Still in the closet: The invisible minority in medical education

Jessica Diane Lapinski*, Patricia Sexton

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

52 Scopus citations

Abstract

Background: To investigate the relationship between sexual orientation and gender identity in regard to levels of depression; levels of perceived social support; comfort with disclosure of orientation; and the lesbian, gay, bisexual, and transgender (LGBT) campus climate.

Methods. E-mail invitations to participate in the current cross-sectional questionnaire-based study were sent to all thirty US osteopathic medical schools in August 2012; six schools responded and disseminated the survey to their students. Participating students completed an anonymous web-based survey, and informed consent was obtained when they accessed the survey. The survey was designed specifically for the current study but contained scales used with permission from previously published research. Analysis procedures included nonparametric tests, one-way analysis of variance and Pearson's correlations.

Results: Of the 4112 students invited to participate in the survey, 1334 (32.4%) completed it. Approximately 85% of respondents self-identified as heterosexual only. No respondents identified as transgender. In general, LGB students indicated higher levels of depression (P <.001), slightly lower levels of perceived social support (P <.001), and more discomfort with disclosure of sexual orientation (P <.001). A majority of students rated their campus climate as noninclusive.

Conclusions: Results of the current study indicated a relationship between sexual orientation and depression, perceived social support, comfort with disclosure of orientation, and the LGBT campus climate in osteopathic medical students. In the future, osteopathic medical schools should consider closely examining their campus culture in order to create a more positive and inclusive environment for all its students.

Original languageEnglish (US)
Article number171
JournalBMC medical education
Volume14
Issue number1
DOIs
StatePublished - Aug 15 2014

Funding

The authors would like to extend their deepest gratitude to the following individuals for their support throughout this process: Deborah Goggin, MA, ELS, for editing the manuscript and providing invaluable insight and feedback; the deans from the 6 osteopathic medical schools for disseminating the survey link to their students; and finally the students who participated in this study for taking the time to complete the survey. This work was funded by a medical education grant from the American Association of Colleges of Osteopathic Medicine. Funding allowed dissemination of and incentives for the survey materials.

Keywords

  • Cultural competency
  • LGB osteopathic medical students
  • LGBT campus climate
  • Mental health

ASJC Scopus subject areas

  • Education

Fingerprint

Dive into the research topics of 'Still in the closet: The invisible minority in medical education'. Together they form a unique fingerprint.

Cite this