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Characterization of knowledge, attitudes, comfort, and perception of discrimination regarding sexual and/or gender minoritized people: comparison between two cohorts of medical students - 2018–2023

2024-12-14Artigo científico Acesso restrito
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datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg10:Reduzir as Desigualdades
dc.contributor.authorMacedo, Ana
dc.contributor.authorFerreira, João
dc.contributor.authorGutierrez, Ana Rita
dc.contributor.authorGato, Jorge
dc.date.accessioned2026-05-06T15:19:44Z
dc.date.available2026-05-06T15:19:44Z
dc.date.issued2024-12-14
dc.description.abstractObjectives: Despite progress made in the medical field to address the health concerns ofsexual and gender minoritized identities, LGBTQIAþ individuals continue to experience dis-crimination in healthcare. This study aims to evaluate the effects of incorporating a seminaron gender identity and sexual orientation into the medical curriculum of a PortugueseMedical School, after 5 years. The study’s main objective was to compare the changes in stu-dents’ knowledge, attitudes, comfort, and perception of discrimination against LGBTQIAþ,pre and post-intervention.Methods: A total of 313 students in their third, fourth, fifth, and sixth year at a PortugueseMedical School were assessed in 2018 (pre-intervention) and 2023 (post-intervention). Thedata collected were analyzed regarding age, gender identity, sexual orientation, number offriends or family members who identify themselves as LGBTQIAþ, and level of religiosity.Results: The overall knowledge regarding LGBTQIAþ people specific health aspects improvedfrom the 2018 cohort to the 2023 cohort, with significant differences in questions regardinggender identity (OR ¼ 2.0, p ¼ .007), sexual orientation (OR ¼ 2.9, p <.001), and mentalhealth (OR ¼ 3.2, p <.001). The perceived discrimination against homosexual patients wassimilar in both cohorts, with approximately 60% of respondents from both groups agreeingthat homosexual patients were discriminated against in healthcare.Conclusion: Although the perception of discrimination against LGBTQIAþ people in health-care remained high across the two cohorts, positive changes were observed regarding stu-dents’ overall knowledge of LGBTQIAþ individuals’ health, clinical preparation and comfortin treating LGBTQIAþ people, and attitudes toward lesbian women and gay men. Theseresults reinforce the need to develop training and information strategies targeting medicalstudents, promoting greater knowledge and, above all, increasing contact and clinical prac-tice with LGBTQIAþ people, since relationships and personal contact are the most differenti-ating aspects for nondiscrimination.eng
dc.identifier.doi10.1080/19317611.2024.2435281
dc.identifier.issn1931-7611
dc.identifier.issn1931-762X
dc.identifier.urihttp://hdl.handle.net/10400.1/28869
dc.language.isoeng
dc.peerreviewedyes
dc.publisherTaylor and Francis Group
dc.relation.ispartofInternational Journal of Sexual Health
dc.rights.uriN/A
dc.subjectMedical students
dc.subjectLGBTQIAþ
dc.subjectSexual and gender minorities
dc.subjectEquity
dc.subjectDiscrimination
dc.titleCharacterization of knowledge, attitudes, comfort, and perception of discrimination regarding sexual and/or gender minoritized people: comparison between two cohorts of medical students - 2018–2023eng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage197
oaire.citation.issue2
oaire.citation.startPage185
oaire.citation.titleInternational Journal of Sexual Health
oaire.citation.volume37
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameMacedo
person.givenNameAna
person.identifier.ciencia-id8414-F029-8182
person.identifier.orcid0000-0002-6978-8989
person.identifier.ridL-9912-2018
relation.isAuthorOfPublication8e798bcb-5052-47b0-a050-32f40328cc1a
relation.isAuthorOfPublication.latestForDiscovery8e798bcb-5052-47b0-a050-32f40328cc1a

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