title: Shared Decision Making Among Clinicians and Asian American and Pacific Islander Sexual and Gender Minorities: An Intersectional Approach to Address a Critical Care Gap.
abstract: Shared decision making (SDM) is a model of patient-provider communication. Little is known about the role of SDM in health disparities among Asian American and Pacific Islander (AAPI) sexual and gender minorities (SGM). We illustrate how issues at the intersection of AAPI and SGM identities affect SDM processes and health outcomes. We discuss experiences of AAPI SGM that are affected by AAPI heterogeneity, SGM stigma, multiple minority group identities, and sources of discrimination. Recommendations for clinical practice, research, policy, community development, and education are offered.
authors.affiliation: 1 Department of Medicine, Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, California.
authors.forename: Judy Y
authors.initials: JY
authors.lastname: Tan
authors.affiliation: 2 Section of General Internal Medicine, Department of Medicine, University of Chicago , Chicago, Illinois.|3 Pritzker School of Medicine, University of Chicago , Chicago, Illinois.
authors.forename: Lucy J
authors.initials: LJ
authors.lastname: Xu
authors.affiliation: 2 Section of General Internal Medicine, Department of Medicine, University of Chicago , Chicago, Illinois.
authors.forename: Fanny Y
authors.initials: FY
authors.lastname: Lopez
authors.affiliation: 2 Section of General Internal Medicine, Department of Medicine, University of Chicago , Chicago, Illinois.|4 The College, University of Chicago , Chicago, Illinois.
authors.forename: Justin L
authors.initials: JL
authors.lastname: Jia
authors.affiliation: 5 Section of Infectious Diseases and Global Health, Department of Medicine, University of Chicago , Chicago, Illinois.
authors.forename: Mai T
authors.initials: MT
authors.lastname: Pho
authors.affiliation: 6 Section of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Chicago , Chicago, Illinois.|7 Center for Asian Health Equity, University of Chicago , Chicago, Illinois.
authors.forename: Karen E
authors.initials: KE
authors.lastname: Kim
authors.affiliation: 2 Section of General Internal Medicine, Department of Medicine, University of Chicago , Chicago, Illinois.|8 Robert Wood Johnson Foundation Finding Answers: Solving Disparities through Payment and Delivery System Reform Program Office, University of Chicago , Chicago, Illinois.
authors.forename: Marshall H
authors.initials: MH
authors.lastname: Chin
mesh_terms: D000328:Adult; D001213:Asian / Q000523:psychology*; D003469:Culture; D003657:Decision Making; D057210:Delayed Diagnosis; D004192:Discrimination, Psychological; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000188:drug therapy / Q000208:ethnology / Q000523:psychology; D058015:Health Communication; D054625:Healthcare Disparities / Q000208:ethnology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D044468:Native Hawaiian or Pacific Islander / Q000523:psychology*; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology*; D000072339:Sexual and Gender Minorities / Q000523:psychology*; D013240:Stereotyping
keywords: Asian American and Pacific Islander (AAPI); intersectionality; sexual and gender minorities (SGM); shared decision making (SDM)