Effective and comfortable provider-patient communication is associated with engagement in health-promoting behavior. Although research on medical experiences among sexual minorities has increased, work has not examined how gender intersects with sexual identity to shape medical experiences. Using an intercategorical intersectional approach, we examine whether sexual minorities perceive their medical provider as knowledgeable and comfortable with their sexual identity, and how these relationships differ for cisgender men, cisgender women, and multigendered transgender adults. Drawing on data from 3,050 adults included in the 2010 Social Justice Sexuality Project, logistic regression models show three main findings. First, compared with heterosexual cisgender women, bisexual cisgender women are less likely to perceive that their provider knew their sexual identity—and if they did perceive knowledge, they were less likely to perceive that their provider was comfortable with their sexual identity. Second, gay transgender adults have significantly lower odds of perceiving provider comfort with their sexual identity relative to heterosexual transgender adults. Finally, for each gender group, our models demonstrated the importance of medical and social relationships for perceiving both knowledge and comfort with sexual identity from medical care providers.

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性取向和性别认同相交处的医疗舒适度

有效和舒适的医患沟通与参与促进健康的行为有关。尽管对性少数群体中医疗经历的研究有所增加，但工作尚未研究性别如何与性身份相交以塑造医疗经历。使用类别间的交叉方法，我们研究了性少数群体是否认为其医疗提供者了解并熟悉其性身份，以及这些关系对于顺性男性，顺性女性和多性别跨性别成年人有何不同。基于2010年社会正义性项目中包含的3,050名成年人的数据，逻辑回归模型显示了三个主要发现。首先，与异性恋女性相比，双性恋双性恋女性不太可能认为自己的提供者知道自己的性身份，如果他们确实知道了知识，那么她们不太可能认为自己的提供者对自己的性身份感到满意。其次，与异性恋跨性别成年人相比，同性恋跨性别成年人在接受提供者对其性身份感到舒适方面的几率要低得多。最后，对于每个性别群体，我们的模型证明了医疗和社会关系对于感知医疗服务提供者的知识和对性认同的舒适度的重要性。与异性恋跨性别成年人相比，同性恋跨性别成年人在接受提供者对其性身份感到舒适方面的几率要低得多。最后，对于每个性别群体，我们的模型证明了医疗和社会关系对于感知医疗服务提供者的知识和对性认同的舒适度的重要性。与异性恋跨性别成年人相比，同性恋跨性别成年人在接受提供者对其性身份感到舒适方面的几率要低得多。最后，对于每个性别群体，我们的模型证明了医疗和社会关系对于感知医疗服务提供者的知识和对性认同的舒适度的重要性。