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The Impact of Internalized Stigma on LGBT Parenting and the Importance of Health Care Structures: A Qualitative Study.

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  • Author(s): Alday-Mondaca C;Alday-Mondaca C; Lay-Lisboa S; Lay-Lisboa S
  • Source:
    International journal of environmental research and public health [Int J Environ Res Public Health] 2021 May 18; Vol. 18 (10). Date of Electronic Publication: 2021 May 18.
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: Basel : MDPI, c2004-
    • Subject Terms:
      Parenting* ; Sexual and Gender Minorities*; Child ; Chile ; Colombia ; Delivery of Health Care ; Humans ; Mexico ; Qualitative Research ; Social Stigma
    • Abstract:
      Research on LGBTIQ+ families has focused on the effects of being in a diverse family on the development of children. We seek to show the experience of parenthood from the perspective of LGBTIQ+ people, considering its particularities and the role that health care services play as a potential support network. We used the biographical method through open-ended interviews, participants were LGBT people, and key informants from Chile, Colombia, and Mexico were selected based on a sociostructural sampling. We found that internalized stigma impacts LGBTIQ+ parenting in five ways: the impossibility of thinking of oneself as a parent, fear of violating children's rights, fear of passing on the stigma, fear of introducing their LGBTIQ+ partner, and the greater discrimination that trans and intersex people suffer. We identified gaps in health care perceptions: the need to guarantee universal access to health care, the need to include a gender perspective and inclusive treatment by health personnel, mental health programs with a community approach, access to assisted fertilization programs, and the generation of collaborative alliances between health services, civil society organizations, and the LGBTIQ+ community. We conclude that the health system is a crucial space from which to enable guarantees for the exercise of rights and overcome internalized stigma.
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    • Contributed Indexing:
      Keywords: LGBTIQ+; health care system; internalized stigma; maternity; parenting; paternity
    • Publication Date:
      Date Created: 20210602 Date Completed: 20210624 Latest Revision: 20240402
    • Publication Date:
      20240402
    • Accession Number:
      PMC8158111
    • Accession Number:
      10.3390/ijerph18105373
    • Accession Number:
      34070038