PUBLICATION

Improving Knowledge, Comfort, and Attitudes for LGBTQIA+ Clinical Care and Dental Education

Oral health does not exist in a silo. The mouth-body connection is a biological aspect of physical wellbeing that exists alongside the social and political drivers of whole-person health. Lesbian, gay, bisexual, transgender, queer, intersex, and agender/ asexual people, and people of other marginalized gender or sexual identities (LGBTQIA+), have experienced historical exclusion from healthcare systems perpetuated by chronic stigma. Ongoing discrimination, cultural insensitivity, and blatant homophobia/transphobia among healthcare staff results in poor health outcomes, including oral health.

Although a demonstrated need exists to explore drivers of disparity and develop evidence-based solutions that address the oral health and wellbeing of LGBTQIA+ people, little research focuses on the intersection of oral health and LGBTQIA+ healthcare. AIDPH surveyed oral health professionals to assess knowledge, attitudes, and practices among a broad range of oral health professionals regarding LGBTQIA+ oral health. Topics addressed included perceived barriers to care and best practices.

Key findings include:

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Oral health professionals generally reported feeling comfortable working with LGBTQIA+ people in both personal and professional capacities. However, respondents were least comfortable around transgender, nonbinary, or gender diverse youth and adults

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Responses were mixed around knowledge of the unique oral healthcare needs of LGBTQIA+ patients.

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Dental institutions struggle to prioritize LGBTQIA+ oral health as a core aspect of clinical training among future dental clinicians.

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