Lesbian Gay Bisexual Transsexuals and Patient Rights

Authors

DOI:

https://doi.org/10.17986/blm.1668

Keywords:

Hasta Hakları, İnsan Hakları, LGBT

Abstract

Objective: The aim of this study is to determine the discrimination faced by LGBT, and violation of their rights based on their gender identity or sexual orientation while receiving health care.

Methods: Our study was conducted as a cross-sectional survey study. LGBT individuals were contacted through the Black Pink Triangle Izmir Association; For Researches On & Against Discrimination Based On Sexual Orientation and Gender Identity. Questions of our survey were compiled from items of Turkish Patient Rights Regulation and questionnaires which were used in “Surveillance Report of Discrimination Based on Sexual Orientation and Gender Identity in Türkiye” study. 

Results: Sixty-three LGBT individuals were included in this study. Forty-four of the participants (69.8%) were homosexual/lesbian or gay, 11 of them were bisexual (17.5%) and eight of them (12.7%) were transgender. 84.1% (53) of the participants had health insurance. We found that transgenders were exposed to discrimination significantly more than bisexuals and homosexuals (p=0.042). Fourteen individuals claimed that they were exposed to discrimination based on their gender identity or sexual orientation: 11 of them were discriminated by physicians (78.56%).

Conclusion: We found that LGBT individuals face discrimination more than the general population and usually receive health care in inconvenient conditions. We believe that starting from health care providers, public awareness should be raised about discrimination rates, and also a health care policy should be developed and an action policy should be planned about the discrimination of LGBT individuals.

Downloads

Download data is not yet available.

References

İnsan hakları evrensel bildirgesi.https://www.ihd.org.tr/insan-haklari-evrensel-beyannames/. Erişim tarihi:13.07.2023

Çotur H. Hasta hakları ve Kocaeli Gölcük Necati Çelik Devlet Hastanesi personeli ile hastaneye müracaat eden hastaların hasta hakları konusundaki bilgilerinin ölçülmesi [Yayımlanmış Yüksek Lisans Tezi] Ankara: Ufuk Üniversitesi Sosyal Bilimler Enstitüsü, İşletme Anabilim Dalı, Sağlık Kurumları İşletmeciliği Bilim Dalı; 2013.

Özdemir MH, Salaçin S, Ergönen A. Hasta Hakları Yönetmeliği ve hekim duyarlılığı. T Klin Tıp Etiği 2000; 8: 32-37.

Özdemir MH, Can IO, Ergönen A, Hilal A, Onder M, Demet M. Midwives and nurses awareness of patients' rights. Midwifery. 2009;25(6):756-65. https://doi.org/10.1016/j.midw.2008.01.010 DOI: https://doi.org/10.1016/j.midw.2008.01.010

Hasta Hakları Yönetmeliği. Resmi Gazete No: 23420, 1998.

http://www.csusm.edu/sjs/documents/homophobiaaweaponofsexismcondensed. Erişim tarihi: 14.07.2023

https://www.change.org/p/mehmet-müezzinoğlu-lezbiyen-gey-biseksüel-transseksüel-interseks-bireyler-yalnız-değildir-yanlış-hiç-değildir-bilgilen-önyargını-yık-ve-yeni-bir-sayfa-aç-her-10-insandan-biri-lgbti-bireyi-olarak-doğmakta-varız-varsın Erişim tarihi: 13.07.2023

https://tr.wikipedia.org/wiki/%C3%9Clkelerine_g%C3%B6re_LGBT_haklar%C4%B1 .Erişim tarihi:13.07.2023

http://www.coe.int/t/Commissioner/Source/LGBT/LGBTStudy2011_Turkish.pdf Erişim tarihi: 13.07.2023.

Türkiye Cumhuriyeti Anayasası, Kanun Numarası: 2709, Kabul Tarihi: 18.10.1982, Yayımlandığı R. Gazete Tarih: 09.10.1982 Sayı: 17863, Yayımlandığı Düstur: Tertip: 5 Cilt: 22.

İş Kanunu, Kanun Numarası: 4857, Kabul Tarihi: 22.05.2003, Yayımlandığı R. Gazete Tarih: 10.06.2003 Sayı: 25134, Yayımlandığı Düstur: Tertip: 5 Cilt: 42.

