原生理女性女同志就醫經驗

The Medical Experiences of Lesbian Women

王紫菡(Tzu-Han Wang)

指導教授 ： 成令方

高雄醫學大學/人文社會科學院/性別研究所/碩士(2013年)

摘要

原生理女性女同志因其性別角色認同、性行為方式、社會處境與異性戀女性不盡相同，因此有著不同的醫療經驗與健康照護需求。本研究以深度訪談法，訪談19位原生理女性女同志與5位曾經接觸過女同志病患的醫護人員，探討女同志與台灣醫療體系的互動歷程、性傾向在醫療實作中如何被醫、病雙方認知；並以醫用關係的視野將女同志視為醫療使用者，理解她們因應性傾向衍生的考量與就醫策略。
研究發現：醫療體系與醫護人員是否具備多元性傾向的敏感度，帶給女同志的就醫經驗截然不同；而性傾向因牽涉到性行為方式、伴侶關係、社會支持系統，在特定科別的就醫情境中是為重要的醫療資訊；而女同志因其性傾向而衍生出的身體意象與性別氣質，也會影響個別女同志的就醫意願與策略。

關鍵字

女同志 ； 就醫經驗 ； 醫用關係

並列摘要

Gender identity, sexual behavior, and social conditions of lesbian women are different from heterosexual women, so lesbian women’s medical experiences as well as their needs for healthcare might differ. The researcher has conducted nineteen in-depth interviews with lesbian women and five interviews with medical practitioners who have had lesbian patients. This study focuses on lesbian women’s interaction with the medical system in Taiwan, and the way in which sexuality is understood by both heterosexual physicians and lesbian patients during medical practices. In addition, this study examines lesbian women as medical users through the lens of ’professional-user relationship’ in order to discover which types of strategies lesbian women prefer when it comes to issues concerned their sexuality.
This study shows that whether medical practitioners are aware of the diversity of sexuality makes a big difference on lesbian women’s medical experiences. Moreover, lesbian women’s sexuality can mean differences of sexual behavior, partner relationships, and social supporting systems. Therefore, sexuality implicitly influences patients’ medical experiences in certain medical divisions. Lesbian women’s body images and gender attributes also affect their willingness to go to physicians and strategies they might take.

並列關鍵字

lesbian women ； medical experience ； professional-user relationship

參考文獻

Bjorkman, M., Malterud, K.(2007)Being lesbian:does the doctor need to know? Scandinavian Journal of Primary Health Care, 25(1):58-62.

Bjorkman, M., Malterud, K.(2009)Lesbian women's experiences with health care:A qualitative study, Scandinavian Journal of Primary Health Care, 27(4):238-243.

Bonvicini, K.A., Perlin, M. J.(2003) The same but different: clinician-patient communication with gay and lesbian patients, Patient Education and Counselling, 51(2), 115-122.

Conrad, P., Schneider, J. W. (2005)Professionalization, monopoly, and the structure of medical practice, The Sociology of Health and Illness—Critical Perspectives (Seventh Edition), New York: Worth Publishers, 170-176.

Deborah, L.(1997)Consumerism, reflexivity and the medical encounter. In Sarah Nettleton, S. and Gustafsson, U. (Eds.), The Sociology of Heamlth and Illness Reader, 360-369.