Accessibility of Sexual Healthcare for LGBTQ+ Autistic College Students
Abstract
Growing evidence has indicated that LGBTQ+ college students and autistic college students experience sexual health disparities (Buhi, Marhefka, & Hoban, 2010; Viswanath & Kreuter, 2007). However, one area that has not been researched is the accessibility of sexual healthcare for autistic LGBTQ+ college students. It is essential to explore this subgroup more due to the heightened risk of multiple stressors because of intersectionality. For this study, I explored autistic LGBTQ+ college students’ sexual healthcare interactions with their primary care provider (PCP). To achieve this goal, I completed an online qualitative survey about the participants’ experiences with their PCP regarding sexual healthcare—the answers given were analyzed via content analysis to identify common themes in the answers. A literature review was also conducted exploring what previous studies have noted about the dual identity of LGBTQ+ and autism among adults and their experiences with healthcare. Overall, 17 respondents responded to the survey. Three themes were identified amongst the participants' responses; (1) stigmatization, (2) outed/safety, and (3) No PCP. It is important to note that there are some negative perceptions towards sex from their provider. Participants reported various positive and negative experiences when discussing sexual health needs with their PCP. To reduce biases, medical providers working with this subgroup must undergo stigma reduction training. In addition, policy efforts must be made to expand the accessibility of sexual healthcare resources, such as increasing coverage for telehealth services.
Subject
health disparitiesautism spectrum disorder
LGBTQ+
intersectionality
health care policy
health inequities
disability
sexuality
public health
Citation
Lifton, James Cameron (2023). Accessibility of Sexual Healthcare for LGBTQ+ Autistic College Students. Undergraduate Research Scholars Program. Available electronically from https : / /hdl .handle .net /1969 .1 /199655.