CDC Public Health Advisor, (
J Sch Health. 2014 Jan;84(1):18-24. doi: 10.1111/josh.12116.
For schools to be safe and supportive for students, school health professionals should be aware of the particular challenges lesbian, gay, bisexual, transgender, or questioning (LGBTQ) students face, especially the risk for discrimination, violent victimization, and depression in the school setting. We assessed school health professionals' preparedness to address needs of LGBTQ students.
We conducted a secondary analysis of data collected during a New Mexico school health conference. This analysis focused on the preparedness of 183 school nurses, counselors, and social workers to address needs of LGBTQ students. Data were analyzed by using chi-square tests, other non-parametric tests, and logistic regression.
Social workers (84.6%) and counselors (81.5%) were more likely than school nurses (55.8%) to report moderate or high knowledge of LGBTQ youth health risks, including suicide and depression (p < .001). Approximately half of school counselors and social workers reported no or low knowledge of LGBTQ community-based organizations or knowledge of counselors experienced with LGBTQ concerns.
School health professionals in New Mexico do not appear prepared to address needs of LGBTQ students. Schools should consider integrating specific content about LGBTQ health risks and health disparities in trainings regarding bullying, violence, cultural competency, and suicide prevention.
为了让学校对学生安全且具有支持性，学校的健康专业人员应该了解女同性恋、男同性恋、双性恋、跨性别或质疑者（LGBTQ）学生所面临的特殊挑战，尤其是在学校环境中面临歧视、暴力受害和抑郁的风险。我们评估了学校健康专业人员满足 LGBTQ 学生需求的准备情况。
我们对新墨西哥州学校健康会议期间收集的数据进行了二次分析。该分析侧重于 183 名学校护士、辅导员和社会工作者满足 LGBTQ 学生需求的准备情况。通过使用卡方检验、其他非参数检验和逻辑回归分析数据。
与学校护士（55.8%）相比，社会工作者（84.6%）和辅导员（81.5%）更有可能报告对 LGBTQ 青年健康风险（包括自杀和抑郁）有中等或高度了解（p <.001）。大约一半的学校辅导员和社会工作者报告说对 LGBTQ 社区组织或对 LGBTQ 问题有经验的辅导员缺乏了解或了解很少。
新墨西哥州的学校健康专业人员似乎没有准备好满足 LGBTQ 学生的需求。学校应考虑在关于欺凌、暴力、文化能力和自杀预防的培训中纳入有关 LGBTQ 健康风险和健康差异的具体内容。
