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医学院缺乏针对女同性恋、男同性恋、双性恋、跨性别者及酷儿/疑问者(LGBTQ)的医疗保健教育是否值得担忧?来自对英国医学生知识与实践调查的证据。

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.

作者信息

Parameshwaran Vishnu, Cockbain Beatrice C, Hillyard Miriam, Price Jonathan R

机构信息

a Medical School, Oxford University , Oxford , UK.

b Department of Psychiatry , University of Oxford, Warneford Hospital , Oxford , UK.

出版信息

J Homosex. 2017;64(3):367-381. doi: 10.1080/00918369.2016.1190218. Epub 2016 May 16.

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 (r = 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.

摘要

女同性恋、男同性恋、双性恋、跨性别者及酷儿/疑问者(LGBTQ)群体经常报告在医疗保健过程中遭遇负面经历。如果医学专业人员未接受过该领域的培训,他们可能无法妥善处理LGBTQ群体的健康问题。英国一所大学各年级的166名医科学生参与了一项关于LGBTQ群体在健康状况下的疗效的匿名调查。结果显示,84.9%的参与者表示缺乏LGBTQ医疗保健教育,在明确不熟悉的性和性别术语、决定护理跨性别患者的病房、寻找支持资源以及与LGBTQ患者讨论家庭虐待等方面存在不足。大多数参与者表示,在心理健康或生殖健康环境中,他们不会明确性别代词或询问性别或性取向。参与者报告说很少看到医生进行类似询问。参与者对LGBTQ患者持积极态度,态度得分与LGBTQ术语知识得分呈正相关(r = 0.5052,p <.01)。在医学课程中解决性别认同和性取向问题可能会消除LGBTQ患者获得医疗保健的障碍,并改善他们的就医体验。

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