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Research Article

Physiotherapy students’ education on, exposure to, and attitudes and beliefs about providing care for LGBTQIA+ patients: a cross-sectional study in the UK

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Pages 243-251 | Received 02 Mar 2022, Accepted 12 May 2022, Published online: 27 May 2022

References

  • World Health Organisation. Addressing the causes of disparities in health service access and utilization for lesbian, gay, bisexual and transgender (LGBT) persons [Internet]. Geneva (Switzerland): WHO; 2013. [cited 2021 May 25]. Available from: https://www.who.int/hiv/pub/populations/lgbt_paper/en/.
  • Equality Act 2010. [Internet]. 2010. [cited 2020 Nov 26]. Available from: https://www.legislation.gov.uk/ukpga/2010/15/contents.
  • Institute of Medicine (IOM). The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. Washington (DC): National Academies Press (US); 2011. p. 10.
  • Dearing RL, Hequembourg AL. Culturally (in)competent? Dismantling health care barriers for sexual minority women. Soc Work Health Care. 2014;53(8):739–761.
  • Centers for Disease Control and Prevention. HIV and gay and bisexual men [Internet]. 2020. [cited 2020 Nov 26]. Available from: https://www.cdc.gov/hiv/group/msm/index.html.
  • Lee A, Kanji Z. Queering the health care system: experiences of the lesbian, gay, bisexual, transgender community. Can J Dent Hyg. 2017;51(2):80–89.
  • Nowaskie DZ, Patel AU, Fang RC. A multicentre, multidisciplinary evaluation of 1701 healthcare professional students’ LGBT cultural competency: comparisons between dental, medical, occupational therapy, pharmacy, physical therapy, physician assistant, and social work students. PLoS One. 2020;15(8):e0237670.
  • Eliason MJ, DeJoseph J, Dibble S, et al. Lesbian, gay, bisexual, transgender, and queer/questioning nurses' experiences in the workplace. J Prof Nurs. 2011;27(4):237–244.
  • Eliason MJ, Dibble SL, Robertson PA. Lesbian, gay, bisexual, and transgender (LGBT) physicians' experiences in the workplace. J Homosex. 2011;58(10):1355–1371.
  • Somerville C. Unhealthy attitudes: the treatment of LGBT people within health and social care services. [Internet]. London (UK): Stonewall; 2015. [cited 2020 Nov 26]. Available from: https://www.stonewall.org.uk/system/files/unhealthy_attitudes.pdf.
  • Meads C, Hunt R, Martin A, et al. A systematic review of sexual minority women’s experiences of health care in the UK. Int J Environ Res Public Health. 2019;16(17):3032.
  • Dudar KJ, Ghaderi G, Gallant J, et al. Queering the medical curriculum: how to design, develop, deliver and assess learning outcomes relevant to LGBT health for health care professionals. MedEdPublish. 2018;7:48.
  • Bauer GR, Hammond R, Travers R, et al. "I don't think this is theoretical; this is our lives": how erasure impacts health care for transgender people. J Assoc Nurses AIDS Care. 2009;20(5):348–361.
  • Floyd MJ, Martin O, Eckloff KJ. A qualitative study of transgender individuals' experiences of healthcare including radiology. Radiography. 2020;26(2):e38–e44.
  • McCann E, Brown M. The inclusion of LGBT + health issues within undergraduate healthcare education and professional training programmes: a systematic review. Nurse Educ Today. 2018;64:204–214.
  • Enson S. Causes and consequences of heteronormativity in healthcare and education. Br J Sch Nurs. 2015;10(2):73–78.
  • Ross MH, Setchell J. People who identify as LGBTIQ + can experience assumptions, discomfort, some discrimination, and a lack of knowledge while attending physiotherapy: a survey. J Physiother. 2019;65(2):99–105.
  • Ross MH, Hammond JA, Bezner J, et al. Exploration of the experiences of physical therapists who identify as LGBTQIA+: navigating sexual orientation and gender identity in clinical, academic, and professional roles. Phys Ther. 2022;102(3):pzab280.
  • Greene MZ, France K, Kreider EF, et al. Comparing medical, dental, and nursing students’ preparedness to address lesbian, gay, bisexual, transgender, and queer health. PLoS One. 2018;13(9):e020410. Available from:
  • Hillenburg KL, Murdoch-Kinch CA, Kinney JS, et al. LGBT coverage in US dental schools and dental hygiene programs: results of a national survey. J Dent Educ. 2016;80(12):1440–1449.
  • McEwing E. Delivering culturally competent care to the lesbian, gay, bisexual, and transgender (LGBT) population: education for nursing students. Nurse Educ Today. 2020;94:104573.
  • Gibson AW. A novel curriculum for medical student training in LGBTQ healthcare: a regional pathway experience. J Med Educ Curric Dev. 2020;7:1–7.
