Knowledge and attitude towards lesbian, gay, bisexual, and transgender healthcare concerns: A cross-sectional survey among undergraduate nursing students in a Philippine state university
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Keywords

cross-sectional studies
cultural competency
nursing students
sexual and gender minorities
universities
Philippines
LGBT

How to Cite

Oducado, R. M. F. (2023). Knowledge and attitude towards lesbian, gay, bisexual, and transgender healthcare concerns: A cross-sectional survey among undergraduate nursing students in a Philippine state university . Belitung Nursing Journal, 9(5), 498–504. https://doi.org/10.33546/bnj.2887
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Accepted for publication: 2023-10-04
Peer reviewed: Yes

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Abstract

Background: Recently, there has been an increasing concern regarding matters concerning the LGBT community that should not be overlooked. Even though the Philippines is among the Asian nations with strong public tolerance towards homosexuals, numerous individuals still encounter discrimination. And while studies have been conducted elsewhere, the literature is limited among Filipino nursing students.

Objective: This research assessed the knowledge and attitude towards lesbian, gay, bisexual, and transgender (LGBT) healthcare concerns among nursing students in the Philippines.

Methods: A descriptive, cross-sectional survey was conducted among nursing students (N = 354) in a public university in the Philippines. The Nursing Students’ Knowledge and Attitudes of LGBT Health Concerns was used to gather survey data online in April 2022, and data were analyzed using IBM SPSS version 26 software.

Results: While a large majority of nursing students had positive attitudes, many had only low to moderate knowledge about LGBT healthcare concerns, although no significant correlation (p = 0.081) was found between knowledge and attitude. There were significant differences in knowledge based on gender (p = 0.049), religious affiliation (p = 0.023), and academic year level (p <0.001). A significant difference was also identified in attitude based on sexual orientation (p <0.001).

Conclusion: Certain measures should be taken to address the gaps in the curricular content of undergraduate nursing programs directed at the LGBT topic to deliver culturally competent care grounded in evidence-based practices for LGBT individuals.

https://doi.org/10.33546/bnj.2887
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Supporting Agencies

This research received funding from the West Visayas State University – University Research and Development Center

Copyright

Copyright (c) 2023 Ryan Michael F. Oducado

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

The author has no conflict of interest to declare.

Acknowledgment

The author would like to thank West Visayas State University – University Research and Development Center and the participants of this study.

Authors’ Contributions

The author contributed substantially to the conception, finalization, and writing of the final version of this article.

Data Availability

The datasets generated during and analyzed during the current study are available from the corresponding author upon reasonable request.


References

Alencar Albuquerque, G., de Lima Garcia, C., da Silva Quirino, G., Alves, M. J. H., Belém, J. M., dos Santos Figueiredo, F. W., da Silva Paiva, L., do Nascimento, V. B., da Silva Maciel, É., & Valenti, V. E. (2016). Access to health services by lesbian, gay, bisexual, and transgender persons: systematic literature review. BMC International Health and Human Rights, 16(2), 1-10. https://doi.org/10.1186/s12914-015-0072-9

Alibudbud, R. (2023). Gender in mental health: Towards an LGBTQ+ inclusive and affirming psychiatry and mental healthcare in the Philippines. Frontiers in Psychiatry, 14, 1189231. https://doi.org/10.3389/fpsyt.2023.1189231

American Nurses Association. (2018). The nurse’s role in addressing discrimination: Protecting and promoting inclusive strategies in practice settings, policy, and advocacy. American Nurses Association. https://www.nursingworld.org/~4ab207/globalassets/practiceandpolicy/nursing-excellence/ana-position-statements/social-causes-and-health-care/the-nurses-role-in-addressing-discrimination.pdf

Arthur, S., Jamieson, A., Cross, H., Nambiar, K., & Llewellyn, C. D. (2021). Medical students’ awareness of health issues, attitudes, and confidence about caring for lesbian, gay, bisexual and transgender patients: A cross-sectional survey. BMC Medical Education, 21, 56. https://doi.org/10.1186/s12909-020-02409-6

