Correlates and predictors of homonegativity among Mexican medical students
Abstract
Background: The internalization of cultural homophobia as a rejection toward any internal and interpersonal aspect related to homosexuality can lead to intrapsychic conflicts and discrimination. This phenomenon when manifested in health professionals can lead to the violation of the rights of patients and colleagues. This research aims to identify the correlates and predictors of homonegativity in medical students. Method: A convenience non-probability sampling was used. A self-report questionnaire composed of questions on socio-demographic information, sexual orientation, and 18 scales of assessment was applied, including the 16-item Homonegativity scale (HN-16). Results: The sample was composed of 202 volunteer participants, who were studying at a private medical school in Monterrey, Mexico. A principal component analysis was performed with scales of assessment that were correlated with HN-16 total score, and yielded three components: masculinity-harshness-externality, religiosity-conservatism, and homosexuality-chivalry-honesty. These three components explained 35.4% of the variance of HN-16 total score through multiple linear regression. Conclusion: Greater flexibility in traditional gender roles, lower religious radicalism, lower conservatism and ethical values based on empathic understanding, respect and personal responsibility reduce homonegativity.
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Adamczyk, A., & Pitt, C. (2009). Shaping attitudes about homosexuality: The role of religion and cultural context. Social Science Research, 38(2), 338-351. https://doi.org/10.1016/j.ssresearch.2009.01.002
American Psychological Association (2017). Ethical principles of psychologists and code of conduct. With the 2016 amendment to standard 3.04. Washington, DC: Author. Recuperado de https://www.apa.org/ethics/code/
Arreola, S., Santos, G. M., Beck, J., Sundararaj, M., Wilson, P. A., Hebert, P., … & Ayala, G. (2015). Sexual stigma, criminalization, investment, and access to HIV services among men who have sex with men worldwide. AIDS and Behavior, 19(2), 227-234. https://doi.org/10.1007/s10461-014-0869-x
Attell, B. K. (2013). Social contact theory: A framework for understanding AIDS-related stigma. Journal of Public and Professional Sociology, 5(1), 1-23. URL: http://digitalcommons.kennesaw.edu/jpps/vol5/iss1/1
Barbano, L., & da Cruz, D. M. C (2015). Machismo, patriarcalismo, moral e a dissolução dos papéis ocupacionais. REFACS, 3(Supl. 1), 159-165. URL: https://www.redalyc.org/html/4979/497950367006/
Bernuy, B. J., & Noé, H. M. (2017). Sexismo y homofobia en los adolescentes de una institución educativa pública. Propósitos y Representaciones, 5(2), 245-275. http://dx.doi.org/10.20511/pyr2017.v5n2.162
Bosco, F. A., Aguinis, H., Singh, K., Field, J. G., & Pierce, C. A. (2015). Correlational effect size benchmarks. Journal of Applied Psychology, 100(2), 431-449. http://dx.doi.org/10.1037/a0038047
Byrne, B. M. (2016). Structural equation modelling with AMOS basic concepts, applications, and programming (3a ed.). New York, NY: Routledge.
Capezza, N. M. (2007). Homophobia and sexism: The pros and cons to an integrative approach. Integrative Psychological and Behavioral Sciences, 41(3-4): 248-253. http://doi.org/10.1007/s12124-007-9033-8
Chalmers, R. P. (2018). On misconceptions and the limited usefulness of ordinal alpha. Educational and Psychological Measurement, 78(6), 1056-1071. https://doi.org/10.1177/0013164417727036
Chu, J. Y., Porche, M. V., & Tolman, D. L. (2005). The adolescent masculinity ideology in relationships scale: Development and validation of a new measure for boys. Men and Masculinities, 8(1), 93-115. https://doi.org/10.1177/1097184X03257453
Cichocka, A., Dhont, K., & Makwana, A. P. (2017). On self‐love and outgroup hate: opposite effects of narcissism on prejudice via social dominance orientation and right‐wing authoritarianism. European Journal of Personality, 31(4), 366-384. https://doi.org/10.1002/per.2114.
