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Qualitative Research Report

“It’s just as remarkable as being left-handed, isn’t it?”: exploring normativity through Australian physiotherapists’ perspectives of working with LGBTQIA+ patients

, PT,PhD, & , PT, PhD
Received 25 Apr 2023, Accepted 18 Jul 2023, Published online: 31 Jul 2023

References

  • Alencar Albuquerque G, de Lima Garcia C, da Silva Quirino G, Alves MJ, Belém JM, dos Santos Figueiredo FW, da Silva Paiva L, Do Nascimento VB, da Silva Maciel É, Valenti VE, et al. 2016 Access to health services by lesbian, gay, bisexual, and transgender persons: Systematic literature review. BMC International Health and Human Rights 16: 2. 10.1186/s12914-015-0072-9.
  • Areskoug-Josefsson K, Gard G 2015 Sexual health as a part of physiotherapy: The voices of physiotherapy students. Sexuality and Disability 33: 513–532. 10.1007/s11195-015-9403-y.
  • Australian Bureau of Statistics 2018 Sex and gender diversity in the 2016 census. https://www.abs.gov.au/ausstats/[email protected]/Lookup/by%20Subject/2071.0~2016~Main%20Features~Sex%20and%20Gender%20Diversity%20in%20the%202016%20Census~100.
  • Ayhan CH, Bilgin H, Uluman OT, Sukut O, Yilmaz S, Buzlu S 2020 A systematic review of the discrimination against sexual and gender minority in health care settings. International Journal of Health Services 50: 44–61. 10.1177/0020731419885093.
  • Bosia MJ, McEvoy SM, Rahman M, Bosia MJ, McEvoy SM, Rahman M 2019 The oxford handbook of global LGBT and sexual diversity politics. New York: Oxford University Press. 10.1093/oxfordhb/9780190673741.001.0001.
  • Braun V, Clarke V 2013 Successful qualitative research: A practical guide for beginners. London: SAGE.
  • Braun V, Clarke V 2021 One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology 18: 328–352. 10.1080/14780887.2020.1769238.
  • Braveman P 2014 What are health disparities and health equity? We need to be clear. Public Health Report 129: 5–8. 10.1177/00333549141291S203.
  • Brenner N, Ross MH, McLachlan E, McKinnon R, Moulton L, Hammond JA 2022 Physiotherapy students’ education on, exposure to, and attitudes and beliefs about providing care for LGBTQIA+ patients: A cross-sectional study in the UK. European Journal of Physiotherapy 10.1080/21679169.2022.2080252 Online ahead of print.
  • Burch A 2008 Health care providers’ knowledge, attitudes, and self-efficacy for working with patients with spinal cord injury who have diverse sexual orientations. Physical Therapy 88: 191–198. 10.2522/ptj.20060188.
  • Byrne A, Tanesini A 2015 Instilling new habits: Addressing implicit bias in healthcare professionals. Advances in Health Sciences Education 20: 1255–1262 10.1007/s10459-015-9600-6.
  • Carabez R, Pellegrini M, Mankovitz A, Eliason M, Ciano M, Scott M 2015 “Never in all my years…”: Nurses’ education about LGBT health. Journal of Professional Nursing 31: 323–329. 10.1016/j.profnurs.2015.01.003.
  • Cochran SD, Mays VM, Alegria M, Ortega AN, Takeuchi D 2007 Mental health and substance use disorders among Latino and Asian American lesbian, gay, and bisexual adults. Journal of Consulting and Clinical Psychology 75: 785–794. 10.1037/0022-006X.75.5.785.
  • Commonwealth of Australia Department of Health 2017 National drug strategy 2017-2026. https://www.health.gov.au/sites/default/files/national-drug-strategy-2017-2026.pdf.
  • Cunliffe AL 2009 Reflexivity, learning and reflexive practice. In: Armstrong S Fukami C (Eds) The SAGE handbook of management learning, education and development, pp. 405–418. SAGE Publications Ltd. 10.4135/9780857021038.n21.
  • Daley AE, MacDonnell JA 2011 Gender, sexuality and the discursive representation of access and equity in health services literature: Implications for LGBT communities. International Journal for Equity and Health 10: 40. 10.1186/1475-9276-10-40.
  • Fish J, Bewley S 2010 Using human rights-based approaches to conceptualise lesbian and bisexual women’s health inequalities. Health and Social Care in the Community 18: 355–362. 10.1111/j.1365-2524.2009.00902.x
  • FitzGerald C, Hurst S 2017 Implicit bias in healthcare professionals: A systematic review. BMC Medical Ethics 18: 19. 10.1186/s12910-017-0179-8.
