Bridging gaps in LGBTQ+ healthcare: a cross-sectional assessment of medical professionals’ knowledge, awareness, and attitudes
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20251384Keywords:
LGBTQ healthcare, Medical education, Healthcare disparities, Cultural competency, Attitudes, AwarenessAbstract
Background: The healthcare disparities related to LGBTQ+ community are notably high. The scenario is further worsened by the incomplete knowledge and unfavourable attitudes of health professionals. The current study evaluates the knowledge, attitudes and awareness of Indian medical graduates related to LGBTQ+ healthcare.
Methods: A cross-sectional survey was conducted between January to March 2023 at a tertiary care teaching hospital in North India. Participants included interns, junior and senior residents, post-graduates and faculty members. A pre-validated, semi-structured questionnaire was used for data collection. An awareness-raising campaign was finally conducted in the institute.
Results: 120 responses were collected, out of which 73% claimed that they were aware of what LGBTQ+ stood for, however only 56% could correctly expand the acronym. About a quarter of the participants reported that they had never received any training in their undergraduate period, and expressed their need of additional training. While majority agreed that LGBTQ+ status should not be regarded as disorder, only 62% were willing to accept the uptake of decision by own family member. The sensitization session was well-received by all.
Conclusions: Awareness and readiness of Indian medical graduates with regards to LGBTQ+ is low while attitude towards receiving more training is positive. For better preparedness of health professionals, curricular reforms and focused educational interventions are required at undergraduate level.
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References
Argyriadis A, Fradelos EC, Argyriadi A, Ziegler E, Kaba E. Advancing Access to Quality LGBTQIA+ Health Care: Gender Discrimination, Socio-Cultural, and Mental Health Issues: A Mixed-Method Study. Int J Environ Res Public Health. 2023;20(6):4767. DOI: https://doi.org/10.3390/ijerph20064767
Fu MX, Onanuga S, Ye X, Aiyappan R, Zou T, Smith S, et al. Patient voices and student insights into LGBTQ+ healthcare: a call for equitable healthcare through medical education. Med Educ Online. 2024;29(1):2405484. DOI: https://doi.org/10.1080/10872981.2024.2405484
Waghmare P, Mediboina A, Harshita H, Ukey UU, Kherde P. Readiness of Medical Students and Budding Doctors About the LGBTQ+ Community: A Cross-Sectional Study From India. Cureus. 2024;16(2):e55177. DOI: https://doi.org/10.7759/cureus.55177
Hafeez H, Zeshan M, Tahir MA, Jahan N, Naveed S. Health Care Disparities Among Lesbian, Gay, Bisexual, and Transgender Youth: A Literature Review. Cureus. 2017;9(4):e1184. DOI: https://doi.org/10.7759/cureus.1184
Agarwal A, Thiyam A. Healthcare, culture & curriculum: addressing the need for LGBT+ inclusive medical education in India. Lancet Reg Health Southeast Asia. 2022;8:100085. DOI: https://doi.org/10.1016/j.lansea.2022.100085
Gaur PS, Saha S, Goel A, Ovseiko P, Aggarwal S, Agarwal V, et al. Mental healthcare for young and adolescent LGBTQ+ individuals in the Indian subcontinent. Front Psychol. 2023;14:1060543. DOI: https://doi.org/10.3389/fpsyg.2023.1060543
Streed CG, Hedian HF, Bertram A, Sisson SD. Assessment of Internal Medicine Resident Preparedness to Care for Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning Patients. J Gen Intern Med. 2019;34(6):893-8. DOI: https://doi.org/10.1007/s11606-019-04855-5
Greene MZ, France K, Kreider EF, Wolfe-Roubatis E, Chen KD, Wu A, et al. Comparing medical, dental, and nursing students’ preparedness to address lesbian, gay, bisexual, transgender, and queer health. Costa AB, editor. Plos One. 2018;13(9):e0204104. DOI: https://doi.org/10.1371/journal.pone.0204104
