Evidence map›Paper›PMID 29227183›Full record

ArticleLGBT health2018

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

Aishwarya Vijay, Valerie A Earnshaw, Ying Chew Tee, Veena Pillai, Jaclyn M White Hughto, Kirsty Clark, Adeeba Kamarulzaman, Frederick L Altice, Jeffrey A Wickersham

Abstract read
In one paragraph

Article in LGBT health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Self-Testing as a Hope to Reduce HIV in Transgender Women-Literature Review.International journal of environmental research and public health · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Aishwarya Vijay1 AIDS Program, Section of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine , New Haven, Connecticut.
Valerie A Earnshaw2 Human Development and Family Studies, University of Delaware , Newark, Delaware.
Ying Chew Tee3 Centre of Excellence for Research in AIDS, Department of Medicine, Faculty of Medicine, University of Malaya , Kuala Lumpur, Malaysia .
Veena Pillai3 Centre of Excellence for Research in AIDS, Department of Medicine, Faculty of Medicine, University of Malaya , Kuala Lumpur, Malaysia .
Jaclyn M White Hughto4 Department of Chronic Disease Epidemiology, Yale University School of Public Health , New Haven, Connecticut.
Kirsty Clark5 Department of Epidemiology, UCLA Fielding School of Public Health , Los Angeles, California.
Adeeba Kamarulzaman1 AIDS Program, Section of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine , New Haven, Connecticut.
Frederick L Altice1 AIDS Program, Section of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine , New Haven, Connecticut.
Jeffrey A Wickersham1 AIDS Program, Section of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine , New Haven, Connecticut.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Addiction, HIV and Tuberculosis in Malaysian Criminal Justice SettingsR01DA041271 · NIDA · YALE UNIVERSITY · PI SHENOI, SHEELA · 2016 to 2021
$3.3M
Intervention of HIV, Drug Use and the Criminal Justice System in MalaysiaR01DA025943 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2008 to 2012
$2.7M
Enhancing Health Outcomes Among HIV+ Substance AbusersK24DA017072 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2003 to 2012
$1.5M
Training in Drug Abuse & HIV Prevention for Female & Transgender Sex WorkersK01DA038529 · NIDA · YALE UNIVERSITY · PI WICKERSHAM, JEFFREY ALLEN · 2014 to 2018
$838k
Intervention to Overcome Mental Health Disparities in Criminally-Justice Involved Transgender WomenF31MD011203 · NIMHD · YALE UNIVERSITY · PI HUGHTO, JACLYN WHITE · 2016 to 2017
$88k
NCATS NIH HHS UL1 TR001863NIDA NIH HHS K01 DA038529NIDA NIH HHS K24 DA017072NIDA NIH HHS R01 DA025943NIDA NIH HHS R01 DA041271NIMHD NIH HHS F31 MD011203
6 · The paper itself

Abstract

purposeTransgender 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.

methodsA 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.

resultsMedical 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.

conclusionsConstructs 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.

Indexed as

Attitude of Health PersonnelIntentionSocial StigmaTransgender PersonsAdultCross-Sectional StudiesFemaleHumansMalaysiaMalePhysiciansPrejudiceSocioeconomic FactorsTranssexualismdelivery of healthcarediscriminationMalaysiastigmatransgender persons

Identifiers

PMID29227183
PMCPMC5770086

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.