Abstract
There is growing recognition that primary care provision plays a pivotal role in improving health outcomes for LGBTQIA+ (rainbow) youth, but few studies have centered on youth experiences of primary care in Aotearoa New Zealand. This study aimed to explore the experiences and perspectives of rainbow youth when engaging with primary care. Two focus groups were held in 2021 with eleven rainbow young people aged 13–23 years recruited with assistance from local rainbow support organizations in Aotearoa NZ. Groups were audio-recorded, transcribed and analyzed using thematic analysis. Four main themes were identified: (i) anticipated and enacted discrimination, (ii) building trust, (iii) confidentiality and (iv) healthcare provider knowledge and competence. Participants spoke of some positive experiences but perceived these to be lucky or surprising, with most also having encountered less supportive interactions and heteronormative views. Visual indicators of rainbow-friendliness in clinic settings were appreciated only if affirmed by inclusive and accepting practice. Frustrations were expressed about gaps in provider knowledge and the sense of having to educate clinicians about rainbow-specific health issues. Primary care providers can facilitate positive consultations with rainbow young people by using clear communication to build trusting relationships, and by being accepting, non-judgmental and transparent about confidentiality.