Türk Ceza Kanunu, Kanun Numarası: 5237, Kabul Tarihi: 26.09.2004, Yayımlandığı R. Gazete Tarih: 12.10.2004 Sayı: 25611, Yayımlandığı Düstur: Tertip: 5 Cilt: 43.

İstanbul Bilgi Üniversitesi İnsan Hakları Hukuku Uygulama ve Araştırma Merkezi. Türkiye’de cinsel yönelim veya cinsiyet kimliği temelinde ayrımcılığın izlenmesi raporu 1 Ocak-30 Haziran 2010, İstanbul Bilgi Üniversitesi. 2011.

Türk Medeni Kanunu, Kanun Numarası: 4721, Kabul Tarihi: 22.11.2001, Yayımlandığı R. Gazete Tarih: 08.12.2001 Sayı: 24607, Yayımlandığı Düstur: Tertip: 5 Cilt: 41.

The Diagnostic and Statistical Manual of Mental Disorders, First Edition (DSM-I) 1952. https://www.springernature.com/gp/researchers/sdg-programme/sdg3/mental-health- Erişim tarihi 21.07.2023

The Diagnostic and Statistical Manual of Mental Disorders, Second Edition (DSM-II) 1968.

Karataş S, Buzlu S. Transeksüel Bireylerin sağlık Hizmeti Alamada Yaşadıkları Güçlükler. Lectio Scientific. 2018; 2(2): 70-81.

Homosexuality and Sexual Orientation Disturbance: Proposed Change in DSM-II, 6th Printing, page 44. Amerikan Psikiyatri Birliği. Position statement (Retired), 1973.

Amerikan Psikiyatri Birliği. Psikiyatride Hastalıkların Tanımlanması ve Sınıflandırılması El Kitabı, beşinci baskı (DSM-V-TR). (çeviri ed. E Köroğlu) Ankara, Boylam Psikiyatri Enstitüsü, 2018.

The Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) , 1980.

The Diagnostic and Statistical Manual of Mental Disorders, Third Edition Revision (DSM-III-R), 1987.

The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) , 1994.

The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition - Text Revision (DSM-IV-R), 2000.

Yoksulluk ve Sosyal Dışlanma. Türkiye Psikiyatri Derneği. https://psikiyatri.org.tr/uploadFiles/publicationsFile/file/1972011171129-A9RA284_yeni.pdf , Erişim tarihi: 11.05.2023

Heeringen C, Vincke J. Suicidal acts and ideation in homosexual and bisexual young people: a study of prevalence and risk factors, Soc. Psychiatry Psychiatr Epidemiol. 2000; 35(11): 494-9. https://doi.org/10.1007/s001270050270 DOI: https://doi.org/10.1007/s001270050270

Fergusson DM, Horwood J, Beautrais AL. Is sexual orientation related to mental health problems and suicidality in young people. Archive General Psychiatry, 1999; 56: 876-880. doi:10.1001/archpsyc.56.10.876 DOI: https://doi.org/10.1001/archpsyc.56.10.876

Aaron DJ, Markovic N, Danielson ME, Honnold JA, Jonosky JE, Schmidt NJ. Behavioral risk factors for disease and preventive health practices among lesbians. Am J Public Health 2001;91: 43–6. https://doi.org/10.2105/AJPH.91.6.972 DOI: https://doi.org/10.2105/AJPH.91.6.972

Cochran SD, Mays VM, Bowen D, Gage S, Bybee D, et al. Cancer-related risk indicators and preventive screening behaviors among lesbians and bisexual women. Am J Public Health 2001;91: 591–7. https://doi.org/10.2105/AJPH.91.4.591 DOI: https://doi.org/10.2105/AJPH.91.4.591

Rankow E, Tessaro I. Cervical cancer risk and papanicolaou screening in a sample of lesbian and bisexual women. J Fam Pract 1998;47: 139–43.

Wadsworth E, McCann K. Attitudes towards and use of general practitioner services among homosexual men with HIV infection or AIDS. Br J Gen Pract 1992;42:107–10.

Harrison AE, Silenzio VMB. Comprehensive care of lesbian and gay patients and families. Prim Care 1996;23:31–47. DOI: https://doi.org/10.1016/S0095-4543(05)70259-1

White JC, Dull VT. Health risk factors and health seeking behavior in lesbians. J Womens Health 1998;6:103–12. https://doi.org/10.1089/jwh.1997.6.103 DOI: https://doi.org/10.1089/jwh.1997.6.103

McNair R, Anderson S, Mitchell A. Addressing health inequalities in Victorian Lesbian, Gay, Bisexual and Transgender Communities. Heath Promotion Journal of Australia, 2001; 11(1).