Ayhan, C. H. B., Bilgin, H., Uluman, O. T., Sukut, O., Yilmaz, S., & Buzlu, S. (2020). A systematic review of the discrimination against sexual and gender minority in health care settings. International Journal of Health Services, 50(1), 44-61. https://doi.org/10.1177/0020731419885093

Chapman, R., Watkins, R., Zappia, T., Nicol, P., & Shields, L. (2012). Nursing and medical students’ attitude, knowledge and beliefs regarding lesbian, gay, bisexual and transgender parents seeking health care for their children. Journal of Clinical Nursing, 21(7‐8), 938-945. https://doi.org/10.1111/j.1365-2702.2011.03892.x

Cornelius, J. B., & Carrick, J. (2015). A survey of nursing students’ knowledge of and attitudes toward LGBT health care concerns. Nursing Education Perspectives, 36(3), 176-178. https://doi.org/10.5480/13-1223

De Castro, G. L., Eijansantos, A. M., Jalani, N. P., Amora, J. C. P., & Lantaya, G. A. (2022). Knowledge and attitudes not strongly related to COVID-19 prevention, behaviors, and vaccination among Filipino college students. Asian Journal for Public Opinion Research, 10(4), 316-339. https://doi.org/10.15206/ajpor.2022.10.4.316

Della Pelle, C., Cerratti, F., Di Giovanni, P., Cipollone, F., & Cicolini, G. (2018). Attitudes towards and knowledge about lesbian, gay, bisexual, and transgender patients among Italian nurses: An observational study. Journal of Nursing Scholarship, 50(4), 367-374. https://doi.org/10.1111/jnu.12388

Eickhoff, C. (2021). Identifying gaps in LGBTQ health education in baccalaureate undergraduate nursing programs. Journal of Nursing Education, 60(10), 552-558. https://doi.org/10.3928/01484834-20210729-01

Ercan Sahin, N., & Aslan, F. (2020). Nursing students' perspectives on the inclusion of course content on lesbian, gay, bisexual, and transgender health in the nursing curriculum: A descriptive qualitative study. Nursing & Health Sciences, 22(3), 822-829. https://doi.org/10.1111/nhs.12742

Fradelos, E. C., Montegrico, J., Cornelius, J., Bakalis, V., Malliarou, M., Papathanasiou, I. V., Fasoi, G., Kelesi, M., Kaba, E., & Alikari, V. (2022). Translation and validation of nursing students' knowledge and attitudes of lesbian, gay, bisexual, transgender health concerns survey in the Greek language. 10, 2547.

Hafeez, H., Zeshan, M., Tahir, M. A., Jahan, N., & Naveed, S. (2017). Health care disparities among lesbian, gay, bisexual, and transgender youth: A literature review. Cureus, 9(4). https://doi.org/10.7759/cureus.1184

Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. https://www.ncbi.nlm.nih.gov/books/NBK64806/

Jones, S. A. (2021). Nursing education for LGBTQ patients: A literature review (Publication Number 1019) [Honors Undergraduate Theses, University of Central Florida]. https://stars.library.ucf.edu/honorstheses/1019

Lim, F. A., & Hsu, R. (2016). Nursing students’ attitudes toward lesbian, gay, bisexual, and transgender persons: An integrative review. Nursing Education Perspectives, 37(3), 144-152. https://doi.org/10.1097/01.NEP.0000000000000004

McCormick, A. F. (2021). An investigation of nursing student attitudes and knowledge toward LGBTQ patients [Doctoral dissertation, Carlow University]. ProQuest Dissertations Publishing.

McMaster, R. (2018). Exploring nursing students' attitudes, beliefs, and knowledge of lesbian, gay, bisexual, and transgender (LGBT) issues. Sigma 29th International Nursing Research Congress, Melbourne, Australia. https://stti.confex.com/stti/congrs18/webprogram/Paper91434.html

Medina-Martínez, J., Saus-Ortega, C., Sánchez-Lorente, M. M., Sosa-Palanca, E. M., García-Martínez, P., & Mármol-López, M. I. (2021). Health inequities in LGBT people and nursing interventions to reduce them: A systematic review. International Journal of Environmental Research and Public Health, 18(22), 11801. https://doi.org/10.3390/ijerph182211801

