Korean healthcare providers’ attitude, knowledge, and behaviors regarding sexual orientation and gender identity: a cross-sectional survey
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Purpose: This study investigated Korean healthcare providers’ attitudes toward sexual and gender minority (SGM) persons and their knowledge and behavior concerning the collection of data on sexual orientation and gender identity (SO/GI). Methods: In this cross-sectional, descriptive study, 137 Korean healthcare providers were recruited through convenience sampling from internet communities for medical professionals. A structured questionnaire was created using Google Surveys. The Mann-Whitney U-test, Kruskal-Wallis test, and Spearman correlation analysis were performed.Results: Healthcare providers had overall negative attitudes toward SGM persons and low levels of knowledge and behavior with regard to the collection of patients’ SO/GI data. Participants in their 20s, who were religious, and had clinical experiences in treating or providing nursing care for SGM persons had higher levels of knowledge about the collection of SO/GI data. The level of engagement in collecting SO/GI data was higher among women and in their 20s and 30s, unreligious participants, nurses, and those with less than 10 years of clinical experience. Positive attitudes toward SGM persons were associated with higher levels of knowledge, but lower levels of behavior, regarding the collection of SO/GI data.Conclusion: It is important to recognize the diversity of patients’ SO/GI and to collect the corresponding information. To this end, it is necessary to develop and use a standardized SO/GI form. Healthcare providers should also receive education and training related to the health of SGM persons to resolve health problems that disproportionately affect SGM persons and related health disparities.
Abstract
Purpose: This study investigated Korean healthcare providers’ attitudes toward sexual and gender minority (SGM) persons and their knowledge and behavior concerning the collection of data on sexual orientation and gender identity (SO/GI). Methods: In this cross-sectional, descriptive study, 137 Korean healthcare providers were recruited through convenience sampling from internet communities for medical professionals. A structured questionnaire was created using Google Surveys. The Mann-Whitney U-test, Kruskal-Wallis test, and Spearman correlation analysis were performed.Results: Healthcare providers had overall negative attitudes toward SGM persons and low levels of knowledge and behavior with regard to the collection of patients’ SO/GI data. Participants in their 20s, who were religious, and had clinical experiences in treating or providing nursing care for SGM persons had higher levels of knowledge about the collection of SO/GI data. The level of engagement in collecting SO/GI data was higher among women and in their 20s and 30s, unreligious participants, nurses, and those with less than 10 years of clinical experience. Positive attitudes toward SGM persons were associated with higher levels of knowledge, but lower levels of behavior, regarding the collection of SO/GI data.Conclusion: It is important to recognize the diversity of patients’ SO/GI and to collect the corresponding information. To this end, it is necessary to develop and use a standardized SO/GI form. Healthcare providers should also receive education and training related to the health of SGM persons to resolve health problems that disproportionately affect SGM persons and related health disparities.
참고문헌 (33)
- Sexual and Gender Minority Research Office, "NIH FY 2021–2025 Strategic plan to advance research on the health and well-being of sexual and gender minorities", pp.19~ (2019), National Institutes of Health
- "LGBT identification rises to 5.6% in latest U.S. estimate" (2021)[URL]
- Park DH, "Ambassadors from six countries announced their first joint position, “The international community will continue to support the queer culture festival.”", The Hankyoreh. 2019 Jun 2, ~ (2019)
- 석승혜, "한국사회의 마이너리티 생산과 차별태도", 한국사회, 17(1), pp.81~122 (2016), 한국사회연구소[DOI]
- Korean Association for LGBTI Studies, "Rainbows want more colors: beyond the hate of LGBTQ, with the expansion of human rights", pp.370~ (2019), Changbi Publishers
- Kosciw JG, "The 2013 national school climate survey: the experiences of lesbian, gay, bisexual and gender and transgender youth in our nation’s schools", pp.139~ (2014), GLSEN
- Martin Plöderl, "Mental health of sexual minorities. A systematic review", International Review of Psychiatry, 27(5), pp.367~385 (2015), Informa UK Limited[DOI]
- Billy A. Caceres, "A Systematic Review of Cardiovascular Disease in Sexual Minorities", American Journal of Public Health, 107(4), pp.e13~e21 (2017), American Public Health Association[DOI]
