Perception and Preparedness of Medical Students Towards the Health Care Needs Of LGBTQIA+ Community: A Cross-Sectional Study in Vadodara, Western India
DOI:
https://doi.org/10.55489/njcm.140520232934Keywords:
Attitude, Doctors, Knowledge, LGBTQIA community, Health Care NeedAbstract
Introduction: The legalization of LGBTQIA+ community will bring a new stream of patients and their specific issues to healthcare community. Despite getting their place in society, they face discrimination and stigma from healthcare professionals, which will roadblock them from accessing healthcare. This study aims to document the perception of upcoming healthcare providers towards the LGBTQIA+ community and their preparedness to address their healthcare needs.
Methodology: A cross-sectional survey conducted among 299 final MBBS students and Interns during “Pride month” June, 2022. An investigator-designed, validated, pre-tested, semi-structured questionnaire using Google forms, documented sexual-orientation of participants and their existing knowledge, attitude and practice towards the healthcare needs of LGBTQIA+ community.
Results: Total 299 participants were enrolled, having a Response Rate of 94.9% (315 total participants). Proportion of female and male was 44.8% and 54.8% as sex (biological) respectively and 54.5% of participants identified themselves as man and 44.8% as woman as gender. Awareness about LGBTQIA+ community was among 98.33% of the participants. Mean Knowledge, Attitude and Practice Scores were 18.4 +2.7, 80.5 +12.4 and 31.4 +5.9, respectively and were positively correlated to each other. Female participants scored significantly higher, statistically than male participants in knowledge, attitude and practice domains.
Conclusion: Despite of good knowledge and positive attitude toward LGBTQIA+ people, pockets of ignorance and discomfort reside among medical undergraduates and interns.
References
GLAAD Media Reference Guide - 11th Edition. Available from: https://www.glaad.org/reference#guide. accessed 2023 Jan 9.
LGBT+ PRIDE 2021 GLOBAL SURVEY A 27-country Ipsos survey. Available from: https://www.ipsos.com/en/ipsos-lgbt-pride-2021-global-survey. 2023 Feb 3.
Kar A, Arneaud GJ, Majumder S, Bhugra D, Pal A. International Review of Psychiatry ISSN: (Print) (Online) Journal homepage: https://www.tandfonline.com/loi/iirp20 Decriminalization and medical students attitudes to same sex behaviour. 2022 [cited 2023 Jan 25]; Available from: https://www.tandfonline.com/action/journalInformation?journalCode=iirp20
Clark F. Discrimination against LGBT people triggers health concerns. Lancet 2014;383(9916):500-2. Doi: https://doi.org/10.1016/S0140-6736(14)60169-0 PMid:24516882
Rights of LGBTQ in India and the Struggle for Societal Acceptance - International Journal of Law Management & Humanities. Available from: https://www.ijlmh.com/paper/rights-of-lgbtq-in-india-and-the-struggle-for-societal-acceptance/. accessed 2023 Jan 9.
SC decriminalises homosexuality - The Hindu. Available from: https://www.thehindu.com/todays-paper/sc-decriminalises-homosexuality/article24887363.ece. accessed 2023 Jan 9.
Homophobia persists in India despite court reforms. Available from: https://www.telegraph.co.uk/news/worldnews/asia/india/8618084/Homophobia-persists-in-India-despite-court-reforms.html. accessed 2023 Jan 9.
Violence against LGBT groups still prevails in India. Available from: https://www.dnaindia.com/delhi/report-violence-against-lgbt-groups-still-prevails-in-india-1924112. accessed 2023 Jan 9.
LGBT people nearly four times more likely than non-LGBT people to be victims of violent crime - Williams Institute. Available from: https://williamsinstitute.law.ucla.edu/press/ncvs-lgbt-violence-press-release/. accessed 2023 Jan 9.
