Exploring Malaysian Physicians' Intention to Discriminate Against Gay, Bisexual, and Other Men Who Have Sex with Men Patients.
Exploring Malaysian Physicians' Intention to Discriminate Against Gay, Bisexual, and Other Men Who Have Sex with Men Patients.
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探索马来西亚医生歧视同性恋、双性恋和其他与男患者发生性关系的男性的意图。
DOI：
10.1089/lgbt.2021.0452
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发表时间：
2023
期刊：
影响因子：
4.8
通讯作者：
Wickersham,JeffreyA
中科院分区：
文献类型：
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作者：
Ni,Zhao;Shrestha,Roman;Earnshaw,ValerieA;Tee,YingChew;Altice,FrederickL;Azwa,Iskandar;Kamarulzaman,Adeeba;Zhou,Xin;Wickersham,JeffreyA
目的：同性恋、双性恋和其他与男性发生性关系的男性（MSM）经历了高度的耻辱和歧视。最大限度地减少污名化和歧视对于营造包容的护理环境和优化健康结果至关重要。本研究旨在探讨马来西亚医生有意歧视男男性行为的相关因素。方法：2016年1月至3月，来自马来西亚吉隆坡两所大学附属医院的医生（N= 542）完成了一项在线横断面调查。测量包括社会人口学和临床特征，歧视MSM的意图，以及一些与耻辱感相关的构念。使用双变量和多变量线性回归来评估对MSM歧视意图的独立相关因素。结果：医生歧视男男性行为的意向较低（均值[M] = 1.9，标准差[SD] = 0.7），但大多数医生（70.6%）的平均得分大于1.0，表明大多数医生表达了不同程度的歧视男男性行为的意向。然而，少数医生（10.7%）的得分为3.0或更高，这表明一些医生对MSM有中等到高度的歧视意图。多变量模型显示，对男男性行为表现出较大偏见（B= 0.30,p< 0.01）、与男男性行为相关的羞耻感（B= 0.19,p< 0.01）和恐惧感（B= 0.31,p< 0.01）的医生更有可能产生歧视男男性行为的意图。结论：耻辱感相关的构念，包括偏见、男男性行为相关的羞耻和恐惧，与医生歧视男男性行为的意图增加独立相关。因此，实施干预措施以减少医生对男男性行为者的耻辱感可能会促进公平和无耻辱感的卫生保健。
Purpose:Gay, bisexual, and other men who have sex with men (MSM) experience high levels of stigma and discrimination. Minimizing the stigma and discrimination is critical to fostering an inclusive environment for care and optimizing health outcomes. This study aimed at exploring the factors related to physicians' intention to discriminate against MSM in Malaysia.Methods:Physicians (N= 542) from two university-affiliated hospitals in Kuala Lumpur, Malaysia, completed an online cross-sectional survey between January and March 2016. Measures included sociodemographic and clinical characteristics, intention to discriminate against MSM, and several stigma-related constructs. Bivariate and multivariable linear regressions were used to evaluate independent correlates of discrimination intent against MSM.Results:Physicians' intention to discriminate against MSM was low (mean [M] = 1.9, standard deviation [SD] = 0.7), but most physicians (70.6%) had a mean score greater than 1.0, indicating that most physicians expressed some degree of intention to discriminate against MSM. A minority of physicians (10.7%), however, had a score of 3.0 or higher, revealing some physicians holding a moderate to high level of discrimination intent toward MSM. The multivariable model demonstrated that physicians who expressed greater prejudice (B= 0.30,p< 0.01), had more MSM-related shame (B= 0.19,p< 0.01), and fear about MSM (B= 0.31,p< 0.01) were more likely to have the intention to discriminate against MSM.Conclusion:Stigma-related constructs including prejudice, MSM-related shame, and fear were independently correlated with increases in a physician's intention to discriminate against MSM. Therefore, implementing interventions to reduce physicians' stigma toward MSM may promote equitable and stigma-free access to health care.