  • Salkind J, Gishen F, Drage G, et al. LGBT + health teaching within the undergraduate medical curriculum. Int J Environ Res Public Health. 2019;16(13):2305.
  • Glick JC, Leamy C, Molsberry AH, et al. Moving toward equitable health care for lesbian, gay, bisexual, transgender, and queer patients: education and training in physical therapy education. JOPTE. 2020;34(3):192–197.
  • Ross MH, Setchell J. Enhancing physiotherapy care for individuals who identify as lesbian, gay, bisexual, transgender, intersex, queer and related identities (LGBTIQ+). Unpublished Report; 2021.
  • Etikan I, Musa SA, Alkassim RS. Comparison of convenience sampling and purposive sampling. AJTAS. 2016;5(1):1–4.
  • Schaub J, Willis P, Dunk-West P. Accounting for self, sex and sexuality in UK social workers’ knowledge base: findings from an exploratory study. Br J Soc Work. 2016;47(2):bcw015–446.
  • Obedin-Maliver J, Goldsmith ES, Stewart L, et al. Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education. JAMA. 2011;306(9):971–977.
  • Habarth JM. Development of the heteronormative attitudes and beliefs scale. Psychol Sex. 2015;6(2):166–188.
  • Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nurs Health Sci. 2013;15(3):398–405.
  • Burch A. Health care providers' knowledge, attitudes, and self-efficacy for working with patients with spinal cord injury who have diverse sexual orientations. Phys Ther. 2008;88(2):191–198.
  • The Chartered Society of Physiotherapy. Annual quality review 2018/19 – UK pre-registration physiotherapy education. [Internet]. 2020. [cited 2020 Nov 16]. Available from: https://www.csp.org.uk/publications/annual-quality-review-uk-pre-registration-physiotherapy-education.
  • Government Equalities Office (GEO). Trans people in the UK. [Internet]. 2018. [cited 2021 May 17]. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/721642/GEO-LGBT-factsheet.pdf.
  • Office for National Statistics. Sexual orientation. [Internet]. 2017. [cited 2021 May 25]. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/culturalidentity/sexuality/bulletins/sexualidentityuk/2017.
  • Parameshwaran V, Cockbain BC, Hillyard M, et al. Is the lack of specific lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ) health care education in medical school a cause for concern? Evidence from a survey of knowledge and practice among UK medical students. J Homosex. 2017;64(3):367–381.
  • Morris M, Cooper RL, Ramesh A, et al. Training to reduce LGBTQ-related bias among medical, nursing, and dental students and providers: a systematic review. BMC Med Educ. 2019;19(1):1–13.
  • Hunt R, Bates C, Walker S, et al. A systematic review of UK educational and training materials aimed at health and social care staff about providing appropriate services for LGBT + people. IJERPH. 2019;16(24):4976.
  • Pratt-Chapman M, Phillips S. Health professional student preparedness to care for sexual and gender minorities: efficacy of an elective interprofessional educational intervention. J Interprof Care. 2020;34(3):418–421.
  • Nowaskie DZ, Patel AU. How much is needed? Patient exposure and curricular education on medical students’ LGBT cultural competency. BMC Med Educ. 2020;20(1):1–8.
  • Duncan SG, Aguilar G, Jensen CG, et al. Survey of heteronormative attitudes and tolerance toward gender non-conformity in Mountain west undergraduate students. Front Psychol. 2019;10:793.
  • Nixon SA. The coin model of privilege and critical allyship: implications for health. BMC Public Health. 2019;19(1):1637.
  • Pettigrew TF, Tropp LR. A meta-analytic test of intergroup contact theory. J Pers Soc Psychol. 2006;90(5):751–783.
  • Burke SE, Dovidio JF, Przedworski JM, et al. Do contact and empathy mitigate bias against gay and lesbian people among heterosexual first-year medical students? A report from the medical student CHANGE study. Acad Med. 2015;90(5):645–651.
  • Niu NN, Syed ZA, Krupat E, et al. The impact of cross-cultural interactions on medical students' preparedness to care for diverse patients. Acad Med. 2012;87(11):1530–1534.
  • Krumpal I. Determinants of social desirability bias in sensitive surveys: a literature review. Qual Quant. 2013;47(4):2025–2047.
  • Bachmann CL, Gooch B. LGBT in Britain: hate crime and discrimination. [Internet]. London (UK): Stonewall; 2017. [cited 2021 May 17]. Available from: https://www.stonewall.org.uk/lgbt-britain-hate-crime-and-discrimination.
  • FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):1–18.
  • Sabin JA, Nosek BA, Greenwald AG, et al. Physicians’ implicit and explicit attitudes about race by MD race, ethnicity, and gender. J Health Care Poor Underserved. 2009;20(3):896–913.

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