Evaluation of sex- and gender-based medicine training in post-graduate medical education: a cross-sectional survey study

In the US, lesbian, gay, bisexual, and transgender (LGBT) individuals report higher rates of depression compared with heterosexual and cisgender persons. To date, little is known about the mental health of LGBT adults in Thailand. Here, we examined rates and correlates of depression among a volunteer sample of Thai LGBTs. Data were collected as part of a larger cross-sectional survey study. Standardized measures of sexual orientation and gender identity, stress, coping style, and minority stressors were completed. Of the 411 participants, 40.3% met the criteria for depression. In multivariate analyses, the combined influences of sociodemographic factors, general stress, coping strategies, and minority-specific stress variables explained 47.2% of the variance in depression scores (F[16,367]= 20.48, p<.001). Correlates of depression included coping strategies and minority-specific stressors, including experiences of victimization, discrimination, and level of identity concealment. Study findings have implications for psychiatric nursing practice and the development of intervention research. Abstrak Di AS, individu lesbian, gay, biseksual, dan transgender (LGBT) melaporkan tingkat depresi yang lebih tinggi dibandingkan dengan orang heteroseksual dan cisgender. Saat ini, sedikit yang diketahui tentang kesehatan mental pada orang dewasa dengan LGBT di Thailand. Di sini, kami meneliti tingkat dan korelasi depresi di antara sampel sukarelawan LGBT Thailand. Data dikumpulkan sebagai bagian dari studi survei cross-sectional yang lebih besar. Pengukuran terstandar terhadap orientasi seksual dan identitas gender, stres, koping, dan stresor minoritas telah selesai. Dari 411 peserta, 40,3% memenuhi kriteria untuk depresi. Dalam analisis multivariat, pengaruh gabungan faktor sosiodemografi, stres umum, strategi koping, dan variabel stres spesifik-minoritas menjelaskan 47,2% dari varians dalam skor depresi (F [16,367]= 20,48, p< 0,001). Korelasi depresi termasuk strategi koping dan stres spesifik-minoritas, termasuk pengalaman viktimisasi, diskriminasi, dan tingkat penyembunyian identitas. Temuan penelitian memiliki implikasi untuk praktik keperawatan psikiatris dan pengembangan penelitian intervensi. Kata kunci: depresi, LGBT, minoritas seksual dan gender; stres minoritas, Thailand

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Career aspirations among specialty residents: a gender-based comparison

10.21203/rs.3.rs-25196/v2 ◽

2020 ◽

Author(s):

Alice Cathelain ◽

Mercedes Jourdain ◽

Charlotte Cordonnier ◽

Sophie Catteau Jonard ◽

Deborah Sebbane ◽

...

Keyword(s):

Gender Differences ◽

Gender Discrimination ◽

Career Aspirations ◽

University Hospital ◽

Gender Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Gender Based ◽

And Gender ◽

Comparison Of The Results

Abstract Background - Two recent studies looked at the career choice of residents in obstetrics & gynecology. It seemed useful to us to broaden this questioning to other specialties, by proposing a study to all residents in the same Faculty. The objective of our study was to describe residents career aspirations and possible barriers according to gender.Methods – Declarative cross-sectional survey, using questionnaires sent by email to the specialty residents of the Faculty of Medicine of Lille (France). An analysis by specialty group (i.e. medicine, surgery, obstetrics & gynecology and anesthesia & resuscitation) and a comparison of the results according to gender were performed. Results – Of the 1,384 specialty residents currently in training, 462 answered the questionnaires (33.38%), among whom 289 women and 173 men (average age = 27.08 years +/- 0.091). 17 women (5.9%) were currently considering a university hospital career versus 37 men (21.4%) (p = 0.001). Gender analysis made it possible to identify obstacles to engaging in a university career: lacking female model, more frequent doubting in the ability to lead this type of career among women (61.6%) than men (35.3%) (p <0.001), and gender discrimination felt in the workplace for 51.6% of women (versus 7.5% of men, p <0.001). Subgroup analysis showed specificities related to each specialty. Conclusions – Few residents plan to embark upon a university hospital career, let alone female residents. There are specificities specific to each specialty and marked gender differences regarding career aspirations. Many obstacles have been identified as obstacles to access to university hospital positions for women. It is important to develop strategies to remove these barriers and enable women to pursue such university careers. Trial registration – Not applicable (no intervention)

