Knowledge, attitudes and perceptions of students on sexual health needs of sexual and gender minority individuals in a South African University of Kwa-Zulu Natal: A mixed methods study

Abstract

There is scant literature available in South Africa that explores the knowledge, attitudes and perceptions of student nursing trainees and other healthcare workers who deliver sexual health services to sexual and gender minority (SGM) communities with unique health needs. An online, mixed-method, questionnaire-based survey was employed to conveniently sample 39/78 (50%) final-year Bachelor of Nursing students from the University of Kwa-Zulu Natal to understand their knowledge, attitudes and perceptions. Descriptive statistics were applied for quantitative results and thematic analysis was used for free-text qualitative data. Results suggested that over 67% of the participants lack the skills and knowledge to obtain a comprehensive history salient to the health needs of SGM populations. Students reported that social upbringing and religious beliefs impact the care they render, with many showing favourable attitudes toward the SGM community. Overall, students reported no content related to SGMs in the current nursing curriculum, however, students were receptive, highlighting the need to be clinically competent to provide relevant healthcare for SGM to meet their sexual health needs. It thus require that students must be trained and have included the SGM content in their curriculum to meet the sexual health needs of SGM population to enable non discriminatory, equitable health provision. being informed and having the necessary skills and knowledge obtained during training in the health institutions of higher learning can address the issues of greatest concern related to the HIV health needs of SGM populations.

Authors & affiliations

Wilbroda Hlolisile Chiya
Affiliation not supplied

Zamasomi Prudence Busisi Luvuno
Affiliation not supplied

Silingene Joyce Ngcobo
Affiliation not supplied

Celenkosini Nxumalo
Affiliation not supplied

Deshini Naidoo
Affiliation not supplied

Orlando Harris
Affiliation not supplied

Sophia Zamudio-Haas
Affiliation not supplied

Deposited references

Supplied references, not a list of publications citing this article.

DOI: 10.1016/S0140-6736(18)31070-5

DOI: 10.7196/SAMJ.8391

DOI: 10.15766/mep_2374-8265.10781

Crabtree, B. F., & Miller, W. L. (1999). Using codes and code manuals: a template organizing style of interpretation. Doing qualitative research, 2, 163-177.

DOI: 10.4102/sajhivmed.v19i1.701

FUND, S. (2015). Sustainable development goals.

DOI: 10.1186/1471-2288-13-117

Graham, R., Berkowitz, B. A., Blum, R., Bockting, W. O., Bradford, J., de Vries, B., ... & Kasprzyk, D. (2011). Committee on lesbian, gay, bisexual, and transgender health issues and research gaps and opportunities. The Health of Lesbian, Gay, Bisexual, and Transgender People: Building A Foundation for Better Understanding.

DOI: 10.4102/sajhivmed.v19i1.796

DOI: 10.1097/JNC.0000000000000271

King, N., & Brooks, J. (2021). 14 Themat?c Analys?s In Organ?sat?onal Research. The sage handbook of qualitative business and management research methods, 201.

DOI: 10.1136/sti.2008.031567

DOI: 10.4102/phcfm.v11i1.1367

DOI: 10.15766/mep_2374-8265.10634

DOI: 10.1186/s12909-019-1727-3

Müller, A. "Discrimination of lesbian, gay, bisexual and transgender people by health care workers: A call to action."

DOI: 10.1186/1472-6920-13-174

DOI: 10.7196/AJHPE.359

DOI: 10.1186/s12914-017-0124-4

Permanente, K. (2000). A provider’s handbook on culturally competent care: Lesbian, gay, bisexual and transgendered population. Oakland, CA: National Diversity Council, Kaiser Permanente.

Sanchez, N. F., Rabatin, J., Sanchez, J. P., Hubbard, S., & Kalet, A. (2006). Medical students' ability to care for lesbian, gay, bisexual, and transgendered patients. Family Medicine-Kansas City- 38(1), 21.

DOI: 10.21203/rs.3.rs-134921/v1

DOI: 10.7448/IAS.19.1.21133

DOI: 10.1080/13691058.2014.961033

Stevens, M. (2012). Transgender access to sexual health services in South Africa. Cape Town: Gender Dynamix.

DOI: 10.1371/journal.pone.0234743

DOI: 10.1080/10401334.2015.1044656

DOI: 10.7196/SAMJ.8392