Korkmaz M, Aydın Avcı İ. Halk Sağlığı Hemşirelerinin LGBT Bireylerin Sağlıklı Yaşam Sürdürmelerindeki Rolü. SETSCI Conference Indexing System. 2018 3:460-466.

Martın-Pérez A, González E, Marrero N, Rebollo J. LGBT people and discrimination in the area of health in Spain. FELGTB 2015

Marin C. Documentation of discrimination in the field of LGBT heath in Romania, general overview, legal framework, findings and recommendations. ACCEPT Association 2014.

Documentation of discrimination in the field of health of trans people in Hungary, transcare research report, 2014.

Grzejszczak R. Transgender and healthcare in Poland. 2014.

Showdon S. The medical school curriculum and LGBT health concerns. American Medical Association Journal of Ethics. 2010, 12 (8):638-643. DOI: https://doi.org/10.1001/virtualmentor.2010.12.8.medu1-1008

Poteat T, German D, Kerrigan D. Managing uncertainty: A grounded theory of stigma in transgender health care encounters. Social Science & Medicine. 2013, 84:22-29 https://doi.org/10.1016/j.socscimed.2013.02.019 DOI: https://doi.org/10.1016/j.socscimed.2013.02.019

Aypar G, Tanyaş B. İstanbul'da yaşayan transların dışlanma ve ayrımcılık deneyimleri üzerine nitel bir çalışma. Aurum Sosyal Bilimler Dergisi, 2017, 2(1): 71-90.

Dakic T. New Perspectıves on Transgender Health in the Forthcomıng 11th Revısıon Of The Internatıonal Statıstıcal Classıfıcatıon Of Dıseases And Related Health Problems: An Overvıew Of Gender - Depathologızatıon, Consıderatıons And Recommendatıons For Practıtıoners. Psychiatria Danubina. 2020, 32(2):145-150. https://doi.org/10.24869/psyd.2020.145 DOI: https://doi.org/10.24869/psyd.2020.145

Lombardi E. Transgender Health: A Review and Guidance for Future Research—Proceedings from the Summer Institute at the Center for Research on Health and Sexual Orientation, University of Pittsburgh. International Journal of Transgenderism. 2010, 12 (4): 211-229. https://doi.org/10.1080/15532739.2010.544232 DOI: https://doi.org/10.1080/15532739.2010.544232

https://kaosgldernegi.org/images/library/2011lgbt-haklari-insan-haklaridir-saglik.pdf Erişim tarihi: 13.07.2023.

Ozdemir MH, Ergonen AT, Sönmez E, Can IO, Salacin S. The approach taken by the physicians working at educational hospitals in Izmir towards patient rights. Patient Education and Counseling 2006;61: 87–91. DOI: https://doi.org/10.1016/j.pec.2005.02.013

Kurtcebe ZÖ. Bir üniversite hastanesine başvuran hasta ve yakınları ile araştırma görevlilerinin hasta hakları konusundaki bilgi, tutum ve yararlanma durumlarının değerlendirilmesi, Yayımlanmış Tıpta Uzmanlık Tezi, Gazi Üniversitesi Tıp Fakültesi Halk Sağlığı Anabilim Dalı, Ankara, 2009.

Yılmaz H. Osmangazi Üniversitesi Eğitim Uygulama Araştırma Hastanesi’nde yatan erişkin hastaların hasta haklarından yararlanma durumları ve hemşirelerin hasta haklarına ilişkin görüşleri, Yayımlanmış Yüksek Lisans Tezi, Marmara Üniversitesi, Sağlık Bilimleri Enstitüsü , Hemşirelik Esasları Anabilim Dalı, İstanbul 2002.

Çabuk FD. Tıp öğrencileri ve hekimlerin eşcinsellik hakkındaki tutumları ve gey ve lezbiyenlerin sağlık hizmeti deneyimleri, Yayımlanmış Tıpta Uzmanlık Tezi, Gazi Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı, Ankara, Nisan 2010.

Downloads

Published

2023-12-01

Issue

Section

Research Article

How to Cite

1.
Yeşiltepe G, Özdemir MH. Lesbian Gay Bisexual Transsexuals and Patient Rights. Bull Leg Med. 2023;28(3):248-258. https://doi.org/10.17986/blm.1668