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LGBT Health. 2016 Oct;3(5):327-34. doi: 10.1089/lgbt.2015.0143. Epub 2016 May 9.

Shared Decision Making Among Clinicians and Asian American and Pacific Islander Sexual and Gender Minorities: An Intersectional Approach to Address a Critical Care Gap.

Author information

1
1 Department of Medicine, Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, California.
2
2 Section of General Internal Medicine, Department of Medicine, University of Chicago , Chicago, Illinois.
3
3 Pritzker School of Medicine, University of Chicago , Chicago, Illinois.
4
4 The College, University of Chicago , Chicago, Illinois.
5
5 Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago , Chicago, Illinois.
6
6 Section of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Chicago , Chicago, Illinois.
7
7 Center for Asian Health Equity, University of Chicago , Chicago, Illinois.
8
8 Robert Wood Johnson Foundation Finding Answers: Solving Disparities through Payment and Delivery System Reform Program Office, University of Chicago , Chicago, Illinois.

Abstract

Shared decision making (SDM) is a model of patient-provider communication. Little is known about the role of SDM in health disparities among Asian American and Pacific Islander (AAPI) sexual and gender minorities (SGM). We illustrate how issues at the intersection of AAPI and SGM identities affect SDM processes and health outcomes. We discuss experiences of AAPI SGM that are affected by AAPI heterogeneity, SGM stigma, multiple minority group identities, and sources of discrimination. Recommendations for clinical practice, research, policy, community development, and education are offered.

KEYWORDS:

Asian American and Pacific Islander (AAPI); intersectionality; sexual and gender minorities (SGM); shared decision making (SDM)

PMID:
27158858
PMCID:
PMC5073238
DOI:
10.1089/lgbt.2015.0143
[Indexed for MEDLINE]
Free PMC Article

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