Suen Yiu Tung, Wong Eliz Miu Yin, Chan Randolph C H, Tepjan Suchon, Newman Peter A
Gender Studies Programme, The Chinese University of Hong Kong, Hong Kong Special Administrative Region of China.
Gender Studies Programme, The Chinese University of Hong Kong, Hong Kong Special Administrative Region of China.
Soc Sci Med. 2025 Apr;370:117822. doi: 10.1016/j.socscimed.2025.117822. Epub 2025 Feb 11.
Lesbian, gay, bisexual, transgender, queer and plus (LGBTQ+) related health concerns in medical training have historically been underrepresented or largely omitted. This review goes beyond the Global North and is one of the first scoping reviews to take a regional approach to understanding LGBTQ+ issues in medical training in Asia, a region that millions of LGBTQ+ people call home. A scoping review of peer-reviewed articles published from 2000 to 2024 on LGBTQ+ issues in medical training (including medical, nursing and dentistry) in Asia was conducted. A diversity of attitudes towards LGBTQ+ issues were found among medical, dental, and nursing students. Negative attitudes, especially pathologization of LGBTQ+ people, were still evident. Despite receiving inadequate training from their medical curriculum, students generally showed a strong eagerness to learn more about LGBTQ+ healthcare to know how to act professionally. Although LGBTQ+ students perceived a supportive environment among their peers, there were constant worries about how they were perceived as doctors by attending physicians and patients. Medical, dental, and nursing educators in the identified studies had minimal knowledge of LGBTQ+ issues and limited experience working with LGBTQ+ patients. Articles found that LGBTQ+ issues were lacking in the formal medical curriculum, with very little consideration beyond strictly biomedical concerns. Importantly, this paper debunks the idea that Asia is uniformly negative and conservative on LGBTQ+ issues, highlights the importance of regionally and culturally specific factors in understanding the medical training environment, and provides suggestions for practice and further research. Altogether, this paper argues that there is an urgent need and a substantial opportunity to make medical training in Asia more LGBTQ+ inclusive.
在医学培训中，女同性恋、男同性恋、双性恋、跨性别者、酷儿及其他（LGBTQ+）相关的健康问题在历史上一直未得到充分体现或基本被忽视。本综述超越了全球北方地区的范畴，是首批采用区域方法来理解亚洲医学培训中LGBTQ+问题的范围界定性综述之一，亚洲是数百万LGBTQ+人群的家园。我们对2000年至2024年发表的关于亚洲医学培训（包括医学、护理和牙科）中LGBTQ+问题的同行评议文章进行了范围界定性综述。在医学、牙科和护理专业学生中发现了对LGBTQ+问题的多种态度。负面态度，尤其是将LGBTQ+人群病态化的态度仍然明显。尽管学生们在医学课程中接受的相关培训不足，但他们总体上表现出强烈的渴望，希望更多地了解LGBTQ+医疗保健，以便知道如何以专业的方式行事。尽管LGBTQ+学生感受到同龄人之间的支持环境，但他们一直担心主治医生和患者如何看待他们作为医生的身份。在所确定的研究中，医学、牙科和护理教育工作者对LGBTQ+问题的了解极少，与LGBTQ+患者合作的经验有限。文章发现，正式的医学课程中缺乏LGBTQ+问题的内容，除了严格的生物医学问题外，很少有其他考虑。重要的是，本文揭穿了亚洲在LGBTQ+问题上一律持负面和保守态度的观点，强调了区域和文化特定因素在理解医学培训环境中的重要性，并为实践和进一步研究提供了建议。总之，本文认为迫切需要并有大量机会使亚洲的医学培训更具LGBTQ+包容性。
