OBSERVED DEFICIENCIES IN MEDICAL STUDENT KNOWLEDGE OF TRANSGENDER AND INTERSEX HEALTH
OBSERVED DEFICIENCIES IN MEDICAL STUDENT KNOWLEDGE OF TRANSGENDER AND INTERSEX HEALTH
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DOI：
10.4158/ep171758.or
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发表时间：
2017-08-01
影响因子：
4.2
通讯作者：
Safer, Joshua D.
中科院分区：
文献类型：
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作者：
Liang, Jennifer J.;Gardner, Ivy H.;Safer, Joshua D.
目的：女同性恋、男同性恋、双性恋、变性人和双性人（LGBTI）患者在治疗中面临着许多有充分记录的差异，这些差异在变性人和双性人中往往可以追溯到提供者缺乏知识。方法：采用问卷调查的方法，对波士顿大学所有医学生对不同LGBTI亚群的知识和态度进行自我评估。调查问题基于1到5的李克特量表；采用Wilcoxon秩和检验进行分析。结果：总体应答率为24%，应答数因班级而异。在接受调查的4个班级中，有3个班级对变性人健康的了解程度低于LGB。与LGB相比，每个班级报告的双性人健康知识明显较低。在所有被调查的类别中，变性人或双性人患者的舒适度都低于LGB患者。与LGB学生相比，所有自我认同群体（LGBTI、盟友、非盟友）的学生在跨性别或双性人健康知识和舒适度方面的平均反应明显较低。与临床阶段的学生相比，临床前阶段的学生报告的知识水平较低。与不认为自己是LGBTI的学生相比，认为自己是LGBTI的学生对LGBTI和跨性别健康有更高的了解和舒适度。受访者更频繁地要求在跨性别和双性人健康方面获得额外的学习机会，而不是在LGB健康方面。结论：自我报告的跨性别和双性人健康知识落后于LGB健康知识，尽管这些缺陷部分反映了有针对性的教育干预。
Objective: Lesbian, gay, bisexual, transgender, and intersex (LGBTI) patients face many well-documented disparities in care which among transgender and intersex people can often be traced to providers' lack of knowledge.Methods: We administered surveys to examine the self-assessed knowledge and attitudes of all medical students at Boston University regarding different LGBTI subpopulations. Survey questions were based on a Likert scale from 1 to 5; analysis was conducted with Wilcoxon rank sum tests.Results: Overall there was a response rate of 24%, with the number of responses varying by class. Three of the 4 surveyed classes reported lower knowledge about transgender health than LGB health. Every class reported significantly lower knowledge of intersex health in comparison to LGB. Comfort with transgender or with intersex patients was lower than with LGB patients for all surveyed classes. Students across all self-identified groups (LGBTI, ally, not an ally) reported significantly lower average responses for knowledge and comfort regarding transgender or intersex health in comparison to that of LGB. Students in their preclinical years reported lower levels of knowledge in comparison with students in their clinical years. Students who identified as LGBTI reported significantly higher knowledge and comfort with only LGB and transgender health when compared with students who didn't identify as LGBTI. Respondents more frequently requested additional learning opportunities in transgender and intersex health than in LGB health.Conclusion: Self-reported knowledge of transgender and intersex health lags behind knowledge of LGB health, though these deficits appear partially responsive to targeted educational intervention.