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

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

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).

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Asian / psychology*
  • Culture
  • Decision Making*
  • Delayed Diagnosis
  • Discrimination, Psychological
  • Female
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy
  • HIV Infections / ethnology
  • HIV Infections / psychology
  • Health Communication
  • Healthcare Disparities / ethnology*
  • Humans
  • Male
  • Middle Aged
  • Native Hawaiian or Other Pacific Islander / psychology*
  • Physician-Patient Relations
  • Physicians / psychology*
  • Sexual and Gender Minorities / psychology*
  • Stereotyping