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Sexual and reproductive health care access for African American sexual minority women

Coley, Jade (2014) Sexual and reproductive health care access for African American sexual minority women. Master's Thesis, University of Pittsburgh. (Unpublished)

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Abstract

Background: African American sexual minority women (AA SMW) face several layers of discrimination when seeking healthcare. Chronic stress and existing health disparities slow access to health care. Discrimination is most clearly shown in obtaining timely preventative screenings and having pertinent sexual and reproductive health care information. This review investigated the current state of, as well as the barriers and facilitators to, sexual and reproductive health care quality and access for AA SMW.
Methods: A review of the literature was conducted using nine Boolean search terms in the PubMed database. Studies were included if they contained results related to the population and health outcomes described above.
Results: AA SMW are about a third less likely than heterosexual African Americans to have health insurance. A substantial portion of AA SMW do not disclose their sexual behaviors/orientation to their health care provider. To date, there is no existing literature on HPV vaccination specific to AA SMW. Mammogram uptake was higher than expected, indicating a need to investigate resiliency factors for AA SMW. The public health significance of this thesis is presented in the discussion of the results, which suggest the most promising intervention strategies for increasing health care access for AA SMW.
Conclusions: Interventions should aim to improve the patient-provider relationship for AA SMW, while also empowering AA SMW to disclose their sexual behaviors and request screenings. Further, accessible, culturally relevant sexual and reproductive health care information is needed for AA SMW. Future research should inquire about sexual behavior as well as identity. Future interventions should be adapted interventions that have proven to be successful with African American heterosexual women.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Coley, Jadedannicoley@gmail.com
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Thesis AdvisorStall, Ronrstall@pitt.eduRSTALL
Committee MemberMarkovic, Ninaninam@pitt.eduNINAM
Committee MemberHerrick, Amyalh75@pitt.eduALH75
Date: 27 June 2014
Date Type: Publication
Defense Date: 26 March 2014
Approval Date: 27 June 2014
Submission Date: 6 April 2014
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 52
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Degree: MPH - Master of Public Health
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: LGBT, access to care, African American, sexual minority, literature review, lesbian, bisexual, sexual health
Date Deposited: 27 Jun 2014 22:15
Last Modified: 15 Nov 2016 14:18
URI: http://d-scholarship.pitt.edu/id/eprint/21030

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