Cultural And Sexual Diversity

Question 0

Give examples of ways in which culture can impact on patients’ presentation to health services

Answer 0

Mental health issues
Make sense of symptoms/behaviours
Services they choose to accept e.g. Jehovah’s Witnesses and blood transfusions)
Treatment/management strategies found acceptable

Question 1

Give a definition of cultural identity

Answer 1

Who you are depending on religion, occupation, race, ethnicity, age, language, country of identity, sexual orientation, gender

Question 2

Give reasons why organisation and delivery of healthcare needs to take diversity into account

Answer 2

Respect cultural individuality whilst maintaining patient centred curiosity
Don’t make assumptions/fall back on stereotypes
Reflect

Question 3

Explain why terminology around sexual behaviour can be a problem in talking to patients, and identify implications for practise

Answer 3

Specific terms
Check patient understands what you mean
Implications - getting an accurate history, discussing sexual behaviour

Question 4

Describe the NATSAL survey - the main source of information in the UK about sexual behaviour

Answer 4

National Survey of Sexual Attitudes and Lifestyles
Men and women aged 16-74
Asked questions by an interviewer in their own home –> standard questions on a computer screen
NATSAL 3 (2010-2012)

Question 5

Explain why it is difficult to get accurate information about sexual behaviour

Answer 5

Embarrassed/reluctant to report sexual behaviours
May not recall all encounters
Sampling (75?)

Question 6

Explain the implications of diversity in sexual behaviour

Answer 6

‘Normal’ = judgemental
Not ‘normal’ may actually be common
Can reflect stereotypes and overlook diversity
Behaviours and social norms change over time