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Medical students’ perceptions of LGBTQ+ healthcare in Singapore and the United Kingdom

INTRODUCTION: Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) individuals have an increased scope of healthcare needs and face many barriers to accessing healthcare. However, LGBTQ+ healthcare education remains scarce, and students’ understanding of LGBTQ+ h...

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Autores principales: Fu, Michael X., Zou, Tangming, Aiyappan, Raksha, Ye, Xinyu, Onanuga, Simisola, Tan, Angela, Smith, Susan, Baptista, Ana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627960/
https://www.ncbi.nlm.nih.gov/pubmed/37942419
http://dx.doi.org/10.3389/fmed.2023.1236715
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author Fu, Michael X.
Zou, Tangming
Aiyappan, Raksha
Ye, Xinyu
Onanuga, Simisola
Tan, Angela
Smith, Susan
Baptista, Ana
author_facet Fu, Michael X.
Zou, Tangming
Aiyappan, Raksha
Ye, Xinyu
Onanuga, Simisola
Tan, Angela
Smith, Susan
Baptista, Ana
author_sort Fu, Michael X.
collection PubMed
description INTRODUCTION: Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) individuals have an increased scope of healthcare needs and face many barriers to accessing healthcare. However, LGBTQ+ healthcare education remains scarce, and students’ understanding of LGBTQ+ healthcare remains largely uncharacterised. This study investigated the knowledge of and attitudes toward LGBTQ+ healthcare among medical students in Singapore and the United Kingdom (UK), two culturally different countries. METHODS: Medical students in two medical schools, one in Singapore and the other in the UK, completed self-administered cross-sectional surveys using multiple-choice, Likert scale, and free-text questions to explore their ideas, concerns, and expectations about LGBTQ+ healthcare education within their medical curricula. RESULTS: From 330 responses, students’ knowledge levels were moderate overall, with pronounced gaps in certain areas, including terminology, sexual health, and conversion therapy. Deficiencies in knowledge were significantly greater among students in Singapore compared to the UK (p < 0.001), whilst LGBTQ+ students and non-religious students had more positive knowledge and attitudes than students not identifying. At least 78% of students had positive attitudes towards LGBTQ+ individuals, but 84% had not received LGBTQ+-specific medical education. Although junior UK students were more satisfied with the adequacy of teaching by their medical school’s incorporation of LGBTQ+ inclusive teaching in a newer curriculum, qualitative analyses suggested that students in both countries wanted to receive more training. Students further suggested improvements to the medical curriculum to meet their needs. CONCLUSION: Students in both schools lacked understanding of commonly-used terminology and topics such as sexual healthcare despite affirming attitudes towards LGBTQ+ healthcare. Although sociolegal contexts may affect students’ perspectives, differences were less than thought, and students were equally keen to provide affirmative care to their patients. They emphasised a need for more formal teaching of LGBTQ+ healthcare professions to overcome healthcare disparities in these communities.
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spelling pubmed-106279602023-11-08 Medical students’ perceptions of LGBTQ+ healthcare in Singapore and the United Kingdom Fu, Michael X. Zou, Tangming Aiyappan, Raksha Ye, Xinyu Onanuga, Simisola Tan, Angela Smith, Susan Baptista, Ana Front Med (Lausanne) Medicine INTRODUCTION: Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) individuals have an increased scope of healthcare needs and face many barriers to accessing healthcare. However, LGBTQ+ healthcare education remains scarce, and students’ understanding of LGBTQ+ healthcare remains largely uncharacterised. This study investigated the knowledge of and attitudes toward LGBTQ+ healthcare among medical students in Singapore and the United Kingdom (UK), two culturally different countries. METHODS: Medical students in two medical schools, one in Singapore and the other in the UK, completed self-administered cross-sectional surveys using multiple-choice, Likert scale, and free-text questions to explore their ideas, concerns, and expectations about LGBTQ+ healthcare education within their medical curricula. RESULTS: From 330 responses, students’ knowledge levels were moderate overall, with pronounced gaps in certain areas, including terminology, sexual health, and conversion therapy. Deficiencies in knowledge were significantly greater among students in Singapore compared to the UK (p < 0.001), whilst LGBTQ+ students and non-religious students had more positive knowledge and attitudes than students not identifying. At least 78% of students had positive attitudes towards LGBTQ+ individuals, but 84% had not received LGBTQ+-specific medical education. Although junior UK students were more satisfied with the adequacy of teaching by their medical school’s incorporation of LGBTQ+ inclusive teaching in a newer curriculum, qualitative analyses suggested that students in both countries wanted to receive more training. Students further suggested improvements to the medical curriculum to meet their needs. CONCLUSION: Students in both schools lacked understanding of commonly-used terminology and topics such as sexual healthcare despite affirming attitudes towards LGBTQ+ healthcare. Although sociolegal contexts may affect students’ perspectives, differences were less than thought, and students were equally keen to provide affirmative care to their patients. They emphasised a need for more formal teaching of LGBTQ+ healthcare professions to overcome healthcare disparities in these communities. Frontiers Media S.A. 2023-10-24 /pmc/articles/PMC10627960/ /pubmed/37942419 http://dx.doi.org/10.3389/fmed.2023.1236715 Text en Copyright © 2023 Fu, Zou, Aiyappan, Ye, Onanuga, Tan, Smith and Baptista. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Fu, Michael X.
Zou, Tangming
Aiyappan, Raksha
Ye, Xinyu
Onanuga, Simisola
Tan, Angela
Smith, Susan
Baptista, Ana
Medical students’ perceptions of LGBTQ+ healthcare in Singapore and the United Kingdom
title Medical students’ perceptions of LGBTQ+ healthcare in Singapore and the United Kingdom
title_full Medical students’ perceptions of LGBTQ+ healthcare in Singapore and the United Kingdom
title_fullStr Medical students’ perceptions of LGBTQ+ healthcare in Singapore and the United Kingdom
title_full_unstemmed Medical students’ perceptions of LGBTQ+ healthcare in Singapore and the United Kingdom
title_short Medical students’ perceptions of LGBTQ+ healthcare in Singapore and the United Kingdom
title_sort medical students’ perceptions of lgbtq+ healthcare in singapore and the united kingdom
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627960/
https://www.ncbi.nlm.nih.gov/pubmed/37942419
http://dx.doi.org/10.3389/fmed.2023.1236715
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