Master's Degree Program in Public Health, Faculty of Health and Food Sciences, Universidad del Bío-Bío, Chillan 3780000, Chile.
Department of Nutrition and Public Health, Universidad del Bío-Bío, Chillan 3780000, Chile.
Int J Environ Res Public Health. 2022 Oct 22;19(21):13749. doi: 10.3390/ijerph192113749.
Homophobic attitude in health workers is a social determinant in the health of the homosexual population because it affects healthcare and its access and equity. The objective was to determine the relationship between the level of homophobia and sociodemographic characteristics of primary health workers in southern Chile. This was an analytical cross-sectional study. The sample consisted of 491 public servants from health centers in southern Chile. The attitudes toward lesbians and gay men (ATLG) scale was applied, and a binary logistic regression model was performed to evaluate the association. The study participants were predominantly women (76.0%), under 40 years of age (63.5%), heterosexuals (93.5%), and unpartnered (68.2%) but with children (61.7%), and they also had an educational attainment ≥ 12 years (66.6%). About 87.6% of the participants held healthcare positions, and the majority were religious believers (74.3%) and had a centrist political affiliation (51.0%). Results indicated that 34% of the participants exhibited homophobic attitudes; there were statistically significant differences with respect to age, number of children, educational attainment, religion, and political affiliation ( < 0.01). These were higher in individuals ≥40 years of age, with ≥3 children, with educational attainment ≥ 12 years, holding a healthcare position, who were religious believers, and who had right-wing political affiliation.
医护人员的恐同态度是同性恋人群健康的社会决定因素，因为它会影响医疗保健及其获取和公平性。本研究旨在确定智利南部初级卫生工作者的恐同水平与社会人口学特征之间的关系。这是一项分析性横断面研究。该研究的样本由智利南部卫生中心的 491 名公务员组成。应用了同性恋恐惧态度量表（ATLG），并进行了二元逻辑回归模型来评估相关性。研究参与者主要是女性（76.0%）、40 岁以下（63.5%）、异性恋者（93.5%）和未婚（68.2%）但有孩子（61.7%），并且受教育程度≥12 年（66.6%）。约 87.6%的参与者从事医疗保健工作，大多数是宗教信仰者（74.3%），政治立场居中（51.0%）。结果表明，34%的参与者表现出恐同态度；在年龄、孩子数量、受教育程度、宗教信仰和政治立场方面存在统计学差异（<0.01）。40 岁及以上、有≥3 个孩子、受教育程度≥12 年、从事医疗保健工作、宗教信仰者和右翼政治立场者的差异更为明显。
