Talan Ali J, Drake Carolyn B, Glick Jennifer L, Claiborn Camilla Scott, Seal David
a Department of Global Community Health and Behavioral Sciences , Tulane School of Public Health and Tropical Medicine , New Orleans , Louisiana , USA.
b Department of Medicine , NYU School of Medicine , New York , New York , USA.
J Homosex. 2017;64(10):1350-1367. doi: 10.1080/00918369.2017.1321365.
Limited research has examined the ways in which public health training programs equip students to address health disparities affecting the lesbian, gay, bisexual, and transgender (LGBT) community and other sexual and gender minority (SGM) populations. This study outlines the availability of public health curricula on SGM health topics, and the prevalence of LGBT and SGM-inclusive institutional support services across CEPH-accredited U.S. schools of public health. Content analysis of all course offerings related to gender and sexuality revealed a limited focus on sexual and gender minority health: just 4.7% of courses contained keywords indicating that LGBT or SGM health topics were covered. Similar analysis of institutional support services available at U.S. schools of public health found that only 25% of schools had LGBT student organizations, and just 19% had an office of diversity that specifically advertised LGBT or SGM-inclusive programming or services on the institution's Web site. Finally, only two of 52 schools offered an educational certificate centered on LGBT health. These findings illustrate a significant need for enhanced curricular content and institutional support services that equip public health students to address SGM health disparities. Improvement in this area may encourage future health care professionals to work to reduce these disparities, to improve SGM persons' experiences in health care settings, and to generate further research in this area.
仅有有限的研究考察了公共卫生培训项目使学生有能力应对影响女同性恋、男同性恋、双性恋和跨性别者（LGBT）群体以及其他性取向和性别少数群体（SGM）健康差异的方式。本研究概述了美国公共卫生教育委员会（CEPH）认证的公共卫生学院中有关SGM健康主题的公共卫生课程设置情况，以及LGBT和包含SGM的机构支持服务的普及程度。对所有与性别和性取向相关的课程进行内容分析发现，对性取向和性别少数群体健康的关注有限：只有4.7%的课程包含表明涵盖了LGBT或SGM健康主题的关键词。对美国公共卫生学院提供的机构支持服务进行的类似分析发现，只有25%的学校有LGBT学生组织，只有19%的学校设有多元化办公室，该办公室在学校网站上专门宣传包含LGBT或SGM的项目或服务。最后，52所学校中只有两所提供以LGBT健康为核心的教育证书。这些发现表明，迫切需要加强课程内容和机构支持服务，以使公共卫生专业学生有能力应对SGM健康差异问题。这一领域的改善可能会鼓励未来的医疗保健专业人员努力减少这些差异，改善SGM人群在医疗保健环境中的体验，并推动该领域的进一步研究。
