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首页> 外文期刊>Journal of women’s health >Lesbian, Gay, Bisexual, and Transgender Health: Obstetrician-Gynecologists' Training, Attitudes, Knowledge, and Practice
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Lesbian, Gay, Bisexual, and Transgender Health: Obstetrician-Gynecologists' Training, Attitudes, Knowledge, and Practice

机译：女同性恋，同性恋，双性恋和变性健康：产科医生培训，态度，知识和实践

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Background: Deficits in provider training may contribute to disparities impacting lesbian, gay, bisexual, transgender, and gender nonconforming (LGB-TGNC) individuals. Methods: We sent an anonymous online survey to randomly selected members of the American Congress of Obstetricians and Gynecologists and stratified responses by the history of training. We used logistic regression to predict impact of previous training on provider comfort with LGB-TGNC patients, and secondary outcomes, including provider practices, knowledge, and attitudes. Results: Two hundred twenty-eight of 428 (53.3%) surveys were completed. Of the 169 providers currently practicing gynecology, 72 respondents (42.6%) reported previous training in LGB-TGNC health. Those who self-identified or had a close contact identifying as LGB-TGNC were more likely to report previous training (68.1% vs. 49.5%, p = 0.02). When adjusting for demographic differences, providers reporting previous training were not more likely to be comfortable taking care of transgender/gender-nonconforming patients (aOR 1.8, 95% CI 0.95-3.40). They were more likely to report practice changes such as eliciting sexual orientation (aOR 2.15, 95% CI 1.08-4.28) and gender identity (aOR 3.02, 95% CI 1.07-8.52). Training was not independently associated with differences in provider knowledge (aOR 1.33, 95% CI 0.68-2.58) or likelihood of providing independent medical or surgical care for gender affirmation (aOR 1.64, 95% CI 0.78-3.45). Conclusions: Less than half of board-certified obstetrician-gynecologists reported training in LGB-TGNC health, with evidence of a familiarity effect in who seeks training and provides care that accounts for differences in attitudes, knowledge, and practices. Training efforts to advance LGB-TGNC health must address bias and comfort in addition to clinical competencies.
机译：背景：提供商培训的赤字可能有助于影响女同性恋，同性恋，双性恋，跨性别和性别不合格（LGB-TGNC）个体的差异。方法：我们向随机选择了匿名的在线调查，以便随机选择了美国产科医生和妇科主义者的成员，并受到培训史的分层反应。我们使用Logistic回归来预测与LGB-TGNC患者的提供商舒适性的对培训的影响，以及包括提供者实践，知识和态度。结果：完成了两百二十八名（53.3％）调查完成。在目前练习妇科的169个提供商中，72名受访者（42.6％）报告了LGB-TGNC健康的培训。自我识别或与LGB-TGNC的密切联系的人更有可能报告以前的培训（68.1％与49.5％，P = 0.02）。调整人口统计差异时，报告以前的培训的提供商并不容易治疗转型/性别不合适患者（AOR 1.8,95％CI 0.95-3.40）。他们更有可能报告实践变更，例如诱因性取向（AOR 2.15,95％CI 1.08-4.28）和性别认同（AOR 3.02,95％CI 1.07-8.52）。培训与提供者知识的差异无关（AOR 1.33,95％CI 0.68-2.58）或为性别肯定提供独立的医疗或外科护理的可能性（AOR 1.64,95％CI 0.78-3.45）。结论：不到一半的董事会认证的产科医生 - 妇科医生报告了LGB-TGNC健康的培训，有证据表明，熟悉培训的熟悉效果，并为态度，知识和做法的差异提供了关注。除了临床能力之外，培训努力推动LGB-TGNC健康必须解决偏见和舒适。

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