Sexual prejudice and associated factors among clinical nurses in Türkiye: A cross-sectional study


Creative Commons License

Şişman E., Güngör M., Günay U., GAREAYAGHI A., Yılmaz H., Dalkıran İ., ...Daha Fazla

PLOS One, cilt.21, sa.10 October, 2026 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 10 October
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1371/journal.pone.0360301
  • Dergi Adı: PLOS One
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, L'Année philologique, Aerospace Database, BIOSIS, Chemical Abstracts Core, EMBASE, Index Islamicus, Linguistic Bibliography, MEDLINE, Psycinfo, zbMATH, Directory of Open Access Journals, Zoological Record, Academic Search Ultimate (EBSCO), Natural Science Collection (ProQuest), Biological Science Database (ProQuest), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Materials Science & Engineering Collection (ProQuest), Pharma Collection (ProQuest), Technology Collection (ProQuest)
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Kocaeli Üniversitesi Adresli: Evet

Özet

Aim/objective: This study aimed to assess the level of homophobia and to identify its independent predictors among practicing clinical nurses working in a tertiary university hospital in Türkiye. Background: Homophobia among healthcare professionals undermines equitable care for sexual minorities and remains underexplored in Türkiye, particularly among practicing nurses. In settings with limited institutional support for sexual minority health, identifying determinants of sexual prejudice among healthcare professionals can inform training needs. Design: A cross-sectional survey design was used. Methods: One hundred registered nurses providing direct patient care completed the Turkish version of the Hudson and Ricketts Homophobia Scale and a structured questionnaire assessing sociodemographic characteristics, knowledge, etiological beliefs, interpersonal contact, and comfort working with LGB patients and colleagues. Homophobia scores were dichotomized using a median split, and binary logistic regression was performed to identify independent predictors Results: The mean homophobia score was 102.14 (SD = 24.73). In multivariate analysis, endorsing biological explanations for homosexuality (OR = 0.22), having a homosexual acquaintance (OR = 0.19) and greater comfort working with LGB colleagues (OR = 0.41) were independently associated with lower odds of homophobia, whereas holding a bachelor’s degree was associated with higher odds (OR = 4.24). Conclusions: Homophobia scores among nurses were shaped by educational, interpersonal, cognitive, and affective factors. These findings underscore the need for structured, evidence-based, and inclusive nursing education and institutional reform to promote equitable and ethical care for sexual minority patients.