Sexual orientation and gender identity in the medical profession

British Medical Association

Source: The King’s Fund

This report has found that fewer than half (46 per cent) of lesbian, gay, bisexual, and queer respondents feel able to be open about their sexual orientation where they work or study. The report, based on 2,490 responses from doctors across the UK, suggests a medical workforce that still suffers from and engages in persistent negative stereotypes, derogatory language and social exclusion. It makes several recommendations around improving medical curricula, better training, increasing the visibility of LGBTQ+ role models and enabling dialogue and space to learn.

To find out more click here.

Public Health

Current Awareness Updates

ASH brief for local authorities on youth vaping.
Action on Smoking and Health (ASH); 2022.
(This short briefing is to help local authorities respond to growing concerns about youth vaping in their communities. It is primarily for public health officials and trading standards officers, but also sets out important information for councillors, schools, parents and retailers. Links to further information are also provided.)

Quantifying health inequalities in England.
The Health Foundation; 2022.
(Results show health inequalities starting at a very early age and continuing to develop through adulthood. The early ages and changing structure of health inequalities reinforces the notion that nothing short of a joined-up policy approach can address the wide and complex health inequalities we see in England. We believe this new presentation of health inequalities shows powerfully that investing in the circumstances in which people live will help people stay healthier for longer.)

Advertising ban was linked to lower purchases of unhealthy food and drink.
NIHR Evidence; 2022.
(This is the first study to look at the implementation of the TfL advertising ban. It found that advertising restrictions are feasible, and could have a meaningful impact on population health. The findings could encourage governments and local authorities to consider similar policies to prevent obesity. The TfL restrictions were part of a childhood obesity strategy, but they could influence the whole population.)

Commission on Young Lives,
Centre for Mental Health; 2022.
(Alongside the Children & Young People’s Mental Health Coalition, Centre for Mental Health have co-authored the fourth report from the Commission on Young Lives on rethinking mental health services for vulnerable young people. It reviews the latest data with a focus on those who are at higher risk, including those from racialised communities, lower socioeconomic backgrounds, young people with SEND, those in contact with the criminal justice and care systems, as well as LGBTQI+ communities.)

Domestic abuse and mental health: the amplified risks created during the pandemic.
Hisham I N. BJPsych Advances 2022;28(5):316-327.
[This article focuses on how COVID-19 and its anticipated aftermath exacerbate the risk factors for domestic abuse in the general population and discusses clinical implications for mental health practitioners in the UK. It aims to provide a point of learning based on previous disease outbreaks and recessions, with a focus on specific factors, such as unemployment and alcohol misuse, and how these contribute to increasing incidence and severity of abuse and how to mitigate these for patients…] Open Athens account required.

Public Health

Current Awareness Updates

Vulnerability in infancy.
Office for Health Improvement & Disparities (OHID); 2022.
(Descriptive analysis of vulnerability in infancy using data from the Community Services Dataset (CSDS). Analysis which describes and quantifies the reasons given for hospital and community services recording children as vulnerable in a child’s health record. Vulnerable children are at greater risk of experiencing physical or emotional harm or experiencing poor outcomes because of one or more factors in their lives.)

Unemployment and insecure housing are linked to less successful treatment for depression.
NIHR Evidence; 2022.
(The study found poorer outcomes after treatment for depression among people who are unemployed, struggling financially, not homeowners, and have educational qualifications beyond school. The research concluded that housing and employment status are likely to have a clinically meaningful effect on recovery, independent of the severity of depression, age, marital status or other factors.)


Commission on Young Lives,
Centre for Mental Health; 2022.
(Alongside the Children & Young People’s Mental Health Coalition, Centre for Mental Health have co-authored the fourth report from the Commission on Young Lives on rethinking mental health services for vulnerable young people. It reviews the latest data with a focus on those who are at higher risk, including those from racialised communities, lower socioeconomic backgrounds, young people with SEND, those in contact with the criminal justice and care systems, as well as LGBTQI+ communities.)

Podcast

‘If you’re not counted, you don’t count’: what can be done to tackle LGBTQ+ health inequalities?

Source: The King’s Fund

People who identify as LGBTQ+ experience disproportionately worse health outcomes and have poorer experiences when accessing health services. Three years on from the Government’s LGBT action plan, Helen McKenna sat down with Dr Michael Brady, National Advisor for LGBT Health at NHS England, and Michelle Ross, Co-Founder and Director of Holistic Wellbeing services at cliniQ to explore the health inequalities LGBTQ+ people face and what needs to happen to make sure health services are inclusive.

Listen to the podcast here.