LGBTQIA Youth Healthcare Experience in El Paso County
Explore the challenges faced by LGBTQIA youth in accessing healthcare services in El Paso County, including disparities in training and services. Learn about initiatives like Inside/Out Youth Services working to empower and advocate for these vulnerable populations.
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LGBTQIA YOUTH HEALTHCARE EXPERIENCE Fred Gonzales & Ellen Snyder
INSIDE/OUT YOUTH SERVICES (EST 1990) The only nonprofit in El Paso County serving lesbian, gay, bisexual, transgender, intersex, and questioning youth. MISSION MISSION: Empower, educate and advocate for lesbian, bisexual, transgender, gay, intersex and questioning (LGBTIQ) youth from Southern Colorado, primarily El Paso and Teller counties. Inside/Out does this by creating safe space, support systems and teaching life skills to all youth in our community and work to make our community safer and more accepting of gender and sexual orientation diversity.
KNOWLEDGE, CONFIDENCE, WILLINGNESS Survey (2010) All fields Survey (2010) All fields: 57% agreed to an association between being a LGBTQ adolescent and suicide Majority didn t feel they had the skills needed to address issues of sexual orientation with adolescents but that sexual orientation should be addressed more often with these pts. Survey (2015) OBGYNs Survey (2015) OBGYNs: 80% did not receive training in residency on the care of transgender patients Survey (2016) Endocrinologists Survey (2016) Endocrinologists: 63% willing to provide transgender care Survey (2017) Internal Med Survey (2017) Internal Med: HIV, gonorrhea, and chlamydia risks underestimated for trans women population LGBT experiences surveys LGBT experiences surveys: mixed bag
LGBTQIA YOUTH Suicidal ideation: 30% of LGBT youth vs. 6% hetero/nontrans Rates of gonorrhea/chlamydia/HIV twice as high Increased risk of substance abuse, obesity, cancer RFs 18% had forced sex (rape), 23% victims of sexual violence, 18% struggled with physical violence 90% have reservations about reporting LGBT status to physician https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478215/
SHARED GOAL WITH IOYS Good providers! Non-judgmental, knowledgeable, compassionate
INTERVENTION Survey LGBT youth to assess experience/satisfaction with healthcare providers in El Paso County SurveyMonkey online survey Anonymous During InsideOut Drop-in hours Mon, Wed, Fri during December
PARTICIPANT DEMOGRAPHICS N = 12 All lived in Colorado Springs Age 14-21 (mean 16.6) Sexual orientation Sexual orientation (n=12): straight (1), bisexual (4), lesbian (3), pansexual (3), demi-sexual (2) Gender identity Gender identity (n=11): cis-male (2), cis-female (2), trans-male (2), trans-female (1), gender-fluid (4) Gender identity Sexual orientation Heterosexual (Straight) Cisgender male 8% 18% Bisexual 15% Cisgender female 37% Gay 31% Transgender male 18% 23% Transgender female Lesbian 0% 0% 9% Genderfluid 18% 23% Asexual
RESULTS 8 youth identified healthcare provider by name 11 able to name office in which provider was seen Provider Location Peak Vista Aspen Pointe 9% 9% 28% Cheyenne Mountain Pediatrics 9% Aspen Creek Medical Associates CSHP 9% 18% 9% Penrose Hospital 9% Memorial Hospital
PROVIDER AWARENESS OF LGBT STATUS If you are part of the LGBTQAI community, is your healthcare provider aware of this? (I.e. are they aware of your sexual orientation/gender identity?) 35.00% 4 4 30.00% 3 25.00% 20.00% 15.00% 10.00% 1 5.00% 0.00% Yes No Don't know Not applicable
FREQUENCY OF VISITS How often do you see your healthcare provider? 35.00% 3 30.00% 25.00% 2 2 2 20.00% 15.00% 1 10.00% 5.00% 0.00% More than once a week 2-4 times per month Once a month Every 2-6 months Every 7-11 months Once a year Once every two years Less than once every two years
LGBT PATIENT EXPERIENCE How did your healthcare provider make you feel (select all that apply)? 80.00% 9 70.00% 8 60.00% 6 6 50.00% 40.00% 4 30.00% 3 20.00% 2 1 1 10.00% 0.00% Welcomed Listened to Taken seriously Valued Respected Unwelcomed Ignored Not taken seriously Devalued Disrespected
WELCOMING ENVIRONMENT How welcoming was the environment at your healthcare provider's office (welcoming staff, non-discrimination statement posted somewhere, visual cues of support towards LGBTQ, etc)? 5 10 4.5 4 3.5 3 2.5 2 1.5 1 0.5 0
INCLUSIVITY How inclusive is your healthcare provider (uses preferred pronouns, intake forms reflecting diversity of relationships/sexuality, etc)? 5 9 4.5 4 3.5 3 2.5 2 1.5 1 0.5 0
HEALTHCARE NEEDS Did your healthcare provider meet your specific healthcare needs? 100.00% 90.00% 80.00% 9 70.00% 60.00% 50.00% 40.00% 30.00% 2 20.00% 1 10.00% 0.00% Yes No Other (please specify)
PROVIDER KNOWLEDGE How well does your healthcare provider understand the unique needs of the LGBTQIA community? 5 4.5 4 3.5 5 3 2.5 2 1.5 1 0.5 0 star
SEE PROVIDER AGAIN Would you see this provider again for your healthcare needs? 100.00% 90.00% 10 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 1 1 10.00% 0.00% Yes No Other (please specify)
OVERALL SATISFACTION What is your overall satisfaction level with this healthcare provider? 5 4.5 12 4 3.5 3 2.5 2 1.5 1 0.5 0 star
REFLECTIONS AND FUTURE DIRECTION Difficult to elicit youth participation in survey especially without incentive ------------------------------------------------------------------------------------------------- Larger scale survey of youth Physician perspective in treating LGBT youth Follow-up with physicians who had positive assessment from youth to create a list of LGBT friendly providers for IOYS IOYS Intake Form to maintain list Reach out to Deborah Tuffield, FNP-C at UCCS Healthcircle Primary Care Clinic (listed as an LGBT friendly provider on outcarehealth.org) to see how her practice has been impacted by this listing Med student, resident, and provider education
