Patient sexual orientation and gender identity disclosure.

The Clinical Teacher
Abigail JamiesonCarrie Llewellyn

Abstract

In the UK, 2.3% of men and 1.6% of women identify as lesbian, gay or bisexual (LGB). Of the UK population, 1% are estimated to identify as transgender (T). Of the LGB population, 46% do not disclose their sexual orientation to health care professionals (HCPs) and 18% of transgender patients avoid health care altogether. Non-disclosure of sexual orientation and/or gender identity contributes to worse health outcomes for LGBT patients. This study aimed to explore medical students' perceptions of the barriers to health care for LGBT patients and the importance of patient disclosure of sexual orientation or gender identity. Focus groups included medical students across five year-groups from a medical school in the South East of England. Discussions followed a pre-approved topic guide with a primary and co-facilitator present. Focus groups were audio-recorded, transcribed verbatim and the data underwent framework analysis. Forty-five undergraduate medical students participated (40% of whom were non-heterosexual). Most participants believed that the incorrect use of pronouns and discrimination would be a cause for non-disclosure of gender identity and sexual orientation to HCPs. Several participants thought it was more important to k...Continue Reading

References

Sep 18, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Allison TongJonathan Craig
Sep 9, 2011·JAMA : the Journal of the American Medical Association·Juno Obedin-MaliverMitchell R Lunn
Mar 7, 2013·Sexuality Research & Social Policy : Journal of NSRC : SR & SP·Laura E Durso, Ilan H Meyer
Sep 21, 2013·BMC Medical Research Methodology·Nicola K GaleSabi Redwood
Jul 18, 2015·CA: a Cancer Journal for Clinicians·Gwendolyn P QuinnMatthew B Schabath
Jan 16, 2016·BMC International Health and Human Rights·Grayce Alencar AlbuquerqueFernando Adami
Jan 31, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Hannah BrooksChristina J Jones

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Citations

Sep 30, 2020·The Clinical Teacher·James BriceWilliam Mullins

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