Teaching Intersectionality of Sexual Orientation, Gender Identity, and Race/Ethnicity in a Health Disparities Course.
Teaching Intersectionality of Sexual Orientation, Gender Identity, and Race/Ethnicity in a Health Disparities Course.
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DOI：
10.15766/mep_2374-8265.10970
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发表时间：
2020-07-31
影响因子：
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通讯作者：
Chin, Marshall H
中科院分区：
文献类型：
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作者：
Bi, Stephanie;Vela, Monica B;Chin, Marshall H
交叉性考虑不同的身份如何同时影响个人的经历。那些多重少数群体地位的人可能会经历交叉压迫制度的影响。大多数健康差距课程不注重交叉性。我们研究了一个创新的模块教学交叉性的性取向，性别认同，和种族/民族问题的影响，在医学普利兹克医学院课程卫生保健差异：公平和宣传。方法：一个简短的讲座回顾了性和性别少数（SGM）的健康差距，交叉性，少数民族的压力，和共享决策（SDM），以建立83名一年级医学生之间的共享语言。然后，学生们观看了四个SGM有色人种（POC）患者的视频，描述了他们的医疗保健经历，每个视频后面都有关于复合少数民族压力如何影响生活经历和健康以及如何改善SGM POC的SDM的主持讨论。一名视频受访者出席了会议，并回答了学生的问题。使用前和postsurveys.Results进行评估：感觉有点/完全有信心定义交叉性从57%增加到96%。在会议之前，62%的受访者表示对识别SGM患者的护理障碍感到有点/完全有信心，之后为92%。33%的人在会议之前对SGM患者的身份感到有点/完全有信心，81%的人在会议之后。84%的学生认为会议非常好或优秀。讨论：会议受到好评，提高了学生对交叉性的认识，提高了与SGM患者沟通和照顾SGM患者的信心。未来的迭代可能包括浓缩讲座，包括患者小组和/或小组讨论。
Introduction: Intersectionality considers how different identities simultaneously affect an individual's experiences. Those of multiple minority statuses may experience effects of intersecting systems of oppression. Most health disparities curricula do not focus on intersectionality. We studied the impact of an innovative module teaching intersectionality of sexual orientation, gender identity, and race/ethnicity issues in the required Pritzker School of Medicine course Health Care Disparities: Equity and Advocacy.Methods: A short lecture reviewed sexual and gender minority (SGM) health disparities, intersectionality, minority stress, and shared decision making (SDM) to establish shared language among 83 first-year medical students. Students then viewed four videos of SGM patients of color (POC) describing their health care experiences, each followed by moderated discussion about how compounded minority stress affects lived experiences and health and how to improve SDM for SGM POC. One video interviewee attended the session and answered students' questions. Evaluation was performed using pre- and postsurveys.Results: Feeling somewhat/completely confident in defining intersectionality increased from 57% to 96%. Prior to the session, 62% of respondents reported feeling somewhat/completely confident in identifying barriers to care for SGM patients, and 92% after. Thirty-three percent felt somewhat/completely confident in asking SGM patients about their identities before the session, and 81% after. Eighty-four percent rated the session as very good or excellent.Discussion: The session was well received, improved student knowledge of intersectionality, and improved confidence in communicating with and caring for SGM patients. Future iterations could include condensing the lecture and including a patient panel and/or small-group discussion.