LGBTQIA+ Cultural Competency of Psychiatrists in an Indian State: A Cross-Sectional Study.

IF 2.4 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Journal of Homosexuality Pub Date : 2025-03-05 DOI:10.1080/00918369.2025.2469572

Sreya Mariyam Salim, Shahul Ameen, Shabeer Chenganakkattil, Jithu Valiyapurayil, Lallchand Anilal

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引用次数: 0

Abstract

Indian studies have highlighted medical students' negative attitudes toward LGBTQIA+ individuals and a lack of LGBTQIA+-informed training. However, no study has assessed the LGBTQIA+-cultural competency of Indian psychiatrists. This cross-sectional study assessed the cultural competency of psychiatrists in Kerala, an Indian state, and explored its association with relevant sociodemographic and experiential variables. LGBTQIA+ cultural competency was measured using the LGBT Development of Clinical Skills Scale (LGBT-DOCSS). Data were collected through stratified convenience sampling, in-person at psychiatry meetings and online through WhatsApp. Participants (N = 166) had a moderate overall LGBT-DOCSS score (mean ± SD: 5.03 ± 0.80). Subscales showed moderate knowledge (median: 5.50, IQR: 2), high attitudinal awareness (median: 6.14, IQR: 1), and low clinical preparedness (3.88 ± 1.43). LGB (5.16 ± 0.83) and transgender (5.02 ± 0.85) cultural competencies were moderate. Most participants (n = 160, 96.4%) treated < 5 LGBTQIA+ patients per month, and only 16 (9.6%) had received LGBTQIA+-informed training. Age (ρ = -0.18, p = 0.018) and religiosity (ρ = -0.23, p = 0.002) were significantly negatively correlated with cultural competency. Psychiatrists who treated < 5 LGBTQIA+ patients per month demonstrated significantly lesser cultural competency than those who treated 5-10 (t = -2.78, p = 0.033). Psychiatrists in Kerala have moderate LGBTQIA+ cultural competency, with high attitudinal awareness, moderate knowledge, and low clinical preparedness. This study highlights the need for comprehensive cultural competency training.

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来源期刊

Journal of Homosexuality Multiple-

CiteScore

5.60

自引率

7.70%

发文量

164

期刊介绍： The Journal of Homosexuality is an internationally acclaimed, peer-reviewed publication devoted to publishing a wide variety of disciplinary and interdisciplinary scholarship to foster a thorough understanding of the complexities, nuances, and the multifaceted aspects of sexuality and gender. The chief aim of the journal is to publish thought-provoking scholarship by researchers, community activists, and scholars who employ a range of research methodologies and who offer a variety of perspectives to continue shaping knowledge production in the arenas of lesbian, gay, bisexual, transgender (LGBT) studies and queer studies. The Journal of Homosexuality is committed to offering substantive, accessible reading to researchers and general readers alike in the hope of: spurring additional research, offering ideas to integrate into educational programs at schools, colleges & universities, or community-based organizations, and manifesting activism against sexual and gender prejudice (e.g., homophobia, biphobia and transphobia), including the promotion of sexual and gender justice.