Meyer IH. Prejudice, Social Stress, and Mental Health in Lesbian, Gay, and Bisexual Populations: Conceptual Issues and Research Evidence. Psychol Bull .129(5):674-97. Doi: https://doi.org/10.1037/0033-2909.129.5.674 PMid:12956539 PMCid:PMC2072932
Wang J, Dey M, Soldati L, Weiss MG, Gmel G, Mohler-Kuo M. Psychiatric disorders, suicidality, and personality among young men by sexual orientation. Eur Psychiatry.29(8):514-22. Doi: https://doi.org/10.1016/j.eurpsy.2014.05.001 PMid:24972914
Wang J, Häusermann M, Wydler H, Mohler-Kuo M, Weiss MG. Suicidality and sexual orientation among men in Switzerland: Findings from 3 probability surveys. J Psychiatr Res. 2012 Aug 1;46(8):980-6. Doi: https://doi.org/10.1016/j.jpsychires.2012.04.014 PMid:22591853
CD52/18: Addressing the Causes of Disparities in Health Service Access and Utilization for Lesbian, Gay, Bisexual and Trans (LGBT) Persons. Available from: https://iris.paho.org/handle/10665.2/4411. accessed 2023 Jan 9.
The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health, 2nd Edition » LGBTQIA+ Health Education Center. Available from: https://www.lgbtqiahealtheducation.org/publication/textbook/. accessed 2023 Jan 9.
Meckler GD, Elliott MN, Kanouse DE, Beals KP, Schuster MA. Nondisclosure of Sexual Orientation to a Physician Among a Sample of Gay, Lesbian, and Bisexual Youth. Arch Pediatr Adolesc Med. 160(12):1248-54. Doi: https://doi.org/10.1001/archpedi.160.12.1248 PMid:17146022
Plöderl M, Kunrath S, Cramer RJ, Wang J, Hauer L, Fartacek C. Sexual orientation differences in treatment expectation, alliance, and outcome among patients at risk for suicide in a public psychiatric hospital. BMC Psychiatry.17(1):1-13. Doi: https://doi.org/10.1186/s12888-017-1337-8 PMid:28506219 PMCid:PMC5433065
Bize R, Wang JI, Merglen AI, Ambresin A-E. Medical students' knowledge of and attitudes towards LGBT people and their health care needs: Impact of a lecture on LGBT health Raphaë l Wahlen ID. 2020 [cited 2023 Jan 14]; Doi: https://doi.org/10.1371/journal.pone.0234743 PMid:32609754 PMCid:PMC7329058
White W, Brenman S, Paradis E, Goldsmith ES, Lunn MR, Obedin-Maliver J, et al. Lesbian, Gay, Bisexual, and Transgender Patient Care: Medical Students' Preparedness and Comfort. https://doi.org/101080/1040133420151044656;27(3):254-63. Doi: https://doi.org/10.1080/10401334.2015.1044656 PMid:26158327
Ortiz-Martínez Y, Ríos-González CM, Ortiz-Martínez Y, Ríos-González CM. Need for more research on and health interventions for transgender people. Sex Health;14(2):196-7. Doi: https://doi.org/10.1071/SH16148 PMid:28063463
Parameshwaran V, Cockbain BC, Hillyard M, Price JR. Is the Lack of Specific Lesbian, Gay, Bisexual, Transgender and Queer/Questioning (LGBTQ) Health Care Education in Medical School a Cause for Concern? Evidence From a Survey of Knowledge and Practice Among UK Medical Students. http://dx.doi.org/101080/0091836920161190218. 64(3):367-81. Doi: https://doi.org/10.1080/00918369.2016.1190218 PMid:27184023
McGarry KA, Clarke JG, Cyr MG, Landau C. Evaluating A Lesbian And Gay Health Care Curriculum. https://doi.org/101207/S15328015TLM1404_8. 2009;14(4):244-8. Doi: https://doi.org/10.1207/S15328015TLM1404_8 PMid:12395487
Prevalance of Homosexuality study. Available from: https://kinseyinstitute.org/research/publications/kinsey-scale.php. Accessed 2023 Jan 14
Gupta R. Gender Affirmation in India-The Current State of Knowledge, Management, Legal and Legislative Situation. Indian J Plast Surg;55(2):139-43. Doi: https://doi.org/10.1055/s-0041-1740528 PMid:36017406 PMCid:PMC9398521
