Attitudes Toward Transgender People Among Medical Students in South Korea

Sexual Medicine - Tập 9 - Trang 100278 - 2021
Sa Ra Lee1, Min-A Kim2, Mun Nyeong Choi2, Suyeon Park3, Jaehyun Cho2, Chulmin Lee4, Eun Sil Lee2
1Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Seoul Asan Medical Center, Seoul, Republic of Korea
2Department of Obstetrics and Gynecology, Soonchunhyang University Seoul Hospital, Soonchunhyang University School of Medicine, Seoul, Korea
3Department of Biostatistics, Soonchunhyang University Seoul Hospital, Seoul, Korea
4Department of Obstetrics and Gynecology, Cha University Ilsan Cha Hospital, Cha University School of Medicine, Ilsan, Korea

Tóm tắt

Abstract Introduction Interventions aimed at changing knowledge, attitudes, and beliefs of resident physicians and medical students have been made to incite a significant positive increase in attitudes, comfort, and knowledge toward the lesbian, gay, bisexual, and transgender (LGBT) community, as well as increased levels of competency among participants. Aim To use insights from the attitudes of medical students toward transgender people and demonstrate that adding lectures on transgenderism would make the medical school curricula more comprehensive and trans-inclusive by improving overall attitudes toward the LGBT community. Methods A total of 49 medical students completed the preintervention survey with the Genderism and Transphobia Scale and Attitudes Toward Transgendered Individuals Scale, and then took a class on transgenderism, whereas 39 individuals completed the 4-week postintervention survey following the same measures. Main Outcome Measure Three items of survey were demographic characteristics, the Genderism and Transphobia Scale, and the Attitude Toward Transgender Individuals Scale. Results Although there was no significant difference in mean score between the preintervention and postintervention surveys, those who had minority individuals as peers and those who had previous LGBT-related education showed significantly positive attitudes than those without after the lecture. As a result of analyzing all the data from the pre/postintervention surveys, being of the female gender and having minority individuals as peers positively affected attitude. Conclusion Although there was no significant attitude change after the lecture, those who had previous LGBT-related education showed significantly positive attitudes at pre/postintervention surveys than those without. These findings suggest that raising awareness and education should be continued for a positive attitude toward more vulnerable groups such as the LGBT. Given the lack of studies on transgenderism that involve students in the medical profession in South Korea, this study shows the necessity of curricula creation of transgenderism education. This study aims to serve as a basis for curricula creation and student guidance that will help creating more positive attitudes toward sexual and gender minorities.

