ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026
Exploring the knowledge, attitudes and practices on sexual and gender minorities patients among European Academy of Neurology members.
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Abstract
backgroundLesbian, gay, bisexual, transgender and queer (LGBTQ) persons may be defined under the umbrella term sexual and gender minorities (SGM). SGM often experience disparities in access to care negatively impacting their health outcomes. Aim of the study was to assess knowledge, attitude and practical experience of neurologists associated with European Academy of Neurology (EAN) in caring for SGM patients. MATERIALS AND
methodsThe study has been conducted amongst EAN neurologists using a 29 Likert-type questions survey (from "strongly disagree" to "strongly agree") exploring the knowledge, attitudes and practices towards SGM patients. The survey was distributed via mail to all 3410 EAN members, from June to October 2024.
resultsOverall, 171 respondents gave the consent to participate, with almost 73% responding to each question. 133 out of 171 respondents declared their sex assigned at birth (76 women, 57.1%; mean age 43.2 ± 13.0 years). Considering knowledge, almost 75% felt comfortable explaining differences between sexual orientation and gender identity. A low percentage (2.9% and 6.4%, respectively), was aware that LGBTQ individuals could experience disproportionate levels of physical and mental health problems compared to heterosexual and cisgender individuals. A large majority of participants reported insufficient training to work with LGBTQ and almost 70% declared interest in receiving further training on providing appropriate care to SGM persons.
conclusionMost of the European neurologists were aware of the limits in providing healthcare to SGM recognizing the importance of training and education in approach and treat SGM patients in order to provide high-quality neurological care.
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