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Master Thesis

Comment faciliter l’abord de l’orientation sexuelle en médecine générale chez les femmes ayant des relations sexuelles avec des femmes : point de vue des patientes, étude qualitative en France métropolitaine

Abstract : Context : The awareness of people’s specificities, and in particular of their sexual orientation (SO) is mandatory for an individual and equal healthcare treatment. Women who have sex with women (WSW) represent a vulnerable demographic on medical, psychological and social aspects that any practitioner will be confronted within the course of their career. Thus, it appears necessary to be aware of their SO in order to provide them with specific healthcare. Major differences exist between the ways patients and practitioners view addressing the topic of SO during a consultation : general practitioners (GPs) rarely ever ask female patients about their sexual orientation, while WSW would want to see the topic covered more often. Objective : The main objective of this research was to describe the expectations WSW have when it comes to the way the topic of their SO is addressed in general practice consultations. The secondary purpose of this research was to develop advice destined to GPs. Methodology : A qualitative study was led amongst WSW living in mainland France, by the way of semi-directive interviews, both individual and collective, taking place in 2021. The data analysis was carried out following a thematic methodology with double coding, using the software NVivo 12. Results : 19 WSW were interviewed. It appeared that most of the interviewed subjects deem important that their GP be aware about their SO, and also prefer that the subject be brought about by the GPs. The subjects would like for GPs to create a welcoming climate in their practice, and that they themselves engage in accepting behaviours, i.e. by using inclusive, non-heteronormative terms or by displaying visible LGBT-friendly elements. The subjects wish for their GP to address the topic of SO when it is of medical importance (regarding birth control and/or gynaecological, psychological or sexual health) or when the GP handles the patient’s regular medical monitoring. The question could be included in a systematic survey during the anamnesis, or whenever the patient’s lifestyle comes into question. The WSW want their GP to show respect for their SO, as well as a lack of judgement, an ability to listen to and support their patients and knowledge about the sexual health of sexual minorities. The access to information on the prevention of Sexually Transmitted Diseases (STDs) between WSW is difficult, and the subjects regret the lack of knowledge of their GP when it comes to these topics. WSW use very few of the currently available means of protection. Conclusion : WSW expect from their GPs use of an inclusive language, an open-minded perspective and a lack of heteronormative attitudes to ease them into disclosing their SO. They also expect SO to be addressed more frequently in consultation. Further reinforcement of the theoretical training GPs are provided with when it comes to the sexual health of WLW appears necessary.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03371388
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Friday, October 8, 2021 - 3:32:09 PM
Last modification on : Sunday, October 10, 2021 - 3:22:31 AM

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  • HAL Id : dumas-03371388, version 1

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Louise Frigo, Claire de Guibert. Comment faciliter l’abord de l’orientation sexuelle en médecine générale chez les femmes ayant des relations sexuelles avec des femmes : point de vue des patientes, étude qualitative en France métropolitaine. Médecine humaine et pathologie. 2021. ⟨dumas-03371388⟩

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