Sankalak 2021, Ministry of Health and Family Welfare NACO, New Delhi, Page No. 17
Burgess D, Lee R, Tran A, Van Ryn M. Effects of perceived discrimination on mental health and mental health services utilization among gay, lesbian, bisexual and transgender persons. J LGBT Health Res. 2008;3(4):1-14. Doi: https://doi.org/10.1080/15574090802226626 PMid:19042907
Hiestand KR, Horne SG, Levitt HM. Effects of gender identity on experiences of healthcare for sexual minority women. J LGBT Health Res. 2008;3(4):15-27. Doi: https://doi.org/10.1080/15574090802263405 PMid:19042908
Rowe D, Yeow A;, Ng C, O'keefe L, Crawford D. Providers' Attitudes and Knowledge of Lesbian, Gay, Bisexual, and Transgender Health. Fed Pract. 2017 Nov;34(11):28. Available from: /pmc/articles/PMC6370394/. Accessed 2023 Jan 12
Lim D, Ang S Bin. Primary care physicians' knowledge, attitude and perception towards homosexuality in Singapore. Glob Heal J. 2021 Dec 1;5(4):209-14. Doi: https://doi.org/10.1016/j.glohj.2021.11.002
Kan RWM, Au KP, Chan WK, Cheung LWM, Lam CYY, Liu HHW, et al. Homophobia in medical students of the University of Hong Kong. http://dx.doi.org/101080/14681810802639848;9(1):65-80. Doi: https://doi.org/10.1080/14681810802639848
Kelley L, Chou CL, Dibble SL, Robertson PA. A Critical Intervention in Lesbian, Gay, Bisexual, and Transgender Health: Knowledge and Attitude Outcomes Among Second-Year Medical Students. https://doi.org/101080/10401330802199567;20(3):248-53. Doi: https://doi.org/10.1080/10401330802199567 PMid:18615300
Gay rights, psychiatric fraternity, and India. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100112/. Accessed 2023 Jan 27
Nerli LM, Shah VR, Tiwari DS, Patel VK, Vasavada DA, Sangma RD. Evaluation of Knowledge and Attitude toward LGBT Community, and the Effect of Education on Knowledge and Attitude in Medical Undergraduates. Indian J Priv Psychiatry. 2021;14(2):51-6. Doi: https://doi.org/10.5005/jp-journals-10067-0060
Chapman R, Watkins R, Zappia T, Nicol P, Shields L. Nursing and medical students' attitude, knowledge and beliefs regarding lesbian, gay, bisexual and transgender parents seeking health care for their children. J Clin Nurs;21(7-8):938-45. Doi: https://doi.org/10.1111/j.1365-2702.2011.03892.x PMid:22008095
Girls More Likely Than Boys to Approve of Gay Marriage. Available from: https://news.gallup.com/poll/9580/girls-more-likely-than-boys-approve-gay-marriage.aspx. Accessed 2023 Jan 14
Banwari G, Mistry K, Soni A, Parikh N, Gandhi H. Medical students and interns' knowledge about and attitude towards homosexuality. J Postgrad Med;61(2):95. Doi: https://doi.org/10.4103/0022-3859.153103 PMid:25766341 PMCid:PMC4943442
India's Healthcare Systems Persistently Exclude LGBTQ+ People. This Needs To Change. Available from: https://thewire.in/health/indias-healthcare-systems-persistently-exclude-lgbtq-people-this-needs-to-change. Accessed 2023 Feb 4
Campbell M, Hinton JDX, Anderson JR. A systematic review of the relationship between religion and attitudes toward transgender and gender-variant people. Int J Transgenderism;20(1):21. Doi: https://doi.org/10.1080/15532739.2018.1545149 PMid:32999592 PMCid:PMC6830999
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Copyright (c) 2023 Lakhan LRK Kataria , Rohan J Kosambiya , Vankar GK, Balas Rohit N, Kritagnasinh N Vaghela
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