Perceived attitudes toward LGBTQ + physicians among individuals with psychiatric illness in the religiously diverse Southern Region of Thailand: a multihospital-based survey.

Journal: BMC psychology

Volume: 12

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, , Thailand. Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, , Thailand. wpakawat@medicine.psu.ac.th. Songkhla Hospital, Mueang Songkhla District, Songkhla, , Thailand. Songkhla Rajanagarindra Psychiatric Hospital, Mueang Songkhla District, Songkhla, , Thailand. Pattani Hospital, Mueang Pattani District, Pattani, , Thailand.

Abstract summary 

This study purposed to analyze perceived attitudes toward LGBTQ + physicians and related factors among individuals with psychiatric illnesses in southern Thailand.From May to July 2023, a cross-sectional study was conducted at four psychiatric outpatient clinics in Southern Thailand. The questionnaires utilized were: 1) a demographic information questionnaire, 2) a questionnaire regarding attitudes toward LGBTQ + physicians, 3) a questionnaire evaluating individuals' attitudes toward LGBTQ + physicians while receiving medical attention, and 4) a patient-doctor relationship questionnaire. All data were analyzed using descriptive statistics, and the factors associated with perceived attitudes toward LGBTQ + physicians were analyzed using the Wilcoxon rank sum test, the Kruskal-Wallis test, and linear regressions. The analyses were conducted using the R Foundation for Statistical Computing software, version 4.3.1. Statistical significance was defined as a p-value of less than 0.05.Among our 542 participants, the mean age was 36.3 ± 14.1 years. The majority were female (64.6%), Buddhist (62.4%), and diagnosed with depression (46.3%). Approximately three-quarters showed a good doctor-patient relationship (74.0%). The median (IQR) score of the perceived attitudes toward LGBTQ + physicians was 75 (66, 88). Predominantly, the LGBTQ + physicians were perceived as normal (76.3%) and being a viable part of society (88.7%). Moreover, our participants disagreed with the view that being an LGBTQ + physician was a sin (70.6%) or immoral (68.2%). They felt comfortable during history taking (79.0%), physical examination not involving private parts of the body (72.5%), and management for both medical (78.4%) and psychiatric conditions (81.4%) at the hands of LGBTQ + physicians. However, they reported feeling uncomfortable during history taking involving private matters (6.3%) and the physical examination of private parts (16.4%). Older age, absence of LGBTQ + close relatives/friends, and being a Muslim were associated with lower scores of perceived attitudes toward LGBTQ + physicians. Conversely, a higher level of education and a reported mismatch between the patient's sex and gender were associated with higher scores.Most participants reported positive perceived attitudes toward LGBTQ + physicians. However, some age groups and adherents of Islam showed lower perceived attitude scores and reported feeling uncomfortable receiving medical treatment from LGBTQ + physicians. On the one hand, LGBTQ + physicians have cause to be concerned about this point; on the other hand, finding appropriate approaches to promote positive attitudes toward LGBTQ + physicians among these groups of people remains a necessity.

Authors & Co-authors:  Pitanupong Wichitnark Wiwattanaworaset Tepsuan Norphun Yakkaphan

Study Outcome 

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Statistics
Citations :  Bouton RA, Gallaher PE, Garlinghouse PA, Leal T, Rosenstein LD, Young RK. Demographic variables associated with fear of AIDS and homophobia. J Appl Soc Psychol. 1989;19(11):885–901. doi: 10.1111/j.1559-1816.1989.tb01227.x.
Authors :  6
Identifiers
Doi : 169
SSN : 2050-7283
Study Population
Female
Mesh Terms
Humans
Other Terms
Attitude;LGBTQ + ;Patient;Physician;Psychiatric illness
Study Design
Study Approach
Country of Study
Publication Country
England