عرض للأخصائي: 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

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...

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المؤلفون الرئيسيون:	Ni, Zhao, Shrestha, Roman, Earnshaw, Valerie A. A., Tee, Ying Chew, Altice, Frederick L. L., Azwa, Iskandar, Kamarulzaman, Adeeba, Zhou, Xin, Wickersham, Jeffrey A. A.
التنسيق:	مقال
منشور في:	Mary Ann Liebert 2023
الموضوعات:	HM Sociology R Medicine
الوصول للمادة أونلاين:	http://eprints.um.edu.my/39390/
الوسوم:	إضافة وسم لا توجد وسوم, كن أول من يضع وسما على هذه التسجيلة!

id	my.um.eprints.39390
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spelling	my.um.eprints.393902023-10-17T09:19:53Z http://eprints.um.edu.my/39390/ Exploring Malaysian physicians' intention to discriminate against gay, bisexual, and other men who have sex with men patients Ni, Zhao Shrestha, Roman Earnshaw, Valerie A. A. Tee, Ying Chew Altice, Frederick L. L. Azwa, Iskandar Kamarulzaman, Adeeba Zhou, Xin Wickersham, Jeffrey A. A. HM Sociology R Medicine 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. Mary Ann Liebert 2023-03 Article PeerReviewed Ni, Zhao and Shrestha, Roman and Earnshaw, Valerie A. A. and Tee, Ying Chew and Altice, Frederick L. L. and Azwa, Iskandar and Kamarulzaman, Adeeba and Zhou, Xin and Wickersham, Jeffrey A. A. (2023) Exploring Malaysian physicians' intention to discriminate against gay, bisexual, and other men who have sex with men patients. LGBT Health, 10 (2). pp. 169-175. ISSN 2325-8292, DOI https://doi.org/10.1089/lgbt.2021.0452 <https://doi.org/10.1089/lgbt.2021.0452>. 10.1089/lgbt.2021.0452
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	HM Sociology R Medicine
spellingShingle	HM Sociology R Medicine Ni, Zhao Shrestha, Roman Earnshaw, Valerie A. A. Tee, Ying Chew Altice, Frederick L. L. Azwa, Iskandar Kamarulzaman, Adeeba Zhou, Xin Wickersham, Jeffrey A. A. Exploring Malaysian physicians' intention to discriminate against gay, bisexual, and other men who have sex with men patients
description	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.
format	Article
author	Ni, Zhao Shrestha, Roman Earnshaw, Valerie A. A. Tee, Ying Chew Altice, Frederick L. L. Azwa, Iskandar Kamarulzaman, Adeeba Zhou, Xin Wickersham, Jeffrey A. A.
author_facet	Ni, Zhao Shrestha, Roman Earnshaw, Valerie A. A. Tee, Ying Chew Altice, Frederick L. L. Azwa, Iskandar Kamarulzaman, Adeeba Zhou, Xin Wickersham, Jeffrey A. A.
author_sort	Ni, Zhao
title	Exploring Malaysian physicians' intention to discriminate against gay, bisexual, and other men who have sex with men patients
title_short	Exploring Malaysian physicians' intention to discriminate against gay, bisexual, and other men who have sex with men patients
title_full	Exploring Malaysian physicians' intention to discriminate against gay, bisexual, and other men who have sex with men patients
title_fullStr	Exploring Malaysian physicians' intention to discriminate against gay, bisexual, and other men who have sex with men patients
title_full_unstemmed	Exploring Malaysian physicians' intention to discriminate against gay, bisexual, and other men who have sex with men patients
title_sort	exploring malaysian physicians' intention to discriminate against gay, bisexual, and other men who have sex with men patients
publisher	Mary Ann Liebert
publishDate	2023
url	http://eprints.um.edu.my/39390/
_version_	1781704511461523456
score	13.251813

Exploring Malaysian physicians' intention to discriminate against gay, bisexual, and other men who have sex with men patients

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