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Yıl:2024; Cilt: 27; Sayı: 2>> Özet
TAM METİN
Klinik Psikiyatri Dergisi; 2024;27(2):117-126
Tıp eğitimi düzeyinin kadınlara ve LGBTIQ+ bireylere yönelik tutumlar ile ilişkisi
EM Akdemir, IG Yılmaz Karaman, Ş Tosun Altınöz, F Kosger, AE Altınöz
Van Erciş Şehit Rıdvan Çevik Hastanesi, Van,
GİRİŞ ve AMAÇ: Kadınlara ve LGBTIQ+ bireylere yönelik yükselen önyargıların temelini egemen ideolojiler oluşturmaktadır. Bu önyargılar toplumda olduğu kadar tıp doktorlarında da mevcuttur. Kadınlara ve LGBTİQ+ bireylere yönelik olumsuz tutumlar, sağlık hizmeti kalitesini olumsuz etkilemekte, eşitsizliklere ve hak kayıplarına yol açmaktadır. Bu nedenle tıp fakültesi öğrencilerinin ve asistan hekimlerin cinsiyetçilik ve cinsel yönelime dayalı ayrımcılığa ilişkin tutumlarını araştırmak amaçlanmıştır. YÖNTEM ve GEREÇLER: Bu çalışmaya tıp fakültesi 1. sınıf öğrencileri (n=112), 6. sınıf öğrencileri (n=68) ve tıpta uzmanlık eğitimi alan asistan hekimler (n=41) dahil edildi. Sosyodemografik veri formu, Çelişik Duygulu Cinsiyetçilik Envanteri ve Çok Boyutlu Cinsel Yönelim Tutum Ölçeği uygulandı. BULGULAR: Gruplar arasında cinsiyetçilik ve cinsel azınlıklara yönelik ayrımcılık puanları eğitim düzeyine göre farklılık göstermedi (p>0,05). Kadınlar ve erkekler arasındaki en belirgin fark, erkek katılımcılarda düşmanca cinsiyetçilik puanlarının kadınlardan yüksek olmasıydı (p<0.001). TARTIŞMA ve SONUÇ: Mevcut tıp eğitimi, hekim adaylarının ve hekimlerin cinsiyet rolleri ve cinsel yönelime dayalı önyargılı tutumlarını değiştirmemektedir. Tüm bireylerin sağlık hizmetinden eşit olarak yararlanabilmesi için tıp eğitimine cinsiyet eşitliği ve cinsel yönelime dayalı ayrımcılığın eklenmesi ve mümkünse bu derslerin uygulamalı hale getirilmesi yararlı olacaktır.
Medical education level’s relationship with attitudes toward women and LGBTIQ+ individuals
INTRODUCTION: Dominant ideologies lay the groundwork for the rising prejudices against women and LGBTIQ+ individuals who may be disadvantaged in the hierarchy. These biases exist in medical doctors as well as in the community. Negative attitudes toward women and LGBTIQ+ individuals negatively affect healthcare service quality and lead to inequality and loss of rights. Hence, this study aimed to investigate the attitudes of students and resident physicians in medical school regarding sexism and discrimination based on sexual orientation. METHODS: First-grade students (n=112), 6th-grade students (n=68), and resident physicians receiving postgraduate training in medicine (n=41) were included in this study. Sociodemographic data form, Ambivalent Sexism Inventory, and Multidimensional Sexual Orientation Attitude Scale were applied. RESULTS: Compared to groups based on education levels, scale scores on sexism and discrimination against sexual minorities did not vary between groups (p>0.05). The most apparent difference between women and men was the high scores of hostile sexism in male participants (p<0.001). DISCUSSION AND CONCLUSION: Current medical education does not change biased attitudes of physician candidates and physicians based on gender roles and sexual orientation. For all individuals to benefit equally from the health service, it would be helpful to add gender equality and discrimination based on sexual orientation to medical education and make these classes practical if possible.

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