Knowledge level and perceptions about LGBT health: an analysis of medical students in Salvador, Brazil
DOI:
https://doi.org/10.53660/CONJ-631-514Resumo
Objectives: To understand the perception of medical students about their education in the healthcare context experienced by LGBT individuals. Methods: A structured questionnaire was administered regarding their assessment of theoretical and practical training in attending the LGBT public. Results: 49.52% of the students showed great interest in the topic, with most representation coming from LGBT students. Although 98.10% agreed on the need for more training, 33.33% reported that they had never read about the LGBT Health Policy. They considered necessary LGBT-focused training (86.19%) and thought the LGBT population suffers discrimination when seeking healthcare (95.24%). Conclusion: medical students are aware of the deficit in healthcare access of the LGBT community and perceive a gap in their education about LGBT health.
Downloads
Referências
ALBUQUERQUE, G. A. et al. Homosexuality and the right to health: a challenge for health policies in Brazil. Saúde em Debate, v. 37, n. 98, p. 516–524, 2013.
ALBUQUERQUE, G. A. et al. Access to health services by lesbian, gay, bisexual, and transgender persons: systematic literature review. BMC International Health and Human Rights, v. 16, n. 1, p. 2, 2016.
AMERICAN PSYCHOLOGICAL ASSOCIATION. APA Proposes Deletion of Sexual Orientation Diagnoses in ICD-10. Disponível em: <https://www.apa.org/pi/lgbt/resources/icd-10>. Acesso em: 12 dez. 2020.
BOURDON, J. L.; SAUNDERS, T. R.; HANCOCK, L. C. Acknowledgement and support matter: A brief report on gender identity and sexual orientation at a large, urban university. Journal of American College Health, v. 66, n. 8, p. 809–812, 2018.
BRASIL. Constituição da República Federativa do Brasil [Constitution of the Federative Republic of Brazil]. Disponível em: <http://www.planalto.gov.br/ccivil_03/constituicao/constituicao.htm>. Acesso em: 18 jul. 2020.
BRASIL. National Integral LGBT Health Policy. Disponível em: <https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_saude_lesbicas_gays.pdf>.
BRASIL. Portaria No 2.436, de 21 de setembro de 2017. Disponível em: <https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html>. Acesso em: 18 jul. 2020.
CICERO, E. C. et al. The health status of transgender and gender nonbinary adults in the United States. PLOS ONE, v. 15, n. 2, p. e0228765, 2020.
COCHRAN, S. D. et al. Proposed declassification of disease categories related to sexual orientation in the International Statistical Classification of Diseases and Related Health Problems (ICD-11). Bulletin of the World Health Organization, v. 92, n. 9, p. 672–679, 2014.
COOPER, M. B.; CHACKO, M.; CHRISTNER, J. Incorporating LGBT Health in an Undergraduate Medical Education Curriculum Through the Construct of Social Determinants of Health. MedEdPORTAL : the journal of teaching and learning resources, v. 14, p. 10781, 2018.
DEVITA, T.; BISHOP, C.; PLANKEY, M. Queering medical education: systematically assessing LGBTQI health competency and implementing reform. Medical Education Online, v. 23, n. 1, 2018.
DUBIN, S. N. et al. Transgender health care: improving medical students and residents training and awareness. Advances in Medical Education and Practice, v. Volume 9, p. 377–391, 2018.
GREENE, M. Z. et al. Comparing medical, dental, and nursing students’ preparedness to address lesbian, gay, bisexual, transgender, and queer health. PLOS ONE, v. 13, n. 9, p. e0204104, 2018.
GUIMARÃES, R. DE C. P. et al. Health assistance of LGBT people in a brazilian capital: what do Community Health Agents say? Tempus, actas de saúde coletiva, v. 11, n. 1, 2017.
HONIGBERG, M. C. et al. Curricular Time, Patient Exposure, and Comfort Caring for Lesbian, Gay, Bisexual, and Transgender Patients among Recent Medical Graduates. LGBT Health, v. 4, n. 3, p. 237–239, 2017.
LIONÇO, T. Comprehensiveness and sexual diversity in the Brazilian norm in the process of health care for transsexuals: Progress, dilemmas, challenges. Physis, v. 19, n. 1, p. 43–63, 2009.
