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- Creators: School of Social Transformation
Description
This study investigates how the patient-provider relationship between lesbian, gay, and bisexual women and their healthcare providers influences their access to, utilization of, and experiences within healthcare environments. Nineteen participants, ages 18 to 34, were recruited using convenience and snowball sampling. Interviews were conducted inquiring about their health history and their experiences within the healthcare system in the context of their sexual orientation. The data collected from these interviews was used to create an analysis of the healthcare experiences of those who identify as queer. Although the original intention of the project was to chronicle the experiences of LGB women specifically, there were four non-binary gender respondents who contributed interviews. In an effort to not privilege any orientation over another, the respondents were collectively referred to as queer, given the inclusive and an encompassing nature of the term. The general conclusion of this study is that respondents most often experienced heterosexism rather than outright homophobia when accessing healthcare. If heterosexism was present within the healthcare setting, it made respondents feel uncomfortable with their providers and less likely to inform them of their sexuality even if it was medically relevant to their health outcomes. Gender, race, and,socioeconomic differences also had an effect on the patient-provider relationship. Non-binary respondents acknowledged the need for inclusion of more gender options outside of male or female on the reporting forms often seen in medical offices. By doing so, medical professionals are acknowledging their awareness and knowledge of people outside of the binary gender system, thus improving the experience of these patients. While race and socioeconomic status were less relevant to the context of this study, it was found that these factors have an affect on the patient-provider relationship. There are many suggestions for providers to improve the experiences of queer patients within the healthcare setting. This includes nonverbal indications of acknowledgement and acceptance, such as signs in the office that indicate it to be a queer friendly space. This will help in eliminating the fear and miscommunication that can often happen when a queer patient sees a practitioner for the first time. In addition, better education on medically relevant topics to queer patients, is necessary in order to eliminate disparities in health outcomes. This is particularly evident in trans health, where specialized education is necessary in order to decrease poor health outcomes in trans patients. Future directions of this study necessitate a closer look on how race and socioeconomic status have an effect on a queer patient's relationship with their provider.
ContributorsRajan, Sindhu (Co-author) / Bradley, Arianna (Co-author) / Larson, Michelle (Co-author) / Alvarado, Aimee (Co-author) / Ingram-Waters, Mary (Thesis director) / Arnold, Michelle (Committee member) / School of Molecular Sciences (Contributor) / School of Social Transformation (Contributor) / T. Denny Sanford School of Social and Family Dynamics (Contributor) / College of Public Service and Community Solutions (Contributor) / School of Human Evolution and Social Change (Contributor) / School of Historical, Philosophical and Religious Studies (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
This research explores the unique and complicated experiences of women living with Von Willebrand Disease (VWD). VWD occurs with quantitative or qualitative deficiencies in Von Willebrand Factor—a key protein involved in blood clotting. While VWD affects men and women, women often suffer harsher complications because of menstruation, childbirth, and other women’s health issues. Using online VWD support groups, this research recognizes and attempts to understand the common experiences of women with VWD. Availability of Care, Motherhood, Community and Sisterhood, Girlhood, Sexual Health and Reproductive Health, and Stigma were the six common themes found within these online support groups. Women in these groups corroborate the current understandings of women-specific experiences with VWD: particularly, heavy menstruation, postpartum hemorrhaging, diagnostic difficulties, treatment complications, and implications of an overall lower quality of life. However, these women also report VWD-induced complications with sexual health, mental health, care when trying to conceive, misinterpretations of bruising, constraints on healthcare availability, and the stigma associated with heavy menstruation. These findings address gaps in the literature and identify new areas for further research. Ideally, these conclusions will provide educational materials for healthcare professionals, government legislatures, and families to better support women and girls with VWD.
Keywords: Von Willebrand disease, women’s health, sexual health, mental health, reproductive health, phenomenology, and stigma
Keywords: Von Willebrand disease, women’s health, sexual health, mental health, reproductive health, phenomenology, and stigma
ContributorsReynolds, Aubrey Bryanna (Author) / Haskin, Jennifer (Thesis director) / Gemelli, Marcella (Committee member) / School of Social Transformation (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Commodifying the Womb: Ethical Concerns of Assisted Reproductive Technologies through a Marxist Lens
Description
Whether legal, banned or unregulated, states and nations are reconsidering the morality and legality of the practice of surrogacy. Though many advocate for the absolute right to this practice, there are serious ethical concerns about the practice of surrogacy. Using critical theory, this thesis examines the relationships between the systems and people who have fostered a space where assisted reproductive technologies (ARTs) thrive. A theoretical analysis of Karl Marx and his literature on women and reproduction adds more comprehensive depth to the last four decades of literature on surrogacy. I respond to Marx and contemporary researchers with a recommendation: surrogacy should be regulated (and not necessarily banned) across states and nations. I also suggest that future discussions should point to market-inalienability as a tool to guide discussion on the state of surrogacy. I argue surrogacy is synonymous with purchasing children. If we are able to have clearer conversations about the ways in which children are treated as commodities, then we can start to understand the ways in which other forms of conception and childbearing practices are also problematic and exploitative.
ContributorsGrabowski, Hannah Kathleen (Author) / Brian, Jennifer (Thesis director) / Suk, Mina (Committee member) / School of Social Transformation (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05