Uzun Süleyman Utku, Kılıç Bilge Betül
Epidemiology Division, Department of Public Health, Medical Faculty, Pamukkale University, Denizli, Türkiye, 20160, Turkey.
Alaşehir District Health Directorate, Manisa, Türkiye, Turkey.
J Immigr Minor Health. 2025 Feb;27(1):34-41. doi: 10.1007/s10903-024-01658-7. Epub 2024 Nov 28.
Xenophobia among healthcare professionals can significantly impact the quality of care provided to immigrant and refugee populations, particularly in countries with high influxes such as Türkiye. This study evaluated xenophobia among resident physicians at Pamukkale University Hospital and identified factors influencing these attitudes. This cross-sectional study involving 271 resident physicians at Pamukkale University Hospital was conducted between August 1 and August 20, 2022. The participants were randomly selected and stratified by department. Data were collected via a 38-item questionnaire, including the 11-item Xenophobia Scale. Descriptive statistics, the Mann‒Whitney U test, the Kruskal‒Wallis test, and multiple linear regression analysis were used for data analysis. The mean xenophobia scale score among participants was 57.53 (SD = 7.82), indicating high levels of xenophobic attitudes. The significant factors associated with higher xenophobia scores included being from a surgical department (B = 0.571, p < 0.001) and lacking foreign nationals in their close environment (B = 0.724, p < 0.001). Additionally, 58.7% of the resident physicians opposed providing free healthcare services to refugees, and 10.0% indicated that they might delay providing health services to these patients because of their status. Additionally, 7.7% of the resident physicians admitted to discriminating against migrant/refugee patients. The study reveals pervasive xenophobic attitudes among resident physicians in Türkiye, which are influenced by departmental affiliation and the social environment. These findings underscore the need for targeted interventions to address xenophobia in healthcare settings, including cultural competence training and policy changes, to ensure equitable healthcare access for all patients.
医疗保健专业人员中的仇外心理会显著影响为移民和难民群体提供的护理质量，在像土耳其这样移民大量涌入的国家尤其如此。本研究评估了棉花堡大学医院住院医师中的仇外心理，并确定了影响这些态度的因素。这项横断面研究于2022年8月1日至8月20日在棉花堡大学医院对271名住院医师进行。参与者通过随机选择并按科室分层。数据通过一份包含38个条目的问卷收集，其中包括11个条目的仇外心理量表。采用描述性统计、曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验和多元线性回归分析进行数据分析。参与者的仇外心理量表平均得分是57.53（标准差=7.82），表明仇外态度水平较高。与较高仇外得分相关的显著因素包括来自外科科室（B=0.571，p<0.001）以及在其周围环境中没有外国人（B=0.724，p<0.001）。此外，58.7%的住院医师反对为难民提供免费医疗服务，10.0%表示他们可能会因为难民身份而延迟为这些患者提供医疗服务。此外，7.7%的住院医师承认歧视移民/难民患者。该研究揭示了土耳其住院医师中普遍存在仇外态度，这些态度受到科室归属和社会环境的影响。这些发现强调了在医疗环境中采取针对性干预措施以解决仇外心理的必要性，包括文化能力培训和政策变革，以确保所有患者都能公平获得医疗服务。
