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Paediatricians’ attitudes and beliefs towards transgender people: a cross-sectional survey in Israel

OBJECTIVE: The number of transgender and gender non-conforming children is on the rise. For these children, the timing of medical intervention is crucial, yet transgender children report poorer overall physical and mental health outcomes compared with their cisgender peers. We aim to describe how pa...

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Autores principales: Landau, Nitsan, Hamiel, Uri, Tokatly Latzer, Itay, Mauda, Elinor, Levek, Noah, Tripto-Shkolnik, Liana, Pinhas-Hamiel, Orit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204925/
https://www.ncbi.nlm.nih.gov/pubmed/32341041
http://dx.doi.org/10.1136/bmjopen-2019-031569
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author Landau, Nitsan
Hamiel, Uri
Tokatly Latzer, Itay
Mauda, Elinor
Levek, Noah
Tripto-Shkolnik, Liana
Pinhas-Hamiel, Orit
author_facet Landau, Nitsan
Hamiel, Uri
Tokatly Latzer, Itay
Mauda, Elinor
Levek, Noah
Tripto-Shkolnik, Liana
Pinhas-Hamiel, Orit
author_sort Landau, Nitsan
collection PubMed
description OBJECTIVE: The number of transgender and gender non-conforming children is on the rise. For these children, the timing of medical intervention is crucial, yet transgender children report poorer overall physical and mental health outcomes compared with their cisgender peers. We aim to describe how paediatricians perceive transgender people. SETTING: The ‘Transgender Attitudes and Beliefs Scale’, which consists of 29 items in three domains—human value, interpersonal comfort and sex/gender beliefs—was administered to 391 senior and resident paediatricians in Israel. The responses on a 7-point Likert scale were collapsed into two categories: a mean score of ≥6 for each domain was a ‘Favourable’ perception and <6 ‘Unfavourable’. RESULTS: Of 355 respondents (91% response rate), 221 (62%) were females, 132 (37%) were males and 2 identified as ‘other’; 290 (82%) were born in ‘trans-respect countries’, 274 (77%) identified as secular, 223 (63%) were senior physicians and 132 (27%) were residents. Overall, 90% of the cohort scored favourably on the ‘Human value’ domain, 68% on ‘Interpersonal comfort’ and 40% on ‘Sex/gender beliefs’. In the ‘Interpersonal comfort’ domain, being a man, birthplace in a transphobic country, identification as religious and being a senior physician were all associated with increased ORs for an unfavourable score: 2.1 (95% CI 1.3 to 3.4), 3.4 (95% CI 1.9 to 6.3), 2.4 (95% CI 1.4 to 4.2) and 1.8 (95% CI 1.1 to 3.0), respectively. In the ‘Sex/gender beliefs’ domain, being a man and identifying as religious had significantly increased ORs for unfavourable scores: 2.2 (95% CI 1.3 to 3.5) and 10.6 (95% CI 4.7 to 24.1), respectively. CONCLUSIONS: Negative attitudes towards transgender people are still widespread among paediatricians. Interventions are warranted to positively impact these attitudes.
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spelling pubmed-72049252020-05-12 Paediatricians’ attitudes and beliefs towards transgender people: a cross-sectional survey in Israel Landau, Nitsan Hamiel, Uri Tokatly Latzer, Itay Mauda, Elinor Levek, Noah Tripto-Shkolnik, Liana Pinhas-Hamiel, Orit BMJ Open Paediatrics OBJECTIVE: The number of transgender and gender non-conforming children is on the rise. For these children, the timing of medical intervention is crucial, yet transgender children report poorer overall physical and mental health outcomes compared with their cisgender peers. We aim to describe how paediatricians perceive transgender people. SETTING: The ‘Transgender Attitudes and Beliefs Scale’, which consists of 29 items in three domains—human value, interpersonal comfort and sex/gender beliefs—was administered to 391 senior and resident paediatricians in Israel. The responses on a 7-point Likert scale were collapsed into two categories: a mean score of ≥6 for each domain was a ‘Favourable’ perception and <6 ‘Unfavourable’. RESULTS: Of 355 respondents (91% response rate), 221 (62%) were females, 132 (37%) were males and 2 identified as ‘other’; 290 (82%) were born in ‘trans-respect countries’, 274 (77%) identified as secular, 223 (63%) were senior physicians and 132 (27%) were residents. Overall, 90% of the cohort scored favourably on the ‘Human value’ domain, 68% on ‘Interpersonal comfort’ and 40% on ‘Sex/gender beliefs’. In the ‘Interpersonal comfort’ domain, being a man, birthplace in a transphobic country, identification as religious and being a senior physician were all associated with increased ORs for an unfavourable score: 2.1 (95% CI 1.3 to 3.4), 3.4 (95% CI 1.9 to 6.3), 2.4 (95% CI 1.4 to 4.2) and 1.8 (95% CI 1.1 to 3.0), respectively. In the ‘Sex/gender beliefs’ domain, being a man and identifying as religious had significantly increased ORs for unfavourable scores: 2.2 (95% CI 1.3 to 3.5) and 10.6 (95% CI 4.7 to 24.1), respectively. CONCLUSIONS: Negative attitudes towards transgender people are still widespread among paediatricians. Interventions are warranted to positively impact these attitudes. BMJ Publishing Group 2020-04-26 /pmc/articles/PMC7204925/ /pubmed/32341041 http://dx.doi.org/10.1136/bmjopen-2019-031569 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Paediatrics
Landau, Nitsan
Hamiel, Uri
Tokatly Latzer, Itay
Mauda, Elinor
Levek, Noah
Tripto-Shkolnik, Liana
Pinhas-Hamiel, Orit
Paediatricians’ attitudes and beliefs towards transgender people: a cross-sectional survey in Israel
title Paediatricians’ attitudes and beliefs towards transgender people: a cross-sectional survey in Israel
title_full Paediatricians’ attitudes and beliefs towards transgender people: a cross-sectional survey in Israel
title_fullStr Paediatricians’ attitudes and beliefs towards transgender people: a cross-sectional survey in Israel
title_full_unstemmed Paediatricians’ attitudes and beliefs towards transgender people: a cross-sectional survey in Israel
title_short Paediatricians’ attitudes and beliefs towards transgender people: a cross-sectional survey in Israel
title_sort paediatricians’ attitudes and beliefs towards transgender people: a cross-sectional survey in israel
topic Paediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204925/
https://www.ncbi.nlm.nih.gov/pubmed/32341041
http://dx.doi.org/10.1136/bmjopen-2019-031569
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