Awareness of LGBTQ+ health disparities: A survey study of complementary integrative health providers.

IF 0.7 Q4 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Chiropractic Education Pub Date : 2023-10-01 DOI:10.7899/JCE-22-2

Kara D Burnham, Suzanne D Lady, Cecelia Martin

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引用次数: 0

Abstract

Objective: The purpose of this study was to survey awareness of lesbian, gay, bisexual, transgender, queer/questioning, plus health disparities among complementary integrative health providers; chiropractors, naturopaths, acupuncturists, and massage therapists and secondly, examine how providers' sexual and gender identity correlated with that awareness.

Methods: An electronic survey was designed, which included demographic questions as well as closed-ended and Likert response items to measure provider awareness of LGBTQ+ patients and the health disparities they experience. Kruskal-Wallis H tests with pairwise comparisons were used to evaluate the differences between defined groups and their awareness of health disparities of LGBTQ+ adults and youth.

Results: The survey showed that most complementary integrative health care providers agreed that LGBTQ+ individuals experience discrimination and health disparities. However, providers are unaware of the specific disparities experienced in this population, including increased risk of substance abuse and mental health issues. Pairwise comparison tests demonstrated that providers that identify as a part of the LGBTQ+ community are often more aware of disparities than their heterosexual cisgender counterparts.

Conclusion: Complementary integrative health care providers demonstrated some general awareness of LGBTQ+ health disparities yet most providers lacked awareness of specific disparities that pose major health risks for this community. Cultural competency training specific to LGBTQ+ individuals is lacking and may explain some of the findings in this study. This suggests that education is needed, both in professional educational programs and in the health care community by way of conferences, webinars, and other opportunities.

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对LGBTQ+健康差异的认识：一项针对互补综合健康提供者的调查研究。

目的：本研究的目的是调查互补综合健康提供者对女同性恋、男同性恋、双性恋、跨性别者、酷儿/质疑以及健康差异的认识；脊医、自然疗法医生、针灸师和按摩治疗师，其次，研究提供者的性和性别认同如何与这种意识相关。方法：设计了一项电子调查，其中包括人口统计学问题以及封闭式和Likert回答项目，以衡量提供者对LGBTQ+患者的认识以及他们所经历的健康差异。Kruskal-Wallis H检验和成对比较用于评估确定的群体之间的差异以及他们对LGBTQ+成年人和青年健康差异的认识。结果：调查显示，大多数互补的综合医疗保健提供者都认为LGBTQ+个体会受到歧视和健康差异。然而，提供者不知道这一人群中存在的具体差异，包括药物滥用和心理健康问题的风险增加。成对比较测试表明，作为LGBTQ+群体一部分的提供者往往比异性恋顺性别者更清楚差异。结论：补充性综合医疗保健提供者对LGBTQ+健康差异有一定的普遍认识，但大多数提供者缺乏对对该社区构成重大健康风险的特定差异的认识。缺乏针对LGBTQ+人群的文化能力培训，这可能解释了本研究的一些发现。这表明，无论是在专业教育项目中，还是在医疗保健社区，都需要通过会议、网络研讨会和其他机会进行教育。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Chiropractic Education EDUCATION, SCIENTIFIC DISCIPLINES-

CiteScore

2.20

自引率

37.50%

发文量

期刊介绍： The Journal of Chiropractic Education is an international, peer-reviewed journal dedicated to publishing research and scholarly articles pertaining to education theory, pedagogy, methodologies, practice, and other content relevant to the health professions academe. Journal contents are of interest to teachers, researchers, clinical educators, administrators, and students.