LLAYTON, C. K.; CALDAS, L. M. Strategies for inclusion of Lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) education throughout pharmacy school curricula. Pharmacy Practice, v. 18, n. 1, 2020.
LOPES, L. P.; CARVALHO, M. G. F.; ARAUJO, L. M. B. Gender diversity and health acess: perceptions of the students of nursing and medicine of centro universitário patos de Minas. Brazilian Journal of Health Review, v. 2, n. 4, p. 3286–3302, 2019.
MEYER, I. H. Prejudice, Social Stress, and Mental Health in Lesbian, Gay, and Bisexual Populations: Conceptual Issues and Research Evidence. Psychological Bulletin, v. 129, n. 5, p. 674–697, 2003.
NEGREIROS, F. R. N. DE et al. Health of Lesbians, Gays, Bisexuals, Transvestites and Transsexuals: from Medical Training to Professional Activities. Revista Brasileira de Educação Médica, v. 43, n. 1, p. 23–31, 2019.
NGUYEN, T. V. Update on Medical Education, Insurance Coverage, and Health Care Policy for Lesbian, Gay, Bisexual, Transgender, Questioning, Intersexual, and Asexual Patients. Dermatologic Clinics, v. 38, n. 2, p. 201–207, 2020.
NOWASKIE, D. Z.; PATEL, A. U.; FANG, R. C. A multicenter, multidisciplinary evaluation of 1701 healthcare professional students’ LGBT cultural competency: Comparisons between dental, medical, occupational therapy, pharmacy, physical therapy, physician assistant, and social work students. PLOS ONE, v. 15, n. 8, p. e0237670, 2020.
PACHANKIS, J. E.; BRANSTROM, R. How many sexual minorities are hidden? Projecting the size of the global closet with implications for policy and public health. PLoS ONE, v. 14, n. 6, p. 1–12, 2019.
PHELAN, S. M. et al. Medical School Factors Associated with Changes in Implicit and Explicit Bias Against Gay and Lesbian People among 3492 Graduating Medical Students. Journal of General Internal Medicine, v. 32, n. 11, p. 1193–1201, 2017.
POPADIUK, G. S.; OLIVEIRA, D. C.; SIGNORELLI, M. C. The National Policy for Comprehensive Health of Lesbians, Gays, Bisexuals and Transgender (LGBT) and access to the Sex Reassignment Process in the Brazilian Unified Health System (SUS): progress and challenges. Ciência & Saúde Coletiva, v. 22, n. 5, p. 1509–1520, 2016.
ROCON, P. C. et al. Difficulties experienced by trans people in accessing the Unified Health System. Ciencia e Saude Coletiva, v. 21, n. 8, p. 2517–2525, 2016.
SALKIND, J. et al. LGBT+ health teaching within the undergraduate medical curriculum. International Journal of Environmental Research and Public Health, v. 16, n. 13, 2019.
SEKONI, A. O. et al. The effects of educational curricula and training on LGBT-specific health issues for healthcare students and professionals: A mixed-method systematic review: A. Journal of the International AIDS Society, v. 20, n. 1, p. 1–13, 2017.
SHINDEL, A. W.; PARISH, S. J. Sexuality Education in North American Medical Schools: Current Status and Future Directions (CME). Journal of Sexual Medicine, v. 10, n. 1, p. 3–18, 2013.
TAYLOR, A. K.; CONDRY, H.; CAHILL, D. Implementation of teaching on LGBT health care. Clinical Teacher, v. 15, n. 2, p. 141–144, 2018.
UNDERMAN, K. et al. Transgender Health: A Standardized Patient Case for Advanced Clerkship Students. MedEdPORTAL, v. 12, n. 1, p. 1–5, 2016.
WAHLEN, R. et al. Medical students’ knowledge of and attitudes towards LGBT people and their health care needs: Impact of a lecture on LGBT health. PLoS ONE, v. 15, n. 7 July, p. 1–13, 2020.
WHITE, W. et al. Lesbian, Gay, Bisexual, and Transgender Patient Care: Medical Students’ Preparedness and Comfort. Teaching and Learning in Medicine, v. 27, n. 3, p. 254–263, 2015.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2022 Conjecturas
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.