Sexual and Gender Minority Identity Disclosure During Undergraduate Medical Education: "In the Closet" in Medical School
Sexual and Gender Minority Identity Disclosure During Undergraduate Medical Education: "In the Closet" in Medical School
复制标题
DOI：
10.1097/acm.0000000000000657
复制
发表时间：
2015-05-01
影响因子：
7.4
通讯作者：
Garcia, Gabriel
中科院分区：
文献类型：
--
作者：
Mansh, Matthew;White, William;Garcia, Gabriel
目的评估在美国和加拿大攻读本科医学培训的性少数（SGM）学生的身份披露情况。方法从2009年到2010年，对美国和加拿大176所授予MD和DO资格的医学院的所有医学生进行了一项调查。受访者被问及他们的性取向和性别认同，他们是否“出柜”（即公开披露了自己的身份），如果没有，则隐瞒身份的原因。作者采用混合方法，分析了定量和定性调查数据。 结果 在 5,812 名完成回复的学生中（101,473 名合格受访者；回复率为 5.7%），来自 152 所（176 名；86.4%）机构的 920 名学生（15.8%）被认定为 SGM。在 912 名性少数群体中，有 269 名（29.5%）在医学院隐瞒了自己的性别身份。与隐藏性别身份相关的因素包括除男女同性恋之外的性少数群体身份、男性、东亚种族以及北美南部或中部地区的医学院入学率。隐瞒性别身份的最常见原因是“不关任何人的事”（165/269；61.3%）、担心医学院受到歧视（117/269；43.5%）以及社会或文化规范（110/269；40.9%）。在 35 名性别少数群体中，有 21 名（60.0%）隐瞒了自己的性别身份，理由是担心在医学院受到歧视（9/21；42.9%）和缺乏支持（9/21；42.9%）。 结论 SGM 学生在本科医学培训期间继续隐瞒自己的身份。医疗机构应采取有针对性的政策和方案，更好地支持这些人。
PurposeTo assess identity disclosure among sexual and gender minority (SGM) students pursuing undergraduate medical training in the United States and Canada.MethodFrom 2009 to 2010, a survey was made available to all medical students enrolled in the 176 MD-and DO-granting medical schools in the United States and Canada. Respondents were asked about their sexual and gender identity, whether they were "out" (i.e., had publicly disclosed their identity), and, if they were not, their reasons for concealing their identity. The authors used a mixed-methods approach and analyzed quantitative and qualitative survey data.ResultsOf 5,812 completed responses (of 101,473 eligible respondents; response rate 5.7%), 920 (15.8%) students from 152 (of 176; 86.4%) institutions identified as SGMs. Of the 912 sexual minorities, 269 (29.5%) concealed their sexual identity in medical school. Factors associated with sexual identity concealment included sexual minority identity other than lesbian or gay, male gender, East Asian race, and medical school enrollment in the South or Central regions of North America. The most common reasons for concealing one's sexual identity were "nobody's business" (165/269; 61.3%), fear of discrimination in medical school (117/269; 43.5%), and social or cultural norms (110/269; 40.9%). Of the 35 gender minorities, 21 (60.0%) concealed their gender identity, citing fear of discrimination in medical school (9/21; 42.9%) and lack of support (9/21; 42.9%).ConclusionsSGM students continue to conceal their identity during undergraduate medical training. Medical institutions should adopt targeted policies and programs to better support these individuals.