We read with great interest the article “How can the nursing profession help reduce
sexual and gender minority related health disparities: Recommendations from the national
nursing LGBTQ health summit” recently published in the Journal (
Hughes et al., 2022
Hughes T.L.
Jackman K.
Dorsen C.
Arslanian-Engoren C.
Ghazal L.
Christenberry-Deceased T.
Walker R.
How can the nursing profession help reduce sexual and gender minority related health
disparities: Recommendations from the national nursing LGBTQ health summit.
). The Authors report the topics discussed in the first National Nursing LGBTQ Health
Summit. Sex/gender minorities (SGM) experience significant health inequities. These
populations can have very complex health needs and often face disadvantages and discrimination
in accessing care (
Sirufo et al., 2022
Sirufo M.M.
Magnanimi L.M.
Ginaldi L.
De Martinis M.
How to ensure better healthcare experiences for transgender people.
). The inequality of care for SGM causes an increase of psychiatric disorders, substance
abuse, infections, chronic diseases and certain types of cancer. All over the world
we find important gaps in health systems that hinder the fulfillment of the specific
health needs of transgender people and people of different genders (TGD) but also
in providing them with basic health care with respect, dignity and sensitivity (
Hana et al., 2021
Hana T.
Butler K.
Young L.T.
Zamora G.
Lam J.S.H.
Transgender health in medical education.
). Public Health research and practice have as their fundamental goal the reduction
of disparities and inequities in care. Data from across the globe demonstrate that
physicians, postgraduate and undergraduate medical students, nurses and other health
professionals are not fully equipped to provide high-quality and comprehensive care
to SGM. Especially in higher-income contexts, there is a progressive commitment in
academia, medicine and public health, to consider and improve the health of SGM. However,
we must note that with a few notable exceptions, topics related to SGM health are
minimally or not included in the educational curricula of health professionals. Also
Hughes et al., 2022
Hughes T.L.
Jackman K.
Dorsen C.
Arslanian-Engoren C.
Ghazal L.
Christenberry-Deceased T.
Walker R.
How can the nursing profession help reduce sexual and gender minority related health
disparities: Recommendations from the national nursing LGBTQ health summit.
confirm that despite national recommendations, in nursing schools, faculty and administrative
managers have not been prompt in incorporating SGM health content into nursing curricula.
Summit attendees agreed that an increase in SGM specific content in nursing curricula,
practice guidelines, faculty development and research is necessary to improve the
health of SGM people. Research is growing but knowledge and training in TGD medicine
is still suboptimal and insufficient. Including SGM related content in health professionals
curricula is the foundation to provide TGD- sensitive care. Educational initiatives
of this kind have been successfully introduced and confirm the importance of disseminating
them as much as possible (
Sherman et al., 2021
Sherman A.D.F.
McDowell A.
Clark K.D.
Balthazar M.
Klepper M.
Bower K.
Transgender and gender diverse health education for future nurses: Students' knowledge
and attitudes.
;
Eriksson and Safer, 2016
Evidence-based curricular content improves student knowledge and changes attitudes
towards transgender medicine.
). There is the need for continuing professional development to upskill the existing
health workforce and for the enhancements of initial training of health professionals
to build a personalized medicine capable of giving the right answers to the health
request of SGM people. To meet the needs of TGD people it is imperative to implement
educational curricula (
). Including SGM health in health professional education will help achieve the 2030
Sustainable Development Agenda to leave no one behind. So, we broaden the call by
Hughes et al., 2022
Hughes T.L.
Jackman K.
Dorsen C.
Arslanian-Engoren C.
Ghazal L.
Christenberry-Deceased T.
Walker R.
How can the nursing profession help reduce sexual and gender minority related health
disparities: Recommendations from the national nursing LGBTQ health summit.
to action for all healthcare professionals to prioritize SGM health through innovations
in education, research and practice. An International health professionals strategy
that addresses SGM health disparities is needed and among other initiatives such as
that of the Summit reported by the Authors must be repeated and implemented.
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