- 이혜민, "Experiences of and barriers to transition-related healthcare among Korean transgender adults: focus on gender identity disorder diagnosis, hormone therapy, and sex reassignment surgery", Epidemiology and Health, 40, pp.1~13 (2018), 한국역학회[DOI]
- Chandra L. Jackson, "Sexual orientation identity disparities in health behaviors, outcomes, and services use among men and women in the United States: a cross-sectional study", BMC Public Health, 16(1), pp.807~ (2016), Springer Science and Business Media LLC[DOI]
- Jerel P. Calzo, "Sexual orientation disparities in eating disorder symptoms among adolescent boys and girls in the UK", European Child & Adolescent Psychiatry, 27(11), pp.1483~1490 (2018), Springer Science and Business Media LLC[DOI]
- Chelsea L. Shover, "Using Sexual Orientation and Gender Identity to Monitor Disparities in HIV, Sexually Transmitted Infections, and Viral Hepatitis", American Journal of Public Health, 108(S4), pp.S277~S283 (2018), American Public Health Association[DOI]
- Jennifer L. Truman, "Measuring Sexual Orientation and Gender Identity in the National Crime Victimization Survey", Journal of Official Statistics, 35(4), pp.835~858 (2019), Walter de Gruyter GmbH[DOI]
- Matthew B. Schabath, "Ask and Tell: The Importance of the Collection of Sexual Orientation and Gender Identity Data to Improve the Quality of Cancer Care for Sexual and Gender Minorities", Journal of Oncology Practice, 13(8), pp.542~546 (2017), American Society of Clinical Oncology (ASCO)[DOI]
- Hannah Brooks, "Sexual orientation disclosure in health care: a systematic review", British Journal of General Practice, 68(668), pp.e187~e196 (2018), Royal College of General Practitioners[DOI]
- 정금희, "문화간호역량 개념 분석", 여성건강간호학회지, 22(2), pp.86~95 (2016), 한국여성건강간호학회
- 이혜민, "한국 성소수자 건강 연구: 체계적 문헌고찰", 보건과 사회과학, (36), pp.43~79 (2014), 한국보건사회학회
- A. D. Fisher, "Who has the worst attitudes toward sexual minorities? Comparison of transphobia and homophobia levels in gender dysphoric individuals, the general population and health care providers", Journal of Endocrinological Investigation, 40(3), pp.263~273 (2016), Springer Science and Business Media LLC[DOI]
- Angelo Brandelli Costa, "Validation Study of the Revised Version of the Scale of Prejudice Against Sexual and Gender Diversity in Brazil", Journal of Homosexuality, 63(11), pp.1446~1463 (2016), Informa UK Limited[DOI]
- Wantana Maneesriwongul, "Instrument translation process: a methods review", Journal of Advanced Nursing, 48(2), pp.175~186 (2004), Wiley[DOI]
- Rose JA, "An evaluation of a hospital’s communication cultural competence stafftraining to increase disclosure and data collection on sexual orientation and gender identity: toward reducing health disparities for lesbian, gay, bisexual and gender, and transgender patients", pp.2019
- "Society at a glance 2019: OECD social indicators" (2019)[URL]
- Juliana Ledur Stucky, "Prejudice Against Gender and Sexual Diversity in Brazilian Public High Schools", Sexuality Research and Social Policy, 17(3), pp.429~441 (2019), Springer Science and Business Media LLC[DOI]
- Kerry B. O’Leary, "Restructuring LGBTQ Curriculum in Medical Schools", Academic Psychiatry, 45(4), pp.487~490 (2021), Springer Science and Business Media LLC[DOI]
- Kim MK, "The influence of nurses’ experience and homophobia toward sexual and gender minority patients on competency", pp.2016
- Matthew Morris, "Training to reduce LGBTQ-related bias among medical, nursing, and dental students and providers: a systematic review", BMC Medical Education, 9(1), pp.325~ (2019), Springer Science and Business Media LLC[DOI]
- "Healthcare Equality Index 2020: promoting equitable and inclusive care for LGBTQ patients and their families" (2021)[URL]
- Sean Cahill, "Sexual and Gender Minority Health in the COVID-19 Pandemic: Why Data Collection and Combatting Discrimination Matter Now More Than Ever", American Journal of Public Health, 110(9), pp.1360~1361 (2020), American Public Health Association[DOI]
- Lisa M Kodadek, "Collecting sexual orientation and gender identity information in the emergency department : the divide between patient and provider perspectives", Emergency Medicine Journal, 36(3), pp.136~141 (2019), BMJ[DOI]
- Allysha C. Maragh-Bass, "Risks, Benefits, and Importance of Collecting Sexual Orientation and Gender Identity Data in Healthcare Settings: A Multi-Method Analysis of Patient and Provider Perspectives", LGBT Health, 4(2), pp.141~152 (2017), Mary Ann Liebert Inc[DOI]
- 이혜미, "문화콘텐츠의 인정 효과: 성소수자에 대한 인식변화를 중심으로(1920-2017)", 한국콘텐츠학회 논문지, 18(7), pp.84~94 (2018), 한국콘텐츠학회[DOI]
- "Healthy People 2030: LGBT objectives" (2020)[URL]
- "The 5th National Health Plan (HP2030)" (2021)[URL]