Tài liệu tham khảo

Duvivier, 2015, WHO and the health of LGBT individuals, Lancet, 385, 21, 10.1016/S0140-6736(15)60595-5 Kidd, 2016, Severe mental illness in LGBT populations: a scoping review, Psychiatr Serv, 67, 779, 10.1176/appi.ps.201500209 Watson, 2019, Sexual and gender minority youth alcohol use: within-group differences in associations with internalized stigma and victimization, J Youth Adolesc, 48, 2403, 10.1007/s10964-019-01130-y World Professional Association for Transgender Health, 2012, Standards of care for the health of Transsexual, transgender, and gender Nonconforming people, 7th ed. Minneapolis Winter, 2016, Transgender people: health at the margin of society, Lancet, 388, 390, 10.1016/S0140-6736(16)00683-8 Goldhammer, 2018, National findings from and LGBT healthcare organizational needs assessment, LGBT Health, 8, 461, 10.1089/lgbt.2018.0118 Kattari, 2017, Differences in experiences of discrimination in accessing social services among transgender/gender nonconforming individuals by (dis)ability, J Soc Work Disabil Rehabil, 16, 114 Safer, 2016, Barriers to healthcare for transgender individuals, Curr Opin Endocrinol Diabetes Obes, 23, 168, 10.1097/MED.0000000000000227 Lee, 2018, Experience of and barriers to transition-related healthcare among Korean transgender adults: Focus on gender identity disorder diagnosis, hormone therapy, and sex reassignment surgery, Epidemiol Health, 40, 1, 10.4178/epih.e2018005 Korpaisarn, 2018, Gaps in transgender medical education among healthcare providers: a major barrier to care for transgender persons, Rev Endocr Metab Disord, 19, 271, 10.1007/s11154-018-9452-5 Liang, 2017, Observed deficiencies in medical student knowledge of transgender and intersex health, Endocr Pract, 23, 897, 10.4158/EP171758.OR White, 2015, Lesbian, gay, bisexual, and transgender patient care: medical students’ preparedness and comfort, Teach Learn Med, 27, 254, 10.1080/10401334.2015.1044656 Cherabie, 2018, Transgender health medical education intervention and its effects on beliefs, attitudes, comfort, and knowledge, Kans J Med, 29, 106, 10.17161/kjm.v11i4.8707 Kidd, 2016, Special-“T” training: Extended follow-up results from a residency-wide professionalism workshop on transgender health, Acad Psychiatry, 40, 802, 10.1007/s40596-016-0570-7 Dowshen, 2014, Improving transgender health education for future doctors, Am J Pub Health, 1204, e5, 10.2105/AJPH.2014.301978 Sekoni, 2017, The effects of educational curricula and training on LGBT-specific health issues for healthcare students and professionals: a mixed-method systematic review, J Int AIDS Soc, 20, 21624, 10.7448/IAS.20.1.21624 Safer, 2013, A simple curriculum content change increased medical student comfort with transgender medicine, Endocr Pract, 19, 633, 10.4158/EP13014.OR Hill, 2005, The development and validation of the genderism and transphobia scale, Sex Roles, 53, 531, 10.1007/s11199-005-7140-x Tebbe, 2014, Revised and abbreviated forms of the genderism and transphobia scale: tools for assessing anti-trans prejudice, J Coun Psychol, 61, 581 Walch, 2012, The attitudes toward transgendered individuals scale: Psychometric properties, Arch Sex Behav, 41, 1283, 10.1007/s10508-012-9995-6 Roberts, 2014, Barriers to quality health care for the transgender population, Clin Biochem, 47, 983, 10.1016/j.clinbiochem.2014.02.009 Bockting, 2004, Patient satisfaction with transgender health services, J Sex Marital Ther, 30, 277, 10.1080/00926230490422467 Cobos, 2009, Moving forward: transgender persons as change agents in health care access and human rights, J Assoc Nurses AIDS Care, 20, 341, 10.1016/j.jana.2009.06.004 2015, Human Rights Situation of LGBTI in South Korea: Annual review Dubin, 2018, Transgender health care: improving medical students’ and residents’ training and awareness, Adv Med Educ Pract, 9, 377, 10.2147/AMEP.S147183 Sanchez, 2009, Health care utilization, barriers to care, and hormone usage among male-to-female transgender persons in New York City, Am J Public Health, 99, 713, 10.2105/AJPH.2007.132035 Jennifer, 2018, Attitudes toward trans youth scale: Development and Initial validation (doctors of philosophy) Kwak, 2019, Severity and influencing factors of homophobia in Korean nursing students, Int J Environ Res Public Health, 16, 4692, 10.3390/ijerph16234692 Nagoshi, 2008, Gender differences in correlates of homophobia and transphobia, Sex Roles, 59, 521, 10.1007/s11199-008-9458-7 Tee, 2006, Predicting opposition to civil rights of trans persons in the United Kingdom, J Community Appl Soc Psychol, 16, 70, 10.1002/casp.851 Ali, 2016, Psychiatrists’ and psychiatry residents’ attitudes toward transgender people, Acad Psychiatry, 40, 268, 10.1007/s40596-015-0308-y Norton, 2013, Heterosexual’s attitudes toward transgender people: findings from a national probability sample of U.S. adults, Sex Roles, 68, 738, 10.1007/s11199-011-0110-6 Braun, 2017, Outcome and impact evaluation of a transgender health course for health profession students, LGBT Health, 1, 55, 10.1089/lgbt.2016.0119 Acker, 2017, Transphobia among students majoring in the helping professions, J Homosex, 64, 2011 Sawning, 2017, A first step in addressing medical education curriculum gaps in lesbian-, gay-, bisexual-, and transgender-related contents: the University of Louisville LGBT health certificate program, Educ Health, 30, 108, 10.4103/efh.EfH_78_16
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Sexual Medicine

Tập 9

100278

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