been replaced with pseudonyms to protect the privacy of participants.

²Previous projects conducted by the researchers, such as the one that inspired this study, involved face-to-face interviews with women about experiences with sexual health care providers. These interactions were confidential (as opposed to anonymous), audio-recorded, and covered a range of very personal topics about sexual experience. Despite such potential threats to privacy, these projects were consistently approved by the IRB with minor revisions; the LGBTQ focus of the current study raised an additional red flag with our institution.