Evidence map›Paper›PMID 24412811›Full record

ArticleHealth education research2014

Examining clinicians' experiences providing sexual health services for LGBTQ youth: considering social and structural determinants of health in clinical practice.

R E Knight, J A Shoveller, A M Carson, J G Contreras-Whitney

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health education research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 168 citations in OpenAlex.

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  8. Review
  9. Healthcare providers' perspectives on pregnancy experiences among sexual and gender minority youth.Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

R E KnightInterdisciplinary Studies Graduate Program, University of British Columbia, Vancouver, BC, Canada V6T 1Z3 and School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, Canada V6T 1Z3 rod.knight@ubc.ca.
J A ShovellerInterdisciplinary Studies Graduate Program, University of British Columbia, Vancouver, BC, Canada V6T 1Z3 and School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, Canada V6T 1Z3.
A M CarsonInterdisciplinary Studies Graduate Program, University of British Columbia, Vancouver, BC, Canada V6T 1Z3 and School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, Canada V6T 1Z3.
J G Contreras-WhitneyInterdisciplinary Studies Graduate Program, University of British Columbia, Vancouver, BC, Canada V6T 1Z3 and School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, Canada V6T 1Z3.
University of British Columbia · CA

Funding

Canadian Institutes of Health Research MOP-77574
6 · The paper itself

Abstract

Although barriers related to lesbian, gay, bisexual, transgender and queer (LGBTQ) youth's experiences accessing sexual health services have been examined in detail, research into the experiences and perceptions of clinicians providing these services has been conspicuously absent. The aim of this article is to explore the perceptions and experiences of clinicians providing sexual health services for LGBTQ youth. Drawing on in-depth, semi-structured interviews, this study examines 24 clinicians' experiences providing sexual health services to LGBTQ youth in five communities in British Columbia, Canada. Our findings reveal how many clinicians provide services to LGBTQ youth with a lack of cultural competency-either implicitly (e.g., by describing heteronormative practices) or explicitly (e.g., by expressing frustration that they had not been sufficiently provided with appropriate training related to LGBTQ youth sexual health). Institutional norms and values were identified as the dominant barriers in the effective provision of LGBTQ-tailored services. Many clinicians find themselves unprepared to provide culturally competent sexual health services that have both the capacity to address individual-level issues (e.g. promoting condom use) while considering (and adapting services to) the broader socio-cultural and structural conditions that can render LGBTQ youth socially vulnerable.

Indexed as

Physician-Patient RelationsReproductive Health ServicesSocial Determinants of HealthAdolescentBritish ColumbiaCultural CompetencyFemaleHealth Status DisparitiesHumansInterviews as TopicMaleSexual BehaviorSexualityTransgender PersonsVulnerable PopulationsYoung Adult

Identifiers

PMID24412811
PMCPMC4101184
OpenAlexW2166218151

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.