Primary Care Providers’ Attitudes, Practices, and Knowledge in Treating LGBTQ Communities

Dustin Z. Nowaskie · John S. Sowinski

92 citations0/0 files storedJournal of Homosexuality

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LGBTQ Health, Identity, and Policy Gender, Sexuality, and Education Cultural Competency in Health Care

Abstract

Cultural competency in lesbian, gay, bisexual, transgender, and queer (LGBTQ) health care has been found to be lacking within various medical specialties, but no studies have compared competency among primary care providers. The authors compared 127 primary care providers' cultural competency regarding LGBTQ health using a survey that assessed providers' attitudes, practices, and knowledge. Overall, 78.0% of respondents agreed that they were comfortable treating LGBTQ patients. Yet many providers did not feel well informed on specific LGBTQ health needs (70.1%), on clinical management of LGBTQ care (74.8%), nor on referring patients with LGBTQ issues (78.7%). Overall accuracy on LGBTQ knowledge questions was 51.0%. This study revealed a lack of cultural competency and much need for improvement as primary care providers endorsed negative attitudes, biases, inconsistencies in clinical practice, and deficiencies in medical knowledge in specialty-specific ways. There is a need for greater LGBTQ-specific education to increase providers' comfortability and competency in the needs, management, and referrals within LGBTQ health care.

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References

2012The Health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding 2011Lesbian, Gay, Bisexual, and Transgender–Related Content in Undergraduate Medical Education 2008Sexual and Gender Minority Health: What We Know and What Needs to Be Done 2016How Many Adults Identify as Transgender in the United States 2015Health Care Providers’ Implicit and Explicit Attitudes Toward Lesbian Women and Gay Men 2014Sexual orientation and health among U.S. adults: national health interview survey, 2013.2010Disparities in Health Insurance Coverage, Access, and Outcomes for Individuals in Same-Sex Versus Different-Sex Relationships, 2000–2007 2013Transgender Patient Perceptions of Stigma in Health Care Contexts

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