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LGBT Persons Face Disparities in Dermatology

JAMA Dermatology; ePub 2018 Mar 28; Park, et al

Lesbian, gay, bisexual, and transgender (LGBT) persons in the US account for 2.2% to 4.0% of the population and face considerable health disparities, generally and specifically related to dermatology, a recent investigation found. According to Healthy People 2020, the federal government’s public health agenda, these disparities partially arise from a shortage of health care professionals who are knowledgeable and culturally competent in LGBT health. Researchers conducted a cross-sectional study of the American Academy of Dermatology’s (AAD) online Basic Dermatology Curriculum, which consists of case-based modules. All curriculum modules and quizzes were downloaded from the AAD Association Basic Dermatology Curriculum web site. Patients’ gender or sex, dating or marriage status, sexual orientation, and sexual behavior were all recorded. They found:

  • The curriculum consisted of 293 patients, with 157 in 40 modules and 136 from 36 quizzes, including 121 pediatric patients.
  • 1 of 293 (0.3%) cases mentioned an LGBT patient, a woman with basal cell carcinoma (BCC) in a same-sex marriage.
  • No cases included a transgender patient, mentioned same-sex sexual behavior, or specified sexual orientation.

Citation:

Park AJ, Katz KA. Paucity of lesbian, gay, bisexual, and transgender health-related content in the basic dermatology curriculum. [Published online ahead of print March 28, 2018]. JAMA Dermatology. doi:10.1001/jamadermatol.2017.6531.