Stigma Toward Men Who Have Sex with Men Among Future Healthcare Providers in Malaysia: Would More Interpersonal Contact Reduce Prejudice?
Stigma Toward Men Who Have Sex with Men Among Future Healthcare Providers in Malaysia: Would More Interpersonal Contact Reduce Prejudice?
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DOI：
10.1007/s10461-015-1168-x
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发表时间：
2016-01-01
影响因子：
4.4
通讯作者：
Altice, Frederick L.
中科院分区：
文献类型：
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作者：
Earnshaw, Valerie A.;Jin, Harry;Altice, Frederick L.
生活在对 MSM 有强烈污名的国家的男男性行为者 (MSM) 很容易感染艾滋病毒，并且在艾滋病毒护理方面遇到重大障碍。需要开展研究，为干预措施提供信息，以减少这些国家（尤其是医疗保健提供者）对男男性行为者的耻辱感。 2012年，马来西亚七所大学对1158名医学和牙科学生进行了一项横断面调查。多变量方差分析表明，与MSM有人际接触的学生对MSM的偏见和歧视意图较低。引导的路径分析表明，刻板印象和恐惧介导了与偏见和歧视的接触之间的关联。在马来西亚和其他对 MSM 有强烈耻辱感的国家，减少医疗保健提供者对 MSM 耻辱的干预策略可能包括为患有 MSM 的医学和牙科学生提供直接、面对面或间接、基于媒体的亲社会接触的机会。
Men who have sex with men (MSM) living in countries with strong stigma toward MSM are vulnerable to HIV and experience significant barriers to HIV care. Research is needed to inform interventions to reduce stigma toward MSM in these countries, particularly among healthcare providers. A cross-sectional survey of 1158 medical and dental students was conducted at seven Malaysian universities in 2012. Multivariate analyses of variance suggest that students who had interpersonal contact with MSM were less prejudiced toward and had lower intentions to discriminate against MSM. Path analyses with bootstrapping suggest stereotypes and fear mediate associations between contact with prejudice and discrimination. Intervention strategies to reduce MSM stigma among healthcare providers in Malaysia and other countries with strong stigma toward MSM may include facilitating opportunities for direct, in-person or indirect, media-based prosocial contact between medical and dental students with MSM.