Morris M, Cooper RL, Ramesh A, Tabatabai M, Arcury TA, Shinn M, et al. Training to reduce LGBTQ-related bias among medical, nursing, and dental students and providers: a systematic review. BMC Med Educ. 2019;19(1):325. DOI: https://doi.org/10.1186/s12909-019-1727-3
Zelin NS, Hastings C, Beaulieu-Jones BR, Scott C, Rodriguez-Villa A, Duarte C, et al. Sexual and gender minority health in medical curricula in new England: a pilot study of medical student comfort, competence and perception of curricula. Med Educ Online. 2018;23(1):1461513. DOI: https://doi.org/10.1080/10872981.2018.1461513
Nama N, MacPherson P, Sampson M, McMillan HJ. Medical students’ perception of lesbian, gay, bisexual, and transgender (LGBT) discrimination in their learning environment and their self-reported comfort level for caring for LGBT patients: a survey study. Med Educ Online. 2017;22(1):1368850. DOI: https://doi.org/10.1080/10872981.2017.1368850
Obedin-Maliver J, Goldsmith ES, Stewart L, White W, Tran E, Brenman S, et al. Lesbian, Gay, Bisexual, and Transgender–Related Content in Undergraduate Medical Education. JAMA. 2011;306(9). DOI: https://doi.org/10.1001/jama.2011.1255
Sabin JA, Riskind RG, Nosek BA. Health Care Providers’ Implicit and Explicit Attitudes Toward Lesbian Women and Gay Men. Am J Public Health. 2015;105(9):1831-41. DOI: https://doi.org/10.2105/AJPH.2015.302631
Eckstrand KL, Potter J, Bayer CR, Englander R. Giving Context to the Physician Competency Reference Set: Adapting to the Needs of Diverse Populations. Acad Med. 2016;91(7):930-5. DOI: https://doi.org/10.1097/ACM.0000000000001088
Dubin SN, Nolan IT, Streed Jr CG, Greene RE, Radix AE, Morrison SD. Transgender health care: improving medical students' and residents' training and awareness. Adv Med Educ Pract. 2018;9:377-91. DOI: https://doi.org/10.2147/AMEP.S147183
Bonvicini KA. LGBT healthcare disparities: What progress have we made? Patient Educ Couns. 2017;100(12):2357-61. DOI: https://doi.org/10.1016/j.pec.2017.06.003
Bristol S, Kostelec T, MacDonald R. Improving Emergency Health Care Workers’ Knowledge, Competency, and Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Patients Through Interdisciplinary Cultural Competency Training. J Emerg Nurs. 2018;44(6):632-9. DOI: https://doi.org/10.1016/j.jen.2018.03.013
Keuroghlian AS, Ard KL, Makadon HJ. Advancing health equity for lesbian, gay, bisexual and transgender (LGBT) people through sexual health education and LGBT-affirming health care environments. Sex Health. 2017;14(1):119. DOI: https://doi.org/10.1071/SH16145
Burke SE, Dovidio JF, Przedworski JM, Hardeman RR, Perry SP, Phelan SM, et al. Do Contact and Empathy Mitigate Bias Against Gay and Lesbian People Among Heterosexual First-Year Medical Students? A Report From the Medical Student CHANGE Study. Acad Med. 2015;90(5):645-51. DOI: https://doi.org/10.1097/ACM.0000000000000661
Fisher CB, Mustanski B. Reducing Health Disparities and Enhancing the Responsible Conduct of Research Involving LGBT Youth. Hastings Cent Rep. 2014;44(s4):18. DOI: https://doi.org/10.1002/hast.367
Lelutiu-Weinberger C, Pollard-Thomas P, Pagano W, Levitt N, Lopez EI, Golub SA, et al. Implementation and Evaluation of a Pilot Training to Improve Transgender Competency Among Medical Staff in an Urban Clinic. Transgender Health. 2016;1(1):45-53. DOI: https://doi.org/10.1089/trgh.2015.0009
Phelan SM, Burke SE, Hardeman RR, White RO, Przedworski J, Dovidio JF, et al. Medical School Factors Associated with Changes in Implicit and Explicit Bias Against Gay and Lesbian People among 3492 Graduating Medical Students. J Gen Intern Med. 2017;32(11):1193-201. DOI: https://doi.org/10.1007/s11606-017-4127-6