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通过性健康教育和肯定LGBT群体的医疗保健环境,促进女同性恋、男同性恋、双性恋和跨性别(LGBT)人群的健康公平。

Advancing health equity for lesbian, gay, bisexual and transgender (LGBT) people through sexual health education and LGBT-affirming health care environments.

作者信息

Keuroghlian Alex S, Ard Kevin L, Makadon Harvey J

机构信息

The National LGBT Health Education Center at The Fenway Institute, 1340 Boylston Street, Boston, MA, 02215, USA.

出版信息

Sex Health. 2017 Feb;14(1):119-122. doi: 10.1071/SH16145.

DOI:10.1071/SH16145
PMID:28160786
Abstract

Lesbian, gay, bisexual and transgender (LGBT) people face pervasive health disparities and barriers to high-quality care. Adequate LGBT sexual health education for emerging health professionals is currently lacking. Clinical training programs and healthcare organisations are well poised to start addressing these disparities and affirming LGBT patients through curricula designed to cultivate core competencies in LBGT health as well as health care environments that welcome, include and protect LGBT patients, students and staff. Health education programs can emphasise mastery of basic LGBT concepts and terminology, as well as openness towards and acceptance of LGBT people. Core concepts, language and positive attitudes can be instilled alongside clinical skill in delivering inclusive sexual health care, through novel educational strategies and paradigms for clinical implementation. Caring for the health needs of LGBT patients also involves the creation of health care settings that affirm LGBT communities in a manner that is responsive to culturally specific needs, sensitivities and challenges that vary across the globe.

摘要

女同性恋、男同性恋、双性恋和跨性别(LGBT)群体面临普遍的健康差异以及获得高质量医疗服务的障碍。目前,针对初出茅庐的医疗专业人员缺乏足够的LGBT性健康教育培训。临床培训项目和医疗机构完全有能力通过设计旨在培养LGBT健康核心能力的课程,以及营造欢迎、接纳并保护LGBT患者、学生和工作人员的医疗环境,来着手解决这些差异并接纳LGBT患者。健康教育项目可以强调对基本LGBT概念和术语的掌握,以及对LGBT群体的开放态度和接纳。通过新颖的教育策略和临床实施范式,可以在提供包容性性健康护理的临床技能的同时,灌输核心概念、语言和积极态度。照顾LGBT患者的健康需求还涉及创建医疗环境,以一种响应全球各地不同文化特定需求、敏感性和挑战的方式来肯定LGBT群体。

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