Sexual identity factors and minority stressors associated with healthcare stereotype threat and access to care among Black sexual minority women

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Black sexual minority women (SMW) are disproportionately impacted by negative health outcomes, healthcare discrimination, and provider bias. Therefore, the purpose of this study was to investigate which sexual identity characteristics and minority stressors are associated with healthcare stereotype threat and healthcare access for Black SMW. Using secondary data from the Generations Study data, N = 142 Black and/or biracial cisgender women were analyzed using bivariate correlations and stepwise regression models. Healthcare stereotype threat was positively associated with higher perceptions of stigma, sexual identity concealment, and reports of sexual identity centrality. Healthcare access was affected by bisexual identity, masculine gender presentation, and sexual identity concealment. Improving Black SMW’s healthcare utilization and experiences in healthcare settings is crucial for promoting health equity. Implications for healthcare providers and discussed.

Original languageEnglish
Pages (from-to)183-203
Number of pages21
JournalJournal of Gay and Lesbian Social Services
Volume35
Issue number2
DOIs
StatePublished - 2023

Bibliographical note

Publisher Copyright:
© 2022 Taylor & Francis Group, LLC.

Keywords

  • Access to care
  • Black women
  • health disparities
  • healthcare stereotype threat
  • quantitative methods
  • sexual minority

ASJC Scopus subject areas

  • Gender Studies
  • Sociology and Political Science

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