  • Fredriksen-Goldsen KI, Kim HJ, Barkan SE, Muraco A, Hoy-Ellis CP 2013 Health disparities among lesbian, gay, and bisexual older adults: Results from a population-based study. American Journal of Public Health 103: 1802–1809. 10.2105/AJPH.2012.301110.
  • Haas AP, Eliason M, Mays VM, Mathy RM, Cochran SD, D’Augelli AR, Silverman MM, Fisher PW, Hughes T, Rosario M et al. 2010 Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: Review and recommendations. Journal of Homosexuality 58: 10–51. 10.1080/00918369.2011.534038.
  • Hagen DB, Galupo MP 2014 Trans * individuals’ experiences of gendered language with health care providers: Recommendations for practitioners. The International Journal of Transgenderism 15: 16–34. 10.1080/15532739.2014.890560.
  • Healthy People 2020 2022 lesbian, gay, bisexual, and transgender health. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health.
  • Kitts RL 2010 Barriers to optimal care between physicians and lesbian, gay, bisexual, transgender, and questioning adolescent patients. Journal of Homosexuality 57: 730–747. 10.1080/00918369.2010.485872.
  • Klein R, Elboim-Gabyzon M 2021 Attitudes of registered physiotherapists in Israel toward people identifying as lesbian, gay, and bisexual: A cross-sectional survey. BMC Medical Education 21: 581. 10.1186/s12909-021-03018-7.
  • Mayer KH, Bradford JB, Makadon HJ, Stall R, Goldhammer H, Landers S 2008 Sexual and gender minority health: What we know and what needs to be done. American Journal of Public Health 98: 989–995. 10.2105/AJPH.2007.127811.
  • McCann E, Brown M 2018 The inclusion of LGBT+ health issues within undergraduate healthcare education and professional training programmes: A systematic review. Nurse Education Today 64: 204–214. 10.1016/j.nedt.2018.02.028
  • McCann H, Monaghan W 2020 Queer theory now: From foundations to futures. London: Red Globe Press, Macmillan International Higher Education.
  • McGeorge C, Carlson TS 2011 Deconstructing heterosexism: Becoming an LGB affirmative heterosexual couple and family therapist. Journal of Marital and Family Therapy 37: 14–26. 10.1111/j.1752-0606.2009.00149.x.
  • McKay T, Tran NM, Barbee H, Min JK 2023 Association of affirming care with chronic disease and preventive care outcomes among lesbian, gay, bisexual, transgender, and queer older adults. American Journal of Preventive Medicine 64: 305–314. 10.1016/j.amepre.2022.09.025.
  • McNeil J, Ellis SJ, Eccles F 2017 Suicide in trans populations: A systematic review of prevalence and correlates. Psychology of Sexual Orientation and Gender Diversity 4: 341–353. 10.1037/sgd0000235.
  • Mereish EH, Poteat VP 2015 Let’s get physical: Sexual orientation disparities in physical activity, sports involvement, and obesity among a population-based sample of adolescents. American Journal of Public Health 105: 1842–1848. 10.2105/AJPH.2015.302682.
  • Morrison S, Dinkel S 2012 Heterosexism and health care: A concept analysis. Nursing Forum 47: 123–130. 10.1111/j.1744-6198.2011.00243.x.
  • Mulé NJ, Ross LE, Deeprose B, Jackson BE, Daley A, Travers A, Moore D 2009 Promoting LGBT health and wellbeing through inclusive policy development. International Journal for Equity in Health 8: 18. 10.1186/1475-9276-8-18.
  • National LGBTI Health Alliance 2016 National Lesbian, Gay, Bisexual, Transgender and Intersex Mental Health and Suicide Prevention Stategy https://www.lgbtiqhealth.org.au/strategy.
  • NSW Ministry of Health 2022 NSW Lgbtiq+health Strategy 2022-2027. https://www.health.nsw.gov.au/lgbtiq-health/Publications/lgbtiq-health-strategy.pdf.
  • Perales F, Campbell A 2019 Early roots of sexual-orientation health disparities: Associations between sexual attraction, health and well-being in a national sample of Australian adolescents. Journal of Epidemiology and Community Health 73: 954–962. 10.1136/jech-2018-211588.
  • Quinn K, Dickson-Gomez J, Zarwell M, Pearson B, Lewis M 2019 “A gay man and a doctor are just like, a recipe for destruction”: How racism and homonegativity in healthcare settings influence PrEP uptake among young black MSM. AIDS and Behavior 23: 1951–1963. 10.1007/s10461-018-2375-z.
