Mapping the Scientific Literature on Health Needs of Women with Same-Sex Attraction in Mainland China: A Scoping Review

Overview

Journal LGBT Health

Specialties Health Services
Public Health
Social Sciences

Date 2023 Jan 3

PMID 36595507

Authors

Tao H Wei

Yun Jiang

Affiliations

Soon will be listed here.

Abstract

This review study aimed to investigate how much and how well the unique health needs of women with same-sex attraction (WSSA) in mainland China have been studied. This review included published studies and gray reports between January 1, 1990, and March 31, 2022, regarding the health needs of Chinese WSSA. Chinese peer-reviewed journal articles, conference papers, theses, and dissertations were retrieved through the China National Knowledge Infrastructure. Studies with WSSA of mainland China as research participants were retrieved through PubMed, Embase, PsycInfo, LGBT Life, CINAHL, Web of Science, and International Bibliography of the Social Sciences. Gray reports were provided by two informaticists and eight Chinese WSSA who consented to be our stakeholders for consultation. Of the 38 reviewed articles, unmet health needs of Chinese WSSA fell into three domains: mental health and substance abuse, sexual and reproductive health, and domestic, intimate partner, and dating violence, which were significantly associated with minority stress. Minority stigma was discovered to oppress Chinese WSSA by a covert and subtle pathway that makes Chinese WSSA culturally unintelligible and health care providers unprepared to provide them with respectful care. The barriers to the health care of Chinese WSSA were identified as health care providers' presumption of heterosexuality and Chinese WSSA's concealment of minority sexuality when discussing medical history. This scoping review is the first research effort to explore studies about the health needs of WSSA in mainland China. More research is needed with the guidance of minority stress theory to address the unique health needs of Chinese WSSA.

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References

Huang Y, Li P, Guo L, Gao X, Xu Y, Huang G . Sexual minority status and suicidal behaviour among Chinese adolescents: a nationally representative cross-sectional study. BMJ Open. 2018; 8(8):e020969. PMC: 6089305. DOI: 10.1136/bmjopen-2017-020969. View

Wang X, Norris J, Liu Y, Vermund S, Qian H, Han L . Risk behaviors for reproductive tract infection in women who have sex with women in Beijing, China. PLoS One. 2012; 7(7):e40114. PMC: 3388038. DOI: 10.1371/journal.pone.0040114. View

Li Q, Hsia J, Yang G . Prevalence of smoking in China in 2010. N Engl J Med. 2011; 364(25):2469-70. DOI: 10.1056/NEJMc1102459. View

Levac D, Colquhoun H, OBrien K . Scoping studies: advancing the methodology. Implement Sci. 2010; 5:69. PMC: 2954944. DOI: 10.1186/1748-5908-5-69. View

Tat S, Marrazzo J, Graham S . Women Who Have Sex with Women Living in Low- and Middle-Income Countries: A Systematic Review of Sexual Health and Risk Behaviors. LGBT Health. 2016; 2(2):91-104. PMC: 5685196. DOI: 10.1089/lgbt.2014.0124. View

Goldbach J, Rhoades H, Mamey M, Senese J, Karys P, Marsiglia F . Reducing behavioral health symptoms by addressing minority stressors in LGBTQ adolescents: a randomized controlled trial of Proud & Empowered. BMC Public Health. 2021; 21(1):2315. PMC: 8696968. DOI: 10.1186/s12889-021-12357-5. View

Bermea A, Slakoff D, Goldberg A . Intimate Partner Violence in the LGBTQ+ Community: Experiences, Outcomes, and Implications for Primary Care. Prim Care. 2021; 48(2):329-337. DOI: 10.1016/j.pop.2021.02.006. View

Diamant A, Schuster M, McGuigan K, Lever J . Lesbians' sexual history with men: implications for taking a sexual history. Arch Intern Med. 1999; 159(22):2730-6. DOI: 10.1001/archinte.159.22.2730. View

Meyer I . Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003; 129(5):674-697. PMC: 2072932. DOI: 10.1037/0033-2909.129.5.674. View

10.

Wei T, Jervis L, Jiang Y, Reinschmidt K, Stephens L, Zhang Y . Cultural Unintelligibility and Marital Pressure: A Grounded Theory of Minority Stigma Against Women with Same-Sex Attraction in Mainland China. Arch Sex Behav. 2021; 50(7):3137-3154. DOI: 10.1007/s10508-021-02050-4. View

11.

Suen Y, Chan R . A nationwide cross-sectional study of 15,611 lesbian, gay and bisexual people in China: disclosure of sexual orientation and experiences of negative treatment in health care. Int J Equity Health. 2020; 19(1):46. PMC: 7110656. DOI: 10.1186/s12939-020-1151-7. View

12.

Huang Y, Li P, Lai Z, Jia X, Xiao D, Wang T . Association between sexual minority status and suicidal behavior among Chinese adolescents: A moderated mediation model. J Affect Disord. 2018; 239:85-92. DOI: 10.1016/j.jad.2018.07.004. View

13.

King M, Semlyen J, See Tai S, Killaspy H, Osborn D, Popelyuk D . A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry. 2008; 8:70. PMC: 2533652. DOI: 10.1186/1471-244X-8-70. View

14.

Wu C, Choi E, Chau P . The Holistic Health Status of Chinese Homosexual and Bisexual Adults: A Scoping Review. Front Public Health. 2021; 9:710575. PMC: 8421524. DOI: 10.3389/fpubh.2021.710575. View

15.

Hatzenbuehler M, Pachankis J . Stigma and Minority Stress as Social Determinants of Health Among Lesbian, Gay, Bisexual, and Transgender Youth: Research Evidence and Clinical Implications. Pediatr Clin North Am. 2016; 63(6):985-997. DOI: 10.1016/j.pcl.2016.07.003. View

16.

Cegala D, Street Jr R, Clinch C . The impact of patient participation on physicians' information provision during a primary care medical interview. Health Commun. 2007; 21(2):177-85. DOI: 10.1080/10410230701307824. View

17.

Gorgos L, Marrazzo J . Sexually transmitted infections among women who have sex with women. Clin Infect Dis. 2011; 53 Suppl 3:S84-91. DOI: 10.1093/cid/cir697. View

18.

Blondeel K, De Vasconcelos S, Garcia-Moreno C, Stephenson R, Temmerman M, Toskin I . Violence motivated by perception of sexual orientation and gender identity: a systematic review. Bull World Health Organ. 2018; 96(1):29-41L. PMC: 5791869. DOI: 10.2471/BLT.17.197251. View

19.

Shao J, Chang E, Chen C . The relative importance of parent-child dynamics and minority stress on the psychological adjustment of LGBs in China. J Couns Psychol. 2018; 65(5):598-604. DOI: 10.1037/cou0000281. View

20.

Pratt-Chapman M, Alpert A, Castillo D . Health outcomes of sexual and gender minorities after cancer: a systematic review. Syst Rev. 2021; 10(1):183. PMC: 8218456. DOI: 10.1186/s13643-021-01707-4. View