Min, H.-Y., Lee, J., Montegrico, J., & Jang, H.-J. (2023). Korean version of the nursing student attitudes and knowledge toward lesbian, gay, bisexual, and transgender patients scale. Healthcare, 11, 2028. https://doi.org/10.3390/healthcare11142028

Oruche, U. M., & Zapolski, T. C. B. (2020). The role of nurses in eliminating health disparities and achieving health equity. Journal of Psychosocial Nursing and Mental Health Services, 58(12), 2-4. https://doi.org/10.3928/02793695-20201112-01

Özdemir, R. C., & Erenoğlu, R. (2022). Attitudes of nursing students towards LGBT individuals and the affecting factors. Perspectives in Psychiatric Care, 58(1), 239-247. https://doi.org/10.1111/ppc.12941

Philippine Regulatory Board of Nursing. (2004). Board of Nursing resolution 220 series of 2004: Promulgation of the code of ethics for registered nurses. https://www.prc.gov.ph/sites/default/files/NURSING-CodeEthics-2004-220.pdf

Raosoft. (2004). Sample size calculator. http://www.raosoft.com/samplesize.html

Rowe, D., Ng, Y. C., O’Keefe, L., & Crawford, D. (2017). Providers’ attitudes and knowledge of lesbian, gay, bisexual, and transgender health. Federal Practitioner, 34(11), 28-34.

Rubio, R. R. M., & Echem, R. (2022). Correlates of attitudes of Filipino healthcare providers' toward the LGBT patients. International Journal of Nursing and Health Services (IJNHS), 5(6), 475-485. https://doi.org/10.35654/ijnhs.v5i6.644

Sabouhi, F., Babaee, S., Naji, H., & Zadeh, A. H. (2011). Knowledge, awareness, attitudes and practice about hypertension in hypertensive patients referring to public health care centers in Khoor & Biabanak. Iranian Journal of Nursing and Midwifery Research, 16(1), 34-40.

Statista Research Department. (2016). Familiarity with the LGBT community in the Philippines as of 2016. https://www.statista.com/statistics/719899/familiarity-with-the-lgbt-community-in-philippines/

Stewart, K., & O'Reilly, P. (2017). Exploring the attitudes, knowledge and beliefs of nurses and midwives of the healthcare needs of the LGBTQ population: An integrative review. Nurse Education Today, 53, 67-77. https://doi.org/10.1016/j.nedt.2017.04.008

Stonewall. (2018). LGBT in Britain - Health. https://www.stonewall.org.uk/lgbt-britain-health

Strong, K. L., & Folse, V. N. (2015). Assessing undergraduate nursing students’ knowledge, attitudes, and cultural competence in caring for lesbian, gay, bisexual, and transgender patients. Journal of Nursing Education, 54(1), 45-49. https://doi.org/10.3928/01484834-20141224-07

United Nations Development Programme, & United States Agency for International Development. (2014). Being LGBT in Asia: The Philippines country report. https://www.undp.org/publications/being-lgbt-asia-philippine-country-report

Wang, Y.-C., Miao, N.-F., & Hsieh, Y.-J. (2019). Nursing students' attitudes toward sexual minority populations and intentions to provide healthcare to the populations 30th International Nursing Research Congress: Theory-to-Practice: Catalyzing Collaborations to Connect Globally, Calgary, Alberta, Canada. http://hdl.handle.net/10755/18124

Wang, Y.-C., Miao, N.-F., & You, M.-H. (2022). Attitudes toward, knowledge of, and beliefs regarding providing care to LGBT patients among student nurses, nurses, and nursing educators: A cross-sectional survey. Nurse Education Today, 116, 105472. https://doi.org/10.1016/j.nedt.2022.105472

Westwood, S. (2022). Religious‐based negative attitudes towards LGBTQ people among healthcare, social care and social work students and professionals: A review of the international literature. Health & Social Care in the Community, 30(5), e1449-e1470. https://doi.org/10.1111/hsc.13812

Wilson, C. K., West, L., Stepleman, L., Villarosa, M., Ange, B., Decker, M., & Waller, J. L. (2014). Attitudes toward LGBT patients among students in the health professions: Influence of demographics and discipline. LGBT Health, 1(3), 204-211. https://doi.org/10.1089/lgbt.2013.0016


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