  • Romanelli M, Hudson KD 2017 Individual and systemic barriers to health care: Perspectives of lesbian, gay, bisexual, and transgender adults. American Journal of Orthopsychiatry 87: 714–728. 10.1037/ort0000306.
  • Ross MH, Hammond J, Bezner J, Brown D, Wright A, Chipchase L, Miciak M, Whittaker JL, Setchell J 2022 An Exploration of the experiences of physical therapists who identify as LGBTQIA+: Navigating sexual orientation and gender identity in clinical, academic, and professional roles. Physical Therapy 102: zab280. 10.1093/ptj/pzab280.
  • Rossi AL, Lopez EJ 2017 Contextualizing competence: Language and LGBT-based competency in health care. Journal of Homosexuality 64: 1330–1349. 10.1080/00918369.2017.1321361.
  • Ross MH, Setchell J 2019 People who identify as LGBTIQ+ can experience assumptions, discomfort, some discrimination, and a lack of knowledge while attending physiotherapy: A survey. Journal of Physiotherapy 65: 99–105. 10.1016/j.jphys.2019.02.002.
  • Ross MH, Setchell J 2021 Physiotherapists’ knowledge regarding and experience working with clients who identify as LGBTQIA+. Journal of Science and Medicine in Sport 24: S39–S40. 10.1016/j.jsams.2021.09.101
  • Sabin JA, Riskind RG, Nosek BA 2015 Health care providers’ implicit and explicit attitudes toward lesbian women and gay men. American Journal of Public Health 105: 1831–1841. 10.2105/AJPH.2015.302631.
  • Sekoni AO, Gale NK, Manga-Atangana B, Bhadhuri A, Jolly K 2017 The effects of educational curricula and training on LGBT-specific health issues for healthcare students and professionals: A mixed-method systematic review. Journal of the International AIDS Society 20: 21624. 10.7448/IAS.20.1.21624.
  • Setchell J, Watson B, Jones L, Gard M 2015 Weight stigma in physiotherapy practice: Patient perceptions of interactions with physiotherapists. Manual Therapy 20: 835–841. 10.1016/j.math.2015.04.001.
  • Shetty G, Sanchez JA, Lancaster JM, Wilson LE, Quinn GP, Schabath MB 2016 Schabath MB 2016 Oncology healthcare providers’ knowledge, attitudes, and practice behaviors regarding LGBT health. Patient Education and Counseling 99: 1676–1684. 10.1016/j.pec.2016.05.004.
  • Smith SK, Turell SC 2017 Perceptions of Healthcare experiences: Relational and communicative competencies to improve care for LGBT people. Journal of Social Issues 73: 637–657. 10.1111/josi.12235.
  • Sullivan N 2003 A critical introduction to queer theory. New York: NYU Press.
  • Tollemache N, Shrewsbury D, Llewellyn C 2021 Que(e) rying undergraduate medical curricula: A cross-sectional online survey of lesbian, gay, bisexual, transgender, and queer content inclusion in UK undergraduate medical education. BMC Medical Education 21: 100. 10.1186/s12909-021-02532-y.
  • Ussher JM, Perz J, Allison K, Power R, Hawkey A, Dowsett GW, Hickey M, Parton C, McDonald FE, Davis ID, et al. 2022 Attitudes, knowledge and practice behaviours of oncology health care professionals towards lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI) patients and their carers: A mixed-methods study. Patient Education and Counseling 105: 2512–2523. 10.1016/j.pec.2021.12.008.
  • Vela MB, Erondu AI, Smith NA, Peek ME, Woodruff JN, Chin MH 2022 Eliminating explicit and implicit biases in health care: Evidence and research needs. Annual Review of Public Health 43: 477–501. 10.1146/annurev-publhealth-052620-103528.
  • Victoria State Government 2022 Pride in Our Future: Victoria’s LGBTIQ+ Strategy 2022-32. https://www.vic.gov.au/pride-our-future-victorias-lgbtiq-strategy-2022-32.
  • Wahlen R, Bize R, Wang J, Merglen A, Ambresin AE, Zweigenthal VEM 2020 Medical students’ knowledge of and attitudes towards LGBT people and their health care needs: Impact of a lecture on LGBT health. PloS One 15: e0234743. 10.1371/journal.pone.0234743.
  • Watts K, Sampanis D 2022 An investigation into the relationship of UK physiotherapy students’ knowledge, awareness, and confidence in treating transgender patients. Physiotherapy 114: e206–e207. 10.1016/j.physio.2021.12.189
  • Wilson T, Temple J, Lyons A, Shalley F 2020 What is the size of Australia’s sexual minority population? BMC Research Notes 13: 535. 10.1186/s13104-020-05383-w.