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Developments

A Critical Intervention in Lesbian, Gay, Bisexual, and Transgender Health: Knowledge and Attitude Outcomes Among Second-Year Medical Students

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Pages 248-253 | Received 06 Sep 2007, Published online: 09 Jul 2008
 

Abstract

Background: Lesbian, gay, bisexual, and transgender (LGBT) persons represent an underserved population susceptible to health care disparities. Description: In February 2004, we implemented an LGBT health curriculum for students at the University of California at San Francisco. Confidential matched questionnaires elicited students' knowledge, attitudes, and beliefs about LGBT health issues before and after the intervention. Evaluation: The surveyed population (52% response rate) was demographically similar to the entire class. There was statistically significant change in the responses to 4 of 16 questionnaire items ( p ≤ .001; largest absolute change was 0.57 on a 5-point scale). Students demonstrated increased knowledge about access to health care and LGBT relationships, increased willingness to treat patients with gender identity issues, and enhanced awareness that sexual identity and practices are clinically relevant. Conclusions: Our simple curricular intervention led to significant short-term changes in a small number of survey items assessing students' knowledge and beliefs about LGBT persons.

Acknowledgments

The opinions contained herein are those of the authors and do not necessarily represent the views of the U.S. Department of Veterans Affairs or the University of California. An abstract of this study was presented at a poster session at the Association of Professors of Gynecology and Obstetrics Annual Meeting, Salt Lake City, UT, April 2005. We thank Stacy Carter for her assistance with data management at the Lesbian Health & Research Center, UCSF, and Patricia O'Sullivan, Ed.D., for comments on an earlier version of this article.

Notes

*p < .05.

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