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Engaging Emergency Medicine Influencers in Sex‐ and Gender‐based Medicine: Lessons Learned from the Sex and Gender Interest Group in Emergency Medicine and the SAEM Jeopardy Game

AEM Education and Training ◽

10.1002/aet2.10409 ◽

2019 ◽

Vol 4 (2) ◽

pp. 161-165

Author(s):

Jeannette Wolfe ◽

Basmah Safdar ◽

Kinjal N. Sethuraman ◽

Marna R. Greenberg ◽

Tracy E. Madsen ◽

...

Keyword(s):

Emergency Medicine ◽

Interest Group ◽

Lessons Learned ◽

Sex And Gender ◽

Gender Based ◽

And Gender ◽

Based Medicine

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Career aspirations among specialty residents in France: a cross-sectional gender-based comparison

BMC Medical Education ◽

10.1186/s12909-021-02494-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

A. Cathelain ◽

M. Jourdain ◽

C. Cordonnier ◽

S. Catteau-Jonard ◽

D. Sebbane ◽

...

Keyword(s):

Gender Discrimination ◽

Career Aspirations ◽

University Hospital ◽

Anglo Saxon ◽

Cross Sectional Survey ◽

Cross Sectional ◽

French Studies ◽

Gender Based ◽

And Gender ◽

Comparison Of The Results

Abstract Background Most studies evaluating career aspirations among gender are performed in Anglo-Saxon countries. Two recent French studies looked at the career choice of residents in obstetrics & gynecology. It seemed useful to us to broaden this questioning to other specialties, by proposing a study to all residents in the same Faculty. The objective of our study was to describe residents’ career aspirations and possible barriers according to gender. Methods Declarative cross-sectional survey, using questionnaires sent by email to the specialty residents of the Faculty of Medicine of Lille (France). An analysis by specialty group (i.e., medicine, surgery, obstetrics & gynecology, and anesthesia & resuscitation) and a comparison of the results according to gender were performed. Results Of the 1384 specialty residents currently in training, 462 answered the questionnaire (33.38%), among whom 289 women and 173 men (average age = 27.08 ± 0.091 years). Seventeen women (5.9%) were currently considering a university hospital career versus 37 men (21.4%) (p = 0.001). Gender analysis made it possible to identify obstacles to engaging in a university career: lacking a female model, more frequent doubting the ability to undertake this type of career among women (61.6%) than men (35.3%) (p < 0.001), and gender discrimination felt in the workplace for 51.6% of women (versus 7.5% of men, p < 0.001). Subgroup analysis showed specificities related to each specialty. Conclusions Few residents plan to embark upon a university hospital career, let alone female residents. There are considerations specific to each specialty and marked gender differences regarding career aspirations. Many features have been identified as obstacles to access to university hospital positions for women. It is important to develop strategies to remove these barriers and enable women to pursue such university careers. Trial registration Not applicable (no intervention).

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Recommendations from LGBTQ+ adults for increased inclusion within physical activity: a qualitative content analysis

Translational Behavioral Medicine ◽

10.1093/tbm/ibab154 ◽

2021 ◽

Author(s):

Shannon S C Herrick ◽

Tyler Baum ◽

Lindsay R Duncan

Keyword(s):

Physical Activity ◽

Content Analysis ◽

Qualitative Content Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Sports Teams ◽

