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Marshall K. Exploring the Impacts of Heteronormative and Cisnormative Ideologies on Fertility Intentions and Family Planning Experiences Within the 2SLGBTQ Community: A Qualitative Case Study. J Holist Nurs 2024; 42:156-167. [PMID: 37545438 PMCID: PMC11131341 DOI: 10.1177/08980101231189653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2023] [Revised: 06/28/2023] [Accepted: 07/05/2023] [Indexed: 08/08/2023]
Abstract
Objectives: Normative beliefs around gender and sexuality place individuals in the Two Spirit, lesbian, gay, bisexual, trans, and queer (2SLGBTQ) community at risk for poorer health outcomes within the health care system compared with their heterosexual and cisgender counterparts, particularly within gendered areas of care including family planning and fertility intentions. The purpose of this research was to explore the effect that the normative beliefs of heteronormativity and cisnormativity had on the experiences of 2SLGBTQ people engaged in family planning, and to begin to understand how health care providers can provide appropriate, safe, and holistic care. Methods: We conducted a qualitative study using case study methodology and completing semi-structured interviews with 11 participants with diverse genders and sexualities. Findings: For members of the 2SLGBTQ community, family planning is greatly affected by ideals of normal, intersections of identities, health care systems, and community. They may face additional emotional labor and intentional decision-making when related to family planning. Heteronormativity and cisnormativity greatly impact the health care that is received. Conclusions: The findings contribute information in the limited field of research related to the 2SLGBTQ community and may support health care providers in providing holistic care.
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Affiliation(s)
- Kerry Marshall
- University of Saskatchewan, Saskatoon, Canada
- University of British Columbia, Vancouver, Canada
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Cedrone F, Berselli N, Stacchini L, De Nicolò V, Caminiti M, Ancona A, Minutolo G, Mazza C, Cosma C, Gallinoro V, Catalini A, Gianfredi V. Depressive Symptoms of Public Health Medical Residents during the COVID-19 Pandemic, a Nation-Wide Survey: The PHRASI Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20095620. [PMID: 37174140 PMCID: PMC10178174 DOI: 10.3390/ijerph20095620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 04/18/2023] [Accepted: 04/20/2023] [Indexed: 05/15/2023]
Abstract
Depression is a widespread condition, which increased during the COVID-19 pandemic among healthcare workers as well. The large workload of the pandemic response also affected Public Health Residents (PHRs) who played an important role in infection prevention and control activities. This work aims to assess depression in Italian PHRs, based on data collected through the PHRASI (Public Health Residents' Anonymous Survey in Italy) study. In 2022, 379 PHRs completed the self-administered questionnaire containing Patient Health Questionnaire-9 to evaluate clinically relevant depressive symptoms (PHQ-9 ≥ 10). Multivariate logistic regression shows that the intention (aOR = 3.925, 95% CI = (2.067-7.452)) and the uncertainty (aOR = 4.949, 95% CI = (1.872-13.086)) of repeating the test to enter another postgraduate school/general practitioner course and the simultaneous attendance of two traineeships (aOR = 1.832, 95% CI = (1.010-3.324)) are positively related with depressive symptoms. Conversely, the willingness to work in the current traineeship place (aOR = 0.456, 95% CI = (0.283-0.734)) emerged as a protective factor. Similar results were obtained considering mild-to-severe (PHQ-9 ≥ 5) depressive symptoms and/or stratifying by sex. The findings, suggesting the protective role of job satisfaction toward depression, might entail future interventions to improve the learning experience and promote work-life balance.
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Affiliation(s)
- Fabrizio Cedrone
- Hospital Management, Local Health Authority of Pescara, 65100 Pescara, Italy
| | - Nausicaa Berselli
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via Campi 287, 41125 Modena, Italy
| | - Lorenzo Stacchini
- Department of Health Sciences, University of Florence, 50134 Florence, Italy
| | - Valentina De Nicolò
- Department of Public Health and Infectious Disease, Sapienza University of Rome, 00185 Rome, Italy
| | - Marta Caminiti
- Department of Medicine and Surgery-Sector of Public Health, University of Perugia, 06100 Perugia, Italy
| | - Angela Ancona
- School of Hygiene and Preventive Medicine, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Giuseppa Minutolo
- Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy
| | - Clara Mazza
- Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy
| | - Claudia Cosma
- Department of Health Sciences, University of Florence, 50134 Florence, Italy
| | - Veronica Gallinoro
- Department of Health Sciences, University of Florence, 50134 Florence, Italy
| | - Alessandro Catalini
- Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, 60100 Ancona, Italy
| | - Vincenza Gianfredi
- Department of Biomedical Sciences for Health, University of Milan, Via Pascal, 36, 20133 Milan, Italy
- CAPHRI Care and Public Health Research Institute, Maastricht University, 6211 Maastricht, The Netherlands
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Bowling J, Simmons M, Blekfeld-Sztraky D, Bartelt E, Dodge B, Sundarraman V, Lakshmi B, Herbenick D. “It’s a walk of shame”: Experiences of unintended pregnancy and abortion among sexual- and gender-minoritized females in urban India. MEDICINE ACCESS @ POINT OF CARE 2021; 5:23992026211027698. [PMID: 36204507 PMCID: PMC9413609 DOI: 10.1177/23992026211027698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Accepted: 06/08/2021] [Indexed: 11/30/2022] Open
Abstract
Background: Unintended pregnancy and safe abortion access in India remain critical public
health concerns. The health of sexual- and gender-minoritized females (SGMF;
those assigned female at birth and identify as other than heterosexual
and/or as other than cisgender women) in India is understudied. Aim: We examined experiences of unintended pregnancy and abortion among SGMF
individuals in urban India. Methods: We used focus group discussions (n = 8 individuals in two
groups) and interviews (n = 20) with SGMF individuals. Data
were collected in December 2017. Transcripts were analyzed using a priori
thematic analysis and then open thematic analysis in Dedoose online
software. Results: Nine participants experienced or suspected they had unintended pregnancies.
Pregnancy circumstances were mostly due to sex without using a barrier
method. Participants discussed using traditional methods to induce abortion
or changing their approach to contraception. Social support was often
lacking, though partners were supportive of abortion choices. Participants
reported stigma and surveillance from family, friends, providers, and
community members. Conclusion: These findings highlight the effects of stigma in relation to abortion and
unintended pregnancy on health and relationships.
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Affiliation(s)
- Jessamyn Bowling
- Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA
| | | | - Donna Blekfeld-Sztraky
- Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA
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