Literature DB >> 27184023

Is the Lack of Specific Lesbian, Gay, Bisexual, Transgender and Queer/Questioning (LGBTQ) Health Care Education in Medical School a Cause for Concern? Evidence From a Survey of Knowledge and Practice Among UK Medical Students.

Vishnu Parameshwaran1, Beatrice C Cockbain1, Miriam Hillyard1, Jonathan R Price2.   

Abstract

Lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ) people frequently report negative health care encounters. Medical professionals may inadequately manage LGBTQ persons' health if they have not received training in this area. An anonymous survey measuring efficacy in health situations among LGBTQ persons was answered by 166 medical students across all years of a UK university. Results show that 84.9% of participants reported a lack of LGBTQ health care education, with deficits in confidence clarifying unfamiliar sexual and gender terms, deciding the ward in which to nurse transgender patients, finding support resources, and discussing domestic abuse with LGBTQ patients. Most participants reported that they would not clarify gender pronouns or ask about gender or sexual identity in mental health or reproductive health settings. Participants reported infrequently observing doctors making similar inquiries. Participants held positive attitudes toward LGBTQ patients, with attitude scores positively correlating with LGBTQ terminology knowledge scores (rs = 0.5052, p < .01). Addressing gender identity and sexuality issues within medical curricula may remove barriers to accessing health care and improve encounters for LGBTQ patients.

Entities:  

Keywords:  Bisexual; LGBT; LGBTQ; gay; health care; lesbian; medical education; queer; questioning; trans; transgender

Mesh:

Year:  2016        PMID: 27184023     DOI: 10.1080/00918369.2016.1190218

Source DB:  PubMed          Journal:  J Homosex        ISSN: 0091-8369


  23 in total

Review 1.  Gaps in transgender medical education among healthcare providers: A major barrier to care for transgender persons.

Authors:  Sira Korpaisarn; Joshua D Safer
Journal:  Rev Endocr Metab Disord       Date:  2018-09       Impact factor: 6.514

2.  The Mount Sinai Patient-Centered Preoperative Criteria Meant to Optimize Outcomes Are Less of a Barrier to Care Than WPATH SOC 7 Criteria Before Transgender-Specific Surgery.

Authors:  Max Lichtenstein; Laura Stein; Erin Connolly; Zil G Goldstein; Tyler Martinson; Linda Tiersten; Sangyoon J Shin; John Henry Pang; Joshua D Safer
Journal:  Transgend Health       Date:  2020-09-02

3.  Considerations on medical training for gender-affirming care: Motivations and perspectives.

Authors:  Shanna Duffy Stryker; Harini Pallerla; Sarah Pickle
Journal:  Int J Transgend Health       Date:  2019-11-18

4.  Empirical Evaluation of Rainbow Reflections: A Comic Book Anthology on Body Image for Queer Men.

Authors:  Stéphanie E M Gauvin; Phillip Joy; Brittany L Dunn; Matthew Lee; Rachel E Williamson
Journal:  Arch Sex Behav       Date:  2021-01-04

Review 5.  Gender identity and the management of the transgender patient: a guide for non-specialists.

Authors:  Albert Joseph; Charlotte Cliffe; Miriam Hillyard; Azeem Majeed
Journal:  J R Soc Med       Date:  2017-04-06       Impact factor: 5.344

6.  Standards of Care for the Health of Transgender and Gender Diverse People, Version 8.

Authors:  E Coleman; A E Radix; W P Bouman; G R Brown; A L C de Vries; M B Deutsch; R Ettner; L Fraser; M Goodman; J Green; A B Hancock; T W Johnson; D H Karasic; G A Knudson; S F Leibowitz; H F L Meyer-Bahlburg; S J Monstrey; J Motmans; L Nahata; T O Nieder; S L Reisner; C Richards; L S Schechter; V Tangpricha; A C Tishelman; M A A Van Trotsenburg; S Winter; K Ducheny; N J Adams; T M Adrián; L R Allen; D Azul; H Bagga; K Başar; D S Bathory; J J Belinky; D R Berg; J U Berli; R O Bluebond-Langner; M-B Bouman; M L Bowers; P J Brassard; J Byrne; L Capitán; C J Cargill; J M Carswell; S C Chang; G Chelvakumar; T Corneil; K B Dalke; G De Cuypere; E de Vries; M Den Heijer; A H Devor; C Dhejne; A D'Marco; E K Edmiston; L Edwards-Leeper; R Ehrbar; D Ehrensaft; J Eisfeld; E Elaut; L Erickson-Schroth; J L Feldman; A D Fisher; M M Garcia; L Gijs; S E Green; B P Hall; T L D Hardy; M S Irwig; L A Jacobs; A C Janssen; K Johnson; D T Klink; B P C Kreukels; L E Kuper; E J Kvach; M A Malouf; R Massey; T Mazur; C McLachlan; S D Morrison; S W Mosser; P M Neira; U Nygren; J M Oates; J Obedin-Maliver; G Pagkalos; J Patton; N Phanuphak; K Rachlin; T Reed; G N Rider; J Ristori; S Robbins-Cherry; S A Roberts; K A Rodriguez-Wallberg; S M Rosenthal; K Sabir; J D Safer; A I Scheim; L J Seal; T J Sehoole; K Spencer; C St Amand; T D Steensma; J F Strang; G B Taylor; K Tilleman; G G T'Sjoen; L N Vala; N M Van Mello; J F Veale; J A Vencill; B Vincent; L M Wesp; M A West; J Arcelus
Journal:  Int J Transgend Health       Date:  2022-09-06

7.  Sexual orientation disclosure in health care: a systematic review.

Authors:  Hannah Brooks; Carrie D Llewellyn; Tom Nadarzynski; Fernando Castilho Pelloso; Felipe De Souza Guilherme; Alex Pollard; Christina J Jones
Journal:  Br J Gen Pract       Date:  2018-01-29       Impact factor: 5.386

8.  Female pelvic medicine and reconstructive surgery fellows' exposure to transgender health care.

Authors:  Olivia H Chang; Miriam J Haviland; Emily Von Bargen; Yvonne Gomez-Carrion; Michele R Hacker; Janet Li
Journal:  Am J Obstet Gynecol       Date:  2018-09-18       Impact factor: 8.661

Review 9.  Reproductive health risks and clinician practices with gender diverse adolescents and young adults.

Authors:  Gwendolyn P Quinn; Amy C Tishelman; Diane Chen; Leena Nahata
Journal:  Andrology       Date:  2021-05-24       Impact factor: 3.842

10.  "Little Red Flags": Barriers to Accessing Health Care as a Sexual or Gender Minority Individual in the Rural Southern United States-A Qualitative Intersectional Approach.

Authors:  Layla Joudeh; Orlando O Harris; Ethan Johnstone; Smith Heavner-Sullivan; Shantara K Propst
Journal:  J Assoc Nurses AIDS Care       Date:  2021 Jul-Aug 01       Impact factor: 1.809

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