Department of Psychiatry and Behavioral Sciences, Keck School of Medicine of University of Southern California, Los Angeles, California, United States of America.
Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana, United States of America.
PLoS One. 2022 Nov 11;17(11):e0277682. doi: 10.1371/journal.pone.0277682. eCollection 2022.
There is some data regarding lesbian, gay, bisexual, and transgender (LGBT) cultural competency among healthcare professionals. While few studies have indicated differences in competency between heterosexual and sexual minority professionals, no known studies have assessed LGBT cultural competency among diverse groups with multiple minority identities. This study aimed to characterize healthcare professionals' LGBT cultural competency by comparing twelve different demographically diverse healthcare professional groups based on gender identity, sexual orientation, and race.
Deidentified data (N = 2254) was aggregated from three independent studies (i.e., healthcare professional students, psychiatry residents, and dementia care providers). A series of multivariate analyses of covariance were conducted with groups (based on gender identity, sexual orientation, and race), other demographic variables as independent variables, and LGBT-Development of Clinical Skills Scale scores (Overall LGBT-DOCSS, Clinical Preparedness, Attitudinal Awareness, and Basic Knowledge) as dependent variables.
Compared to men, women reported significantly higher LGBT-DOCSS scores, except significantly lower Clinical Preparedness. Compared to cisgender, heterosexual professionals, cisgender, sexual minority professionals and gender minority professionals reported significantly higher LGBT-DOCSS scores. There were several other differences among groups, such as heterosexual, cisgender, White/Caucasian men reporting low LGBT-DOCSS scores but high Clinical Preparedness; heterosexual, cisgender, White/Caucasian women with high LGBT-DOCSS scores except Clinical Preparedness; heterosexual, racial minority professionals with low LGBT-DOCSS scores; and gender, sexual, and racial minority professionals with the highest LGBT-DOCSS scores.
There are subtle, yet important, differences in LGBT cultural competency among healthcare professionals. More diversity, intersectionality, and multiple minority identities appear to lead to higher competency. Appreciating these gender, sexual, and racial minority professionals' unique perspectives may promote the development of better, more culturally affirming LGBT health education.
关于医疗保健专业人员的同性恋、双性恋、跨性别和变性者（LGBT）文化能力，已有一些数据。虽然少数研究表明异性恋和性少数专业人员之间在能力上存在差异，但尚无已知研究评估具有多种少数群体身份的不同群体的 LGBT 文化能力。本研究旨在通过比较基于性别认同、性取向和种族的 12 个不同的人口统计学多样化医疗保健专业人员群体，来描述医疗保健专业人员的 LGBT 文化能力。
从三项独立研究（即医疗保健专业学生、精神科住院医师和痴呆症护理提供者）中汇总了匿名数据（N=2254）。使用多元协方差分析，将群体（基于性别认同、性取向和种族）、其他人口统计学变量作为自变量，LGBT-临床技能发展量表（整体 LGBT-DOCSS、临床准备、态度意识和基础知识）得分作为因变量进行分析。
与男性相比，女性报告的 LGBT-DOCSS 得分明显更高，除了临床准备得分明显较低。与顺性别异性恋专业人员相比，顺性别、性少数专业人员和性别少数专业人员报告的 LGBT-DOCSS 得分明显更高。群体之间还存在其他一些差异，例如异性恋、顺性别、白种/高加索男性报告的 LGBT-DOCSS 得分低，但临床准备得分高；异性恋、顺性别、白种/高加索女性的 LGBT-DOCSS 得分高，但临床准备得分除外；异性恋、种族少数专业人员的 LGBT-DOCSS 得分低；性别、性和种族少数专业人员的 LGBT-DOCSS 得分最高。
医疗保健专业人员的 LGBT 文化能力存在细微但重要的差异。更多的多样性、交叉性和多种少数群体身份似乎会导致更高的能力。欣赏这些性别、性和种族少数群体专业人员的独特观点，可能会促进更好、更具文化认同的 LGBT 健康教育的发展。
