Are patients ready for lesbian, gay and bisexual family physicians - a Croatian study [Jesu li pacijenti spremni prihvatiti LGB obiteljske liječnike?]

Grabovac, Igor and Mustajbegović, Jadranka and Milošević, Milan (2016) Are patients ready for lesbian, gay and bisexual family physicians - a Croatian study [Jesu li pacijenti spremni prihvatiti LGB obiteljske liječnike?]. Collegium Antropologicum, 40 (2). pp. 83-90. ISSN 0350-6134

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Abstract

Discrimination and harassment of lesbian, gay and bisexual (LGB) physicians from their colleagues and superiors are known. However there is little knowledge about the patients’ attitudes and discrimination toward physicians. A cross sectional Internet survey was conducted in urban Croatian regions. The participants were asked to answer questions regarding their socio-demographic status, the Attitudes Towards Lesbians and Gay Men Scale (ATLG), and whether they would refuse to see a LGB physician and, if so, why. Of the 1004 participants, 8.8% said they would refuse a male GB physician while 7.9% would refuse a female LB physician, and 7.3% would refuse both. The two most common reasons for discriminating were: “disaccord with political or religious beliefs” and “fear of being sexually harassed”. A logistical regression model showed that male sex, higher ATLG score and higher age were associated with more refusals of male GB physicians. Also higher age, higher ATLG score were associated with more refusals of female LB physicians, while personal contact with LGB people was associated with less refusals of both groups. The observed prevalence of discrimination is significant. The results suggest that discrimination is based on emotional reasons and stereotypical beliefs. Educational efforts should be directed towards changing misconceptions about LGB people.

Abstract in Croatian

Diskriminacija i uznemiravanje lezbijskih, gej i biseksualnih (LGB) liječnika i liječnica od strane kolega i nadređenih je poznata, no malo je poznato o stavovima pacijenata te diskriminaciji prema liječnicima. Presječna internet-studija provedena je u urbanim hrvatskim sredinama. Ispitanici su zamoljeni odgovoriti na pitanja vezana uz socio-demografski status, Attitudes Towards Lesbians and Gay Men Scale (ATLG), te bili odbili biti u skrbi LGB liječnika tj. liječnice i ako da zašto. Od ukupno 1004 ispitanika, 8,8% odbilo bi biti u skrbi muškog GB liječnika dok bi 7,9% odbilo LB liječnicu, te 7,3% odbilo bi neovisno o spolu liječnika. Dva najčešće izabrana razloga su: »protivno političkim ili vjerskim uvjerenjima« te »strah od seksualnog iskorištavanja«. Model logističke regresije pokazao je da muški spol, viši rezultat ALTG upitnika te starija dob su povezani s češćim odbijanjem muških GB liječnika. Starija dob, viši rezultat ATLG upitnika bili su povezani s odbijanjem ženskih LB liječnica, dok je osobni kontakt s LGB osobama bio povezan s manje odbijanja obje grupe liječnika. Razine zabilježene diskriminacije su značajne. Rezultati ukazuju da je diskriminacija utemeljena na emocionalnim razlozima i stereotipnim uvjerenjima. Edukativne mjere trebaju biti usmjerene na mijenjanje stereotipa o LGB osobama.

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