Stigma Toward Men Who Have Sex with Men Among Future Healthcare Providers in Malaysia: Would More Interpersonal Contact Reduce Prejudice?

被引:30
|
作者
Earnshaw, Valerie A. [1 ,2 ]
Jin, Harry [3 ]
Wickersham, Jeffrey A. [4 ,5 ]
Kamarulzaman, Adeeba [4 ,5 ,6 ]
John, Jacob [7 ]
Lim, Sin How [5 ]
Altice, Frederick L. [4 ,5 ,8 ,9 ]
机构
[1] Boston Childrens Hosp, Div Gen Pediat, Dept Med, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02115 USA
[3] ICON Clin Res, 456 Montgomery St,Suite 2200, San Francisco, CA 94104 USA
[4] Yale Univ, Sch Med, AIDS Program, Sect Infect Dis,Dept Internal Med, 135 Coll St,Suite 323, New Haven, CT 06510 USA
[5] Univ Malaya, CERiA, Kuala Lumpur, Malaysia
[6] Univ Malaya, Fac Med, Kuala Lumpur 59100, Malaysia
[7] Univ Malaya, Dept Diagnost & Integrated Dent Practice, Fac Dent, Kuala Lumpur 59100, Malaysia
[8] Yale Univ, Sch Publ Hlth, New Haven, CT USA
[9] Ctr Interdisciplinary Res AIDS, New Haven, CT USA
基金
美国医疗保健研究与质量局;
关键词
Contact hypothesis; Discrimination; HIV; Malaysia; MSM; Stigma;
D O I
10.1007/s10461-015-1168-x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Men who have sex with men (MSM) living in countries with strong stigma toward MSM are vulnerable to HIV and experience significant barriers to HIV care. Research is needed to inform interventions to reduce stigma toward MSM in these countries, particularly among healthcare providers. A cross-sectional survey of 1158 medical and dental students was conducted at seven Malaysian universities in 2012. Multivariate analyses of variance suggest that students who had interpersonal contact with MSM were less prejudiced toward and had lower intentions to discriminate against MSM. Path analyses with bootstrapping suggest stereotypes and fear mediate associations between contact with prejudice and discrimination. Intervention strategies to reduce MSM stigma among healthcare providers in Malaysia and other countries with strong stigma toward MSM may include facilitating opportunities for direct, in-person or indirect, media-based prosocial contact between medical and dental students with MSM.
引用
收藏
页码:98 / 106
页数:9
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