Consejo Nacional para la Prevención de la Discriminación (2018). Encuesta Nacional sobre la discriminación 2017. México: CONAPRED. Recuperado de https://www.conapred.org.mx/index.php?contenido=pagina&id=604
Courtney, M. G. R. (2013). Determining the number of factors to retain in EFA: using the SPSS R-Menu v2.0 to make more judicious estimations. Practical Assessment, Research and Evaluation, 18(8): 1-14. Recuperado de http://pareonline.net/getvn.asp?v=18&n=8.
Doebler, S. (2015). Relationships between religion and two forms of homonegativity in Europe - a multilevel analysis of effects of believing, belonging and religious practice. PLOS ONE, 10(8), e0133538. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/26247352.
Ernst, A. F., & Albers, C. J. (2017). Regression assumptions in clinical psychology research practice - a systematic review of common misconceptions. PeerJ, 5, e3323. Recuperado de http://doi.org/10.7717/peerj.3323
Expósito, F., Moya, M. C., & Glick (1998). Sexismo ambivalente: medición y correlatos. Revista de Psicología Social, 13(2), 159-169. URL: https://www.uv.es/~friasnav/LecturaCompl1.pdf
Flores, F. (2014). Cambios y permanencias en la representación social del VIH en un grupo de mujeres portadoras. Revista Internacional de Psicología, 13(1), 1-36. https://doi.org/10.33670/18181023.v13i01.84
Forsyth, D. R. (2009). Group dynamics. New York, NY: Wadsworth.
García, C. H., Moral, J., Frías, M., Valdivia, J. A., & Díaz, H. L. (2012). Family and socio-demographic risk factors for psychopathy among prison inmates. European Journal of Psychology Applied to Legal Context, 4(2), 119-134. URL: https://journals.copmadrid.org/ejpalc/issue/2012/4/2
Gaymard, S., & Cazenave, C. (2018). Thirty years on … the social representation of AIDS among French teenagers. Children and Youth Services Review, 84(1), 48-54. https://doi.org/10.1016/j.childyouth.2017.11.018.
Goodman, M. B., & Moradi, B. (2008). Attitudes and behaviors toward lesbian and gay persons: critical correlates and mediated relations. Journal of Counseling Psychology, 55(3), 371-384. http://dx.doi.org/10.1037/0022-0167.55.3.371
Guilfoyle, J., Kelly, L., & Saint-Pierre, N. (2008). Prejudice in medicine: Our role in creating health disparities. Canadian Family Physician, 54(11), 1511-1513. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2592307/
Hammond, M. D., Overall, N. C., & Cross, E. J. (2016). Internalizing sexism within close relationships: Perceptions of intimate partners' benevolent sexism promote women's endorsement of benevolent sexism. Journal of Personality and Social Psychology, 110(2), 214-238. http://dx.doi.org/10.1037/pspi0000043
Herek, G. M. (2007). Confronting sexual stigma and prejudice: Theory and practice. Journal of Social Issues, 63(4), 905-925. http://dx.doi.org/10.1111/j.1540-4560.2007.00544.x
Herek, G. M., Gillis, J. R., & Cogan, J. C. (2015). Internalized stigma among sexual minority adults: Insights from a social psychological perspective. Stigma and Health, 1(S), 18-34. http://dx.doi.org/10.1037/2376-6972.1.S.18
Herek, G. M., & McLemore, K. A. (2013). Sexual prejudice. Annual Review of Psychology, 64(1), 309-333. https://doi.org/10.1146/annurev-psych-113011-143826
Kinsey, A. C., Pomery, W. B., & Martin, C. E. (1948). Sexual behavior in the human male. Philadelphia, PA: Saunders.
Kite, M. E., & Bryant-Lees, K. B. (2016). Historical and contemporary attitudes toward homosexuality. Teaching of Psychology, 43(2), 164-170. https://doi.org/10.1177/0098628316636297
Lingiardi, V., Nardelli, N., Ioverno, S., Falanga, S., Di Chiacchio, C., Tanzilli, A., & Baiocco, R. (2016). Homonegativity in Italy: Cultural issues, personality characteristics, and demographic correlates with negative attitudes toward lesbians and gay men. Sexuality Research and Social Policy, 13(2), 95-108. https://doi.org/10.1007/s13178-015-0197-6
Linneman, T. J., & Clendenen, M. A. (2009). Sexuality and the secular. En P. Zuckerman (Ed.),Atheism and secularity (pp. 89-112). Santa Barbara, CA: Praeger.
