Physicians' attitudes toward homosexuality and HIV: Survey of a California Medical Society Revisited (PATHH-II)
Physicians' attitudes toward homosexuality and HIV: Survey of a California Medical Society Revisited (PATHH-II)
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DOI：
10.1300/j082v52n03_01
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发表时间：
2007-01-01
影响因子：
2.6
通讯作者：
Mathews, Wm. Christopher
中科院分区：
文献类型：
--
作者：
Smith, Davey M.;Mathews, Wm. Christopher
1982年，马修斯等人调查了圣地亚哥县医学会（SDCMS）的医生对同性恋的态度。他们发现，在性别、医学院毕业年份、专业和实践环境方面，同性恋恐惧症的流行率存在显着差异。为了评估目前医生对同性恋和艾滋病毒感染者的态度，一项匿名的、自我管理的17项调查邮寄给了SDCMS的所有4,385名成员和UCSD的1,271名医生。该调查包括测量对同性恋和进入医学院的态度和转诊模式的项目，以假设的参考对象的性取向和艾滋病毒状况为条件。只有3%的受访者不愿意接受高素质的同性恋申请人进入医学院，而1982年这一比例为30%。同样，9%的人会停止向同性恋儿科医生转诊，而1982年这一比例为46%。42%的人不愿意接受“高素质但无症状的艾滋病毒感染者，对抗逆转录病毒治疗有很好的反应”，66%的人不愿意转诊给已知感染艾滋病毒的普通外科医生。在控制了性别和医学院隶属关系的多元逻辑回归分析中，在艾滋病毒恐惧量表上处于最高10%的显著（p < 0.05）独立预测因素是医学院毕业年份和同性恋恐惧程度（模型ROC = 0.77）。这项调查表明，自1982年以来，同性恋恐惧症大幅减少。然而，对同性恋者的态度和从医学院毕业的年份似乎是对艾滋病毒感染者的态度的重要预测因素。
In 1982, Mathews et al. surveyed San Diego County Medical Society's (SDCMS) physicians about their attitudes toward homosexuality. They found significant differences in prevalence of homophobic attitudes by gender, year of medical school graduation, specialty, and practice setting. To assess current physicians' attitudes toward homosexuality and persons with HIV infection, an anonymous, self-administered, 17-item survey was mailed to all 4,385 members of the SDCMS and 1,271 UCSD physicians. The Survey included items measuring attitudes toward homosexuality and toward entry to medical school and referral patterns, conditional on sexual orientation and HIV status of hypothetical referents. Only 3% of respondents would not admit a highly qualified homosexual applicant to medical school compared with 30% in 1982. Similarly, 9% would discontinue referrals to a gay pediatrician compared with 46% of respondents in 1982. Forty-two percent would not admit a "highly qualified but asymptomatic HIV-infected applicant with excellent response to antiretroviral therapy to medical school" and 66% would discontinue referral to a general surgeon known to be HIV infected. In multiple logistic regression analyses controlling for sex and medical school affiliation, significant (p < 0.05) independent predictors of being in the highest 10% on an HIV-phobia scale were year of graduation from medical school and degree of homophobia (model ROC = 0.77). This survey suggests a substantial reduction in homophobia since 1982. However, attitudes toward homosexuals and year of graduation from medical school appear to be significant predictors of attitudes toward persons with HIV infection.