Gender Binary ◽

The Creation ◽

Gender Based ◽

And Gender

Abstract For decades, physical activity contexts have been inherently exclusionary toward LGBTQ+ participation through their perpetuation of practices and systems that support sexuality- and gender-based discrimination. Progress toward LGBTQ+ inclusivity within physical activity has been severely limited by a lack of actionable and practical suggestions. The purpose of this study was to garner an extensive account of suggestions for inclusivity from LGBTQ+ adults. Using an online cross-sectional survey, LGBTQ+ adults (N = 766) were asked the following open-ended question, “in what ways do you think physical activity could be altered to be more inclusive of LGBTQ+ participation?” The resulting texts were coded using inductive qualitative content analysis. All coding was subject to critical peer review. Participants’ suggestions have been organized and presented under two overarching points of improvement: (a) creation of safe(r) spaces and (b) challenging the gender binary. Participants (n = 558; 72.8%) outlined several components integral to the creation and maintenance of safe(r) spaces such as: (i) LGBTQ+ memberships, (ii) inclusivity training for fitness facility staff, (iii) informative advertisement of LGBTQ+ inclusion, (iv) antidiscrimination policies, and (v) diverse representation. Suggestions for challenging the gender binary (n = 483; 63.1%) called for the creation of single stalls or gender-neutral locker rooms, as well as for the questioning of gender-based stereotypes and binary divisions of gender within physical activity (e.g., using skill level and experience to divide sports teams as opposed to gender). The findings of this study represent a multitude of practical suggestions for LGBTQ+ inclusivity that can be applied to a myriad of physical activity contexts.

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Interpersonal Trauma Among Women and Men Receiving Buprenorphine in Outpatient Treatment for Opioid Use Disorder

Violence Against Women ◽

10.1177/10778012211032715 ◽

2021 ◽

pp. 107780122110327

Author(s):

Caitlin E. Martin ◽

Anna Beth Parlier-Ahmad ◽

Lori Beck ◽

Nicholas D. Thomson

Keyword(s):

Substance Use ◽

Interpersonal Trauma ◽

Opioid Use Disorder ◽

Sex And Gender ◽

Opioid Use ◽

Cross Sectional Survey ◽

Cross Sectional ◽

And Gender ◽

Public Health Strategies

People with opioid use disorder (OUD) are vulnerable to negative health outcomes related to substance use and psychosocial issues, such as interpersonal trauma (IPT). Participants receiving buprenorphine completed a cross-sectional survey (July–September 2019). OUD outcomes were prospectively abstracted over a 28-week timeframe. More than a third reported recent IPT (40% women, 36% men). Sexual violence was more common among women than men ( p = .02). For women only, IPT was associated with substance use during follow-up (β = 20.72, 95% CI: 4.24, 37.21). It is important for public health strategies in the opioid crisis to address IPT using sex- and gender-informed approaches.

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PERCEPTION OF WOMEN ON SEXUAL AND GENDER BASED VIOLENCE IN NSUKKA, ENUGU STATE

International Journal of Innovative Research in Social Sciences and Strategic Management Techniques ◽

10.48028/iiprds/ijirsssmt.v7.i1.20 ◽

2020 ◽

Vol 7 (1) ◽

pp. 257-270

Author(s):

Oliver Eya ◽

◽

Adaoga Obuna ◽

Grace Odinye ◽

Christy Obi-Keguna ◽

...

Keyword(s):

Physical Violence ◽

Traditional Values ◽

Gender Based Violence ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Enugu State ◽

Gender Based ◽

And Gender ◽

Study Participants

Sexual and gender issues have been a problem in Africa and in Nigeria in particular where females were considered less important than their male counterparts in their families, cooperatives, businesses, academic matters among others. Gender-Based Violence (GBV) is deeply rooted in many cultural and traditional values. It is regarded as a normal attitude, remains hidden and tacitly condoned. It has devastating health impacts on the women, as women are mostly controlled and dominated by their partners in a relationship and must never complain of sexual harassment and in the case of childlessness; the woman must accept it as her fault. This study was located in Nsukka Local Government area of Enugu State. A cross sectional survey of 200 study participants was conducted. The instruments used for data collection were structured 194 questionnaire and6 in-depth interview guide. The data was analyzed using Statistical Package for Social Sciences (SPSS), frequency distribution tables and chi-square (χ²) for hypotheses. The findings from the study stated that sexual/psychological, physical violence and preference of male child are the major forms of GBV in Nsukka, Enugu State. Majority of the respondents (55.7%) indicated that Spiritual manipulation and illiteracy/ignorance are the major causes of GBV. The study also concluded and recommended that mass sensitization/awareness, empowerment, advocacy by social workers, through domestication of the Convention to Eliminate All Forms of Discrimination against Women (CEDAW), will help curb GBV as indicated by 42.7% of the respondents.

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