Marlin, R., Kadakia, A., Ethridge, B., & Mathews, W. C. (2018). Physician attitudes toward homosexuality and HIV: The PATHH-III Survey. LGBT Health, 5(7), 431-442. https://doi.org/10.1089/lgbt.2018.0041
Martín, J., Núñez, J. L., Navarro, J. G., & Grijalvo, F. (2007). The Rosenberg Self-Esteem Scale: Translation and validation in university students. Spanish Journal of Psychology, 10(2), 458-467. URL: https://revistas.ucm.es/index.php/SJOP/article/view/30049
McGlew, S. J. (2015). Association of childhood sexual abuse and cultural machismo values with internalized homonegativity for Latino gay men (doctoral dissertation). Vancouver, Canada: Adler School of Professional Psychology. Recuperada de https://search.proquest.com/openview/03d0a313bd0508f6a3a849dc56f3fce2/1.pdf?pq-origsite=gscholar&cbl=18750&diss=y.
Mertler, C. A., & Reinhart, R. V. (2016). Advanced and multivariate statistical methods practical application and interpretation (6a ed.). New York: Routledge. https://doi.org/10.4324/9781315266978
Mishel, E., Bridges, T., & Caudillo, M. L. (2018, Noviembre 8). Google, tell me. Is he gay?: Masculinity, homophobia, and gendered anxieties in Google search queries about sexuality. SocArXiv Papers. https://doi.org/10.31235/osf.io/4se75
Moral, J. (2008). Propiedades psicométricas de la Escala de Alexitimia de Toronto de 20 reactivos en México. Revista Electrónica de Psicología Iztacala, 11(2), 97-114. Recuperado de http://www.revistas.unam.mx/index.php/repi/article/view/18555
Moral, J. (2010a). Una propuesta explicativa integradora de la conducta homosexual. Revista Electrónica de Motivación y Emoción (REME), 13(34), 1-15. Recuperado de http://reme.uji.es/articulos/numero34/article9/texto.html
Moral, J. (2010b). Religión, significados y actitudes hacia la sexualidad: un enfoque psicosocial. Revista Colombiana de Psicología, 19(1), 45-59. URL: https://revistas.unal.edu.co/index.php/psicologia/article/view/9746
Moral, J., García, C. H., & Antona, C. J. (2012). Traducción y validación del Inventario Balanceado de Deseabilidad Social al Responder en una muestra probabilística de estudiantes universitarios mexicanos. Revista de Psicología GEPU, 3(2), 54-72. URL: https://revistadepsicologiagepu.es.tl/Vol-.--3-No-.--2.htm
Moral, J., & Ortega, M. E. (2010). Representación social de la sexualidad y actitudes en estudiantes universitarios mexicanos. Revista de Psicología Social, 24(1), 65-79. URL: https://www.tandfonline.com/doi/abs/10.1174/021347409786922998?journalCode=rrps20
Moral, J., & Ramos, S. (2016). Machismo, victimización y perpetración en mujeres y hombres mexicanos. Estudios sobre las Culturas Contemporáneas, 22(43), 37-66. URL: http://revistasacademicas.ucol.mx/index.php/culturascontemporaneas/article/view/1793
Moral, J., & Valle, A. (2011). Escala de Actitudes hacia Lesbianas y Hombres Homosexuales en México 1. Estructura factorial y consistencia interna. Revista Electrónica Nova Scientia, 3(2), 139-157. Recuperado de http://novascientia.delasalle.edu.mx/ojs/index.php/Nova/issue/view/8
Moral, J., & Valle, A. (2013). Dimensionalidad, consistencia interna y distribución de la Escala Homonegatividad Internalizada en estudiantes mexicanos de ciencias de la salud. Acta de Investigación Psicológica, 3(1), 986-1004. URL: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2007-48322013000100007
Moral, J., & Valle, A. (2014). Las dos dimensiones del rechazo hacia las personas homosexuales. Archivos de Medicina, 14(1), 103-116