Evidence map›Paper›PMID 40728745›Full record

ArticleThe European journal of general practice2025

Understanding (non)disclosure of sexual orientation and gender identity in Slovenian primary healthcare: Perspectives from LGBT+ individuals and general practitioners.

Nina Jerala, Davorina Petek

Abstract read
In one paragraph

Article in The European journal of general practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

Nina JeralaFaculty of Medicine, University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia.ORCID 0009-0003-9897-1242
Davorina PetekDepartment of Family Medicine, University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia.ORCID 0000-0002-0151-4463

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisclosure ('coming out') is an ongoing process for LGBT+ individuals, impacting various aspects of their lives. While research underscores the importance of disclosure for the health and well-being of LGBT+ people, concerns about stigma and discrimination often lead to non-disclosure, affecting healthcare access and outcomes. In Slovenia, where general practitioners (GPs) play a pivotal role in healthcare, understanding the dynamics of disclosure within primary healthcare settings is crucial.

methodsThis qualitative study utilised an online survey with open-ended questions to explore the experiences and expectations of both LGBT+ individuals and GPs regarding disclosure. Thematic analysis was employed to identify key themes and subthemes from the data collected between October and December 2021.

resultsAmong 214 LGBT+ participants and 28 GPs, four main themes emerged: the necessity and relevance of disclosure; fear, insecurity, or neutrality towards non-disclosure; characteristics and actions of GPs helpful for disclosure; and GPs' self-evaluation of reactions to disclosure. Some participants viewed disclosure as essential for quality healthcare, disclosing their sexual orientation when necessary for medical treatment or to establish a trusting relationship with their GP, but others feared discrimination and preferred non-disclosure. GPs' characteristics and actions, such as creating a safe environment and using inclusive language, were crucial for facilitating disclosure.

conclusionsOur findings reinforce the significance of GP engagement in fostering safe and supportive environments for disclosure, ultimately improving healthcare access and outcomes for LGBT+ individuals in Slovenia.

Indexed as

DisclosureGender IdentityGeneral PractitionersPrimary Health CareSexual and Gender MinoritiesSexual BehaviorAdultAttitude of Health PersonnelFemaleHumansMaleMiddle AgedPhysician-Patient RelationsQualitative ResearchSloveniaSocial Stigmageneral practicehealthcare accesshealth disparitiesLGBT+ disclosurestigma and discrimination

Identifiers

PMID40728745
PMCPMC12308859

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