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土耳其护士中恐跨性别症及对跨性别者态度的预测因素:一项横断面研究

Predictors of Transphobia and Attitudes Toward Transgender Individuals Among Nurses in Türkiye: A Cross-Sectional Study.

作者信息

Şişman Ezgi, Güngör Mehtap, Gareayaghi Aila, Yılmaz Hanife, Polat Aslıhan

机构信息

Department of Psychiatry, Faculty of Medicine, Kocaeli University, İzmit 41001, Kocaeli, Türkiye.

Psychiatry Clinic, Kocaeli City Hospital, İzmit 41060, Kocaeli, Türkiye.

出版信息

Healthcare (Basel). 2025 Jun 19;13(12):1474. doi: 10.3390/healthcare13121474.

Abstract

Transgender individuals face significant healthcare disparities, often exacerbated by provider prejudice and knowledge gaps. Nurses, as frontline providers, play a critical role in promoting inclusive care. This study aimed to evaluate the levels and predictors of transphobia and attitudes toward transgender individuals among nurses in Türkiye. : A cross-sectional survey was conducted with 100 registered nurses. Participants completed the Transphobia Scale, the Attitudes Toward Transgender Individuals Scale, and the Hudson & Ricketts Homophobia Scale. Additional measures included perceived knowledge, prior education on transgender health, familial attitudes, and comfort levels when working with transgender patients. Multiple linear regression analyses identified predictors of transphobia and attitudes. : The mean Transphobia Scale score was 41.53 (SD = 12.67), and the mean Attitudes Toward Transgender Individuals Scale score was 57.45 (SD = 16.42). Greater homophobia, negative parental attitudes, and higher perceived knowledge significantly predicted higher transphobia scores (Adjusted R= 0.327). Prior education on transgender health was also associated with lower transphobia. Lower comfort with transgender patients was marginally associated with higher transphobia. More positive attitudes toward transgender individuals were predicted by lower transphobia, lower homophobia, and prior education (Adjusted R = 0.526). : Findings underscore the urgent need for structured transgender health education and culturally sensitive interventions among nurses. Addressing sociocultural factors and training gaps could enhance equitable healthcare delivery for transgender populations, particularly in culturally conservative settings like Türkiye.

摘要

跨性别者面临着显著的医疗保健差异,而提供者的偏见和知识差距往往会加剧这种差异。护士作为一线医疗服务提供者,在促进包容性护理方面发挥着关键作用。本研究旨在评估土耳其护士中对跨性别者的恐惧和态度的程度及其预测因素。:对100名注册护士进行了横断面调查。参与者完成了跨性别恐惧量表、对跨性别者的态度量表以及哈德森和里基茨恐同量表。其他测量指标包括感知知识、之前接受的跨性别健康方面的教育、家庭态度以及与跨性别患者共事时的舒适程度。多元线性回归分析确定了跨性别恐惧和态度的预测因素。:跨性别恐惧量表的平均得分是41.53(标准差 = 12.67),对跨性别者的态度量表的平均得分是57.45(标准差 = 16.42)。更高的恐同程度、父母的负面态度以及更高的感知知识显著预测了更高的跨性别恐惧得分(调整后R = 0.327)。之前接受的跨性别健康方面的教育也与较低的跨性别恐惧相关。对跨性别患者较低的舒适度与较高的跨性别恐惧存在微弱关联。较低的跨性别恐惧、较低的恐同程度以及之前接受的教育预测了对跨性别者更积极的态度(调整后R = 0.526)。:研究结果强调了在护士中开展结构化的跨性别健康教育和具有文化敏感性的干预措施的迫切需求。解决社会文化因素和培训差距可以改善为跨性别群体提供的公平医疗服务,尤其是在像土耳其这样文化保守的环境中。

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