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Bladder Health Experiences, Perceptions and Knowledge of Sexual and Gender Minorities

Author

Listed:
  • Cecilia T. Hardacker

    (Howard Brown Health, Chicago, IL 60613, USA
    Rush University College of Nursing, Chicago, IL 60612, USA)

  • Anna Baccellieri

    (Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, IL 60612, USA)

  • Elizabeth R. Mueller

    (Departments of Obstetrics and Gynecology, Loyola University Stritch School of Medicine, Maywood, IL 60153, USA
    Departments of Urology, Loyola University Stritch School of Medicine, Maywood, IL 60153, USA)

  • Linda Brubaker

    (Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Diego, La Jolla, CA 92093, USA)

  • Georgia Hutchins

    (Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, IL 60612, USA)

  • Jory Luc Yimei Zhang

    (Howard Brown Health, Chicago, IL 60613, USA)

  • Jeni Hebert-Beirne

    (Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, IL 60612, USA)

Abstract

While recent efforts have been made to understand the bladder health experiences, perceptions, and knowledge of cisgender adolescent females and women, virtually nothing is known about the bladder health experiences of people who identify as sexual and gender minorities (SGMs). A community-based participatory research approach using a focus group methodology to engage 36 adult participants who identify as SGM, including individuals who identify as gender non-conforming, queer, transgender (trans) men, or lesbian, in one of six focus group discussions on bladder health. Using directed content qualitative data analysis from the six unique focus groups, three interrelated themes were revealed: gender socialization of voiding behavior and toilet environment culture producing identity threats, and risks to gender affirmation; consequences of hetero-cis normative bathroom infrastructure necessitating adaptive voiding behaviors; and, physical and psychosocial consequences of chronic anxiety and fear are associated with voiding experiences. Insight on how SGMs navigate voiding behaviors, toilet experiences, and health care seeking is needed to assure that bladder health promotion activities are inclusive of this population’s needs.

Suggested Citation

  • Cecilia T. Hardacker & Anna Baccellieri & Elizabeth R. Mueller & Linda Brubaker & Georgia Hutchins & Jory Luc Yimei Zhang & Jeni Hebert-Beirne, 2019. "Bladder Health Experiences, Perceptions and Knowledge of Sexual and Gender Minorities," IJERPH, MDPI, vol. 16(17), pages 1-18, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3170-:d:262479
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    References listed on IDEAS

    as
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    3. Mayer, K.H. & Bradford, J.B. & Makadon, H.J. & Stall, R. & Goldhammer, H. & Landers, S., 2008. "Sexual and gender minority health: What we know and what needs to be done," American Journal of Public Health, American Public Health Association, vol. 98(6), pages 989-995.
    4. repec:aph:ajpbhl:10.2105/ajph.2017.303897_9 is not listed on IDEAS
    5. Palmedo, C. & Roberts, L. & Freudenberg, N. & Sembajwe, G. & Geltman, E. & Heller, D., 2017. "Defining roles for schools and programs of public health in the age of trump," American Journal of Public Health, American Public Health Association, vol. 107(8), pages 1242-1244.
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    Cited by:

    1. Jacinta Francis & Pratishtha Sachan & Zoe Waters & Gina Trapp & Natasha Pearce & Sharyn Burns & Ashleigh Lin & Donna Cross, 2022. "Gender-Neutral Toilets: A Qualitative Exploration of Inclusive School Environments for Sexuality and Gender Diverse Youth in Western Australia," IJERPH, MDPI, vol. 19(16), pages 1-13, August.
    2. Cecilia T. Hardacker & Anna Baccellieri & Elizabeth R. Mueller & Linda Brubaker & Georgia Hutchins & Jory Luc Yimei Zhang & Jeni Hebert-Beirne, 2020. "Reply to Comment on Hardacker, C.T.; Baccellieri, A.; Mueller, E.R.; Brubaker, L.; Hutchins, G.; Zhang, J.L.Y.; Hebert-Beirne, J. Bladder Health Experiences, Perceptions and Knowledge of Sexual and Ge," IJERPH, MDPI, vol. 17(7), pages 1-2, April.
    3. Guido Corradi & Eduardo Garcia-Garzon & Juan Ramón Barrada, 2020. "The Development of a Public Bathroom Perception Scale," IJERPH, MDPI, vol. 17(21), pages 1-14, October.

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