1 AIDS Program, Section of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine , New Haven, Connecticut.
2 Human Development and Family Studies, University of Delaware , Newark, Delaware.
LGBT Health. 2018 Jan;5(1):61-68. doi: 10.1089/lgbt.2017.0092. Epub 2017 Dec 11.
Transgender people are frequent targets of discrimination. Discrimination against transgender people in the context of healthcare can lead to poor health outcomes and facilitate the growth of health disparities. This study explores factors associated with medical doctors' intentions to discriminate against transgender people in Malaysia.
A total of 436 physicians at two major university medical centers in Kuala Lumpur, Malaysia, completed an online survey. Sociodemographic characteristics, stigma-related constructs, and intentions to discriminate against transgender people were measured. Bivariate and multivariate linear regression were used to evaluate independent covariates of discrimination intent.
Medical doctors who felt more fearful of transgender people and more personal shame associated with transgender people expressed greater intention to discriminate against transgender people, whereas doctors who endorsed the belief that transgender people deserve good care reported lower discrimination intent. Stigma-related constructs accounted for 42% of the variance and 8% was accounted for by sociodemographic characteristics.
Constructs associated with transgender stigma play an important role in medical doctors' intentions to discriminate against transgender patients. Development of interventions to improve medical doctors' knowledge about and attitudes toward transgender people are necessary to reduce discriminatory intent in healthcare settings.
跨性别者经常成为歧视的对象。在医疗保健背景下，对跨性别者的歧视可能导致健康状况不佳，并加剧健康差距的扩大。本研究探讨了与马来西亚医生歧视跨性别者的意图相关的因素。
在马来西亚吉隆坡的两所主要大学医学中心，共有 436 名医生完成了在线调查。测量了人口统计学特征、与耻辱感相关的构念以及歧视跨性别者的意图。使用单变量和多变量线性回归来评估歧视意图的独立协变量。
对跨性别者感到更恐惧和与跨性别者相关的个人羞耻感更强的医生表示更倾向于歧视跨性别者，而认为跨性别者应得到良好护理的医生则表示歧视意图较低。与耻辱感相关的构念解释了 42%的变异性，而人口统计学特征则解释了 8%。
与跨性别耻辱感相关的构念在医生歧视跨性别患者的意图中起着重要作用。需要制定干预措施来提高医生对跨性别者的知识和态度，以减少医疗保健环境中的歧视意图。
