1. Knowledge, Beliefs, and Communication Behavior of Oncology Health-care Providers (HCPs) regarding Lesbian, Gay, Bisexual, and Transgender (LGBT) Patient Health care
- Author
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Koshy Alexander, Jessica M Staley, Chasity Burrows Walters, Patricia A. Parker, and Smita C. Banerjee
- Subjects
Adult ,Male ,Oncology ,Health Knowledge, Attitudes, Practice ,medicine.medical_specialty ,Health (social science) ,Adolescent ,Health Personnel ,education ,Library and Information Sciences ,Medical Oncology ,Article ,Sexual and Gender Minorities ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Neoplasms ,Surveys and Questionnaires ,Internal medicine ,Transgender ,Health care ,medicine ,Humans ,030212 general & internal medicine ,Open communication ,Religious orientation ,Aged ,030505 public health ,business.industry ,Communication ,Public Health, Environmental and Occupational Health ,Sensitivity training ,Middle Aged ,Sexual orientation ,Female ,Culturally Competent Care ,Lesbian ,0305 other medical science ,Psychology ,business - Abstract
Delivery of culturally competent care toward lesbian, gay, bisexual, and transgender (LGBT) patients depends on how health-care providers (HCPs) communicate with them; however, research about knowledge, attitude, and behavior of HCPs toward LGBT patients is scant. The objectives of our study were to describe oncology HCPs’ knowledge and examine if beliefs about LGB and transgender patients mediate the effects of LGBT health-care knowledge on open communication behaviors with LGB and transgender patients, respectively. A total of 1253 HCPs (187 physicians, 153 advance practice professionals (APPs), 828 nurses, and 41 others) at a Comprehensive Cancer Center completed an online survey that included the following measures: LGBT health-care knowledge, beliefs, communication behaviors, willingness to treat LGBT patients, encouraging LGBT disclosure, and perceived importance of LGBT sensitivity training. Only 50 participants (5%) correctly answered all 7 knowledge items, and about half the respondents answered 3 (out of 7) items correctly. Favorable beliefs about LGBT health care mediated the effect of higher LGBT health-care knowledge on open communication behaviors with transgender patients, controlling for effects of type of profession, religious orientation, gender identity, sexual orientation, and having LGBT friends/family. The results of this study demonstrated an overall lack of medical knowledge and the need for more education about LGBT health care among oncology HCPs.
- Published
- 2018