Hidden healthcare populations: using intersectionality to theorise the experiences of LGBT+ people in Nigeria, Africa
Autor: | Adekemi O. Sekoni, Nicola Gale, Kate Jolly |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Intersectional Framework Population Nigeria Transgender Persons 03 medical and health sciences Sexual and Gender Minorities 0302 clinical medicine Transgender Health care medicine Humans 030212 general & internal medicine Social determinants of health Sociology education Health policy Intersectionality education.field_of_study 030505 public health business.industry Public health Public Health Environmental and Occupational Health Gender studies Bisexuality Private healthcare Female 0305 other medical science business Delivery of Health Care |
Zdroj: | Global public health. 17(1) |
ISSN: | 1744-1706 |
Popis: | Minority population groups are often excluded or marginalised within health systems and in health research and policy. This article argues that theories of intersectionality can help us to understand these issues and develops the concept of 'hidden healthcare populations' - using the case of people who identify as Lesbian, Gay, Bisexual, Transgender Plus (LGBT+) in Nigeria, in sub-Saharan Africa. The findings present original qualitative data from a seldom heard population group about instances of abuse, rejection and marginalisation by healthcare providers working in public and private healthcare facilities, and the attempts of LGBT+ people to resist and survive in that context. We extend theoretical understandings of intersectionality in global public health and explore how the concept relates to the social determinants of health. The article has significant implications for policy and healthcare education and responds to a call from the World Health Organisation to generate context-specific data to guide interventions targeted at minority population groups. Additionally, our discussion has wider significance because it highlights the Western-centric nature of much theory in health policy - and offers analysis and reinterpretation that incorporates queer, postcolonial, African perspectives. |
Databáze: | OpenAIRE |
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