Evidence of interventions for improving healthcare access for lesbian, gay, bisexual and transgender people in South Africa: A scoping review.

Journal: African journal of primary health care & family medicine

Volume: 11

Issue: 1

Year of Publication: 2020

Affiliated Institutions:  Discipline of Nursing, School of Nursing and Public Health, University of KwaZulu-Natal, Durban. zamameyiwa.luvuno@gmail.com.

Abstract summary 

The lesbian, gay, bisexual and transgender (LGBT) populations have unique health risks including an increased risk of mental health problems, high usage of recreational drugs and alcohol, and high rates of infection with human immunodeficiency virus (HIV). Healthcare workers' heteronormative attitudes compromise the quality of care to the LGBT population.The objective of this study was to provide an overview of documented evidence on South Africa interventions aimed at improving healthcare access for LGBT individuals using a systematic scoping review.This is a secondary literature review.An electronic search was conducted using the following databases: EBSCOhost, PubMed, Cumulative Index to Nursing and Allied Health Literature, and Google Scholar. Abstract and full article data were screened using inclusion and exclusion criteria by two researchers. Data extracted from the eligible studies were analysed using thematic analysis. The quality of the included studies was assessed using the Mixed Methods Appraisal Tool, version 2011.Seventeen articles of the initial 151 hits were selected for review and an additional five files were identified through bibliographical search. Most studies had small sample sizes and focused on sexual health, targeting gay men and men who have sex with men in urban areas. Lesbians and bisexual women were not prioritised.It emerged from the review that LGBT issues were not covered in the healthcare worker curriculum. Further it was noted that there is a paucity of data on the South African LGBT population, as sexual orientation does not form part of the routine data set. The findings of this review indicate gaps in the literature, practice guidelines and policies in LGBT healthcare in South Africa.

Authors & Co-authors:  Luvuno Zamasomi P ZP Mchunu Gugu G Ncama Busisiwe B Ngidi Hlolisile H Mashamba-Thompson Tivani T

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Constitution of the Republic of South Africa, 10 December 1996 [cited 2019 June 05]. Available from: https://www.refworld.org/docid/3ae6b5de4.html.
Authors :  5
Identifiers
Doi : 1367
SSN : 2071-2936
Study Population
Men,Women
Mesh Terms
Health Policy
Other Terms
LGBT guidelines;bisexual;gay;healthcare access;healthcare accessibility;homosexuality;lesbian;transgender
Study Design
Cross Sectional Study
Study Approach
Mixed Methods,Systemic Review
Country of Study
South Africa
Publication Country
South Africa