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Radiographers' knowledge and attitudes toward people who are gender and sexually diverse (GSD)

J Ta¹, S Jia², B Seyer³

¹Department of Medical Imaging and Radiation Sciences, Monash University. Melbourne, Australia.

Radiography (London, England : 1995)

|July 27, 2025

Abstract

Introduction:

Gender and sexually diverse (GSD) people, including those identifying as lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+), face significant barriers to accessing safe and equitable healthcare. While some studies on GSD patients in medical imaging exist, few focus on the perspectives of Australian radiographers. Within medical imaging, GSD patients report negative experiences due to social stigma, healthcare providers' lack of awareness, and environmental factors. This study aimed to investigate the knowledge and attitudes of Australian radiographers toward providing safe, high-quality care for people who are GSD.

Methods:

An anonymous online survey, combining quantitative data from multiple-choice Likert-scale questions with qualitative data from open-ended questions was distributed to Australian radiographers via Australia Society for Medical Imaging and Radiation Therapy (ASMIRT).

Results:

122 radiographers responded and qualitative responses underwent thematic analysis. Five themes were identified via thematic analysis and supported by analysing Likert-scale responses: education and training, communication, psychosocial safety, conflation of sex assigned at birth and gender identity, and perceptions of equal treatment.

Conclusion:

Findings indicate that while many radiographers understand the importance of GSD-inclusive care, there is lack of confidence in appropriate communication with GSD patients. Respondents expressed a desire for further education and clear departmental protocols to improve care for GSD patients. However, several radiographers believe GSD-inclusive care has limited relevance to radiography and saw it as an overcomplication of the role of the radiographer.

Implications For Practice:

The results highlight the need for further education and systemic changes in radiographic practice. This research reveals current gaps in knowledge and practice, emphasising the importance of fostering a more inclusive, supportive healthcare environment for GSD patients.

Keywords:

Diversity and inclusion Education Equity Patient safety Radiography

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