Exploring the Impacts of Heteronormative and Cisnormative Ideologies on Fertility Intentions and Family Planning Experiences Within the 2SLGBTQ Community: A Qualitative Case Study.
Kerry Marshall, Wanda Martin, Rachel Loewen Walker and 1 others
PMID 37545438WHAT IT FOUND
2SLGBTQ participants described fertility planning as shaped by 'normal' expectations, hidden clinic policies, and stigma.
Supportive providers answered questions and made spaces feel safe, while heteronormative systems added emotional labour.
Key findings
01Fertility planning was shaped by participants' sense of what society treats as 'normal' and by intersecting identities.
02Among participants with fertility-specific health care experience, four out of five said clinic policies did not represent their identities and felt heterosexist, transphobic, and ableist.
03Supportive health care was described as providers who were friendly, answered questions, and made spaces feel safe.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Small purposive sample: 11 participants in nine interviews, many White students, and no participant discussed having disabilities. Findings are qualitative and the authors state they are not generalizable to the wider public. Data were collected virtually during the COVID-19 pandemic, and the authors note social and political events influenced the research process. Three participants worked or studied in health care, so some perspectives reflect provider as well as patient experience. Only participants with fertility-specific health care experience described supportive factors, while others did not have consistent providers.
Declared interests
The Canadian Institutes of Health Research funded the study.
The easy way to misread this
Do not treat these findings as representative of all 2SLGBTQ people. The study had 11 participants, many were White students, and the authors state the findings are not generalizable.