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Lesbian, gay, bisexual, and/or transgender (LGBT) cultural competency across the intersectionalities of gender identity, sexual orientation, and race among healthcare professionals.
PLoS One. 2022; 17(11):e0277682.Plos

Abstract

BACKGROUND

There is some data regarding lesbian, gay, bisexual, and transgender (LGBT) cultural competency among healthcare professionals. While few studies have indicated differences in competency between heterosexual and sexual minority professionals, no known studies have assessed LGBT cultural competency among diverse groups with multiple minority identities. This study aimed to characterize healthcare professionals' LGBT cultural competency by comparing twelve different demographically diverse healthcare professional groups based on gender identity, sexual orientation, and race.

METHODS

Deidentified data (N = 2254) was aggregated from three independent studies (i.e., healthcare professional students, psychiatry residents, and dementia care providers). A series of multivariate analyses of covariance were conducted with groups (based on gender identity, sexual orientation, and race), other demographic variables as independent variables, and LGBT-Development of Clinical Skills Scale scores (Overall LGBT-DOCSS, Clinical Preparedness, Attitudinal Awareness, and Basic Knowledge) as dependent variables.

FINDINGS

Compared to men, women reported significantly higher LGBT-DOCSS scores, except significantly lower Clinical Preparedness. Compared to cisgender, heterosexual professionals, cisgender, sexual minority professionals and gender minority professionals reported significantly higher LGBT-DOCSS scores. There were several other differences among groups, such as heterosexual, cisgender, White/Caucasian men reporting low LGBT-DOCSS scores but high Clinical Preparedness; heterosexual, cisgender, White/Caucasian women with high LGBT-DOCSS scores except Clinical Preparedness; heterosexual, racial minority professionals with low LGBT-DOCSS scores; and gender, sexual, and racial minority professionals with the highest LGBT-DOCSS scores.

CONCLUSIONS

There are subtle, yet important, differences in LGBT cultural competency among healthcare professionals. More diversity, intersectionality, and multiple minority identities appear to lead to higher competency. Appreciating these gender, sexual, and racial minority professionals' unique perspectives may promote the development of better, more culturally affirming LGBT health education.

Links

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Authors+Show Affiliations

Nowaskie DZ
Department of Psychiatry and Behavioral Sciences, Keck School of Medicine of University of Southern California, Los Angeles, California, United States of America.
Najam S
Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana, United States of America.

MeSH

HumansFemaleMaleTransgender PersonsGender IdentityCultural CompetencySexual and Gender MinoritiesSexual BehaviorDelivery of Health Care

Pub Type(s)

Journal Article

Language

eng

PubMed ID

36367906

Citation

Nowaskie, Dustin Z., and Sidrah Najam. "Lesbian, Gay, Bisexual, And/or Transgender (LGBT) Cultural Competency Across the Intersectionalities of Gender Identity, Sexual Orientation, and Race Among Healthcare Professionals." PloS One, vol. 17, no. 11, 2022, pp. e0277682.
Nowaskie DZ, Najam S. Lesbian, gay, bisexual, and/or transgender (LGBT) cultural competency across the intersectionalities of gender identity, sexual orientation, and race among healthcare professionals. PLoS One. 2022;17(11):e0277682.
Nowaskie, D. Z., & Najam, S. (2022). Lesbian, gay, bisexual, and/or transgender (LGBT) cultural competency across the intersectionalities of gender identity, sexual orientation, and race among healthcare professionals. PloS One, 17(11), e0277682. https://doi.org/10.1371/journal.pone.0277682
Nowaskie DZ, Najam S. Lesbian, Gay, Bisexual, And/or Transgender (LGBT) Cultural Competency Across the Intersectionalities of Gender Identity, Sexual Orientation, and Race Among Healthcare Professionals. PLoS One. 2022;17(11):e0277682. PubMed PMID: 36367906.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lesbian, gay, bisexual, and/or transgender (LGBT) cultural competency across the intersectionalities of gender identity, sexual orientation, and race among healthcare professionals. AU - Nowaskie,Dustin Z, AU - Najam,Sidrah, Y1 - 2022/11/11/ PY - 2021/08/04/received PY - 2022/11/01/accepted PY - 2022/11/11/entrez PY - 2022/11/12/pubmed PY - 2022/11/16/medline SP - e0277682 EP - e0277682 JF - PloS one JO - PLoS One VL - 17 IS - 11 N2 - BACKGROUND: There is some data regarding lesbian, gay, bisexual, and transgender (LGBT) cultural competency among healthcare professionals. While few studies have indicated differences in competency between heterosexual and sexual minority professionals, no known studies have assessed LGBT cultural competency among diverse groups with multiple minority identities. This study aimed to characterize healthcare professionals' LGBT cultural competency by comparing twelve different demographically diverse healthcare professional groups based on gender identity, sexual orientation, and race. METHODS: Deidentified data (N = 2254) was aggregated from three independent studies (i.e., healthcare professional students, psychiatry residents, and dementia care providers). A series of multivariate analyses of covariance were conducted with groups (based on gender identity, sexual orientation, and race), other demographic variables as independent variables, and LGBT-Development of Clinical Skills Scale scores (Overall LGBT-DOCSS, Clinical Preparedness, Attitudinal Awareness, and Basic Knowledge) as dependent variables. FINDINGS: Compared to men, women reported significantly higher LGBT-DOCSS scores, except significantly lower Clinical Preparedness. Compared to cisgender, heterosexual professionals, cisgender, sexual minority professionals and gender minority professionals reported significantly higher LGBT-DOCSS scores. There were several other differences among groups, such as heterosexual, cisgender, White/Caucasian men reporting low LGBT-DOCSS scores but high Clinical Preparedness; heterosexual, cisgender, White/Caucasian women with high LGBT-DOCSS scores except Clinical Preparedness; heterosexual, racial minority professionals with low LGBT-DOCSS scores; and gender, sexual, and racial minority professionals with the highest LGBT-DOCSS scores. CONCLUSIONS: There are subtle, yet important, differences in LGBT cultural competency among healthcare professionals. More diversity, intersectionality, and multiple minority identities appear to lead to higher competency. Appreciating these gender, sexual, and racial minority professionals' unique perspectives may promote the development of better, more culturally affirming LGBT health education. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/36367906/Lesbian_gay_bisexual_and/or_transgender__LGBT__cultural_competency_across_the_intersectionalities_of_gender_identity_sexual_orientation_and_race_among_healthcare_professionals_ DB - PRIME DP - Unbound Medicine ER -