Factors Associated with Medical Doctors' Intentions to Discriminate Against Transgender Patients in Kuala Lumpur, Malaysia

Vijay, Aishwarya and Earnshaw, Valerie A. and Tee, Ying Chew and Pillai, Veena and White Hughto, Jaclyn M. and Clark, Kirsty and Kamarulzaman, Adeeba and Altice, Frederick L. and Wickersham, Jeffrey A. (2018) Factors Associated with Medical Doctors' Intentions to Discriminate Against Transgender Patients in Kuala Lumpur, Malaysia. LGBT Health, 5 (1). pp. 61-68. ISSN 2325-8292, DOI https://doi.org/10.1089/lgbt.2017.0092.

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Official URL: https://doi.org/10.1089/lgbt.2017.0092

Abstract

Purpose: 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. Methods: 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. Results: 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. Conclusions: 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.

Item Type: Article
Funders: National Institute on Drug Abuse for Career Development (K01 DA038529 and K24 DA017072) and research (R01 DA025943 and R01 DA041271), University Malaya High Impact Research Grant (A.K.: E-000001-20001)
Uncontrolled Keywords: delivery of healthcare; discrimination; Malaysia; stigma; transgender persons
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 21 Feb 2019 03:53
Last Modified: 21 Feb 2019 03:53
URI: http://eprints.um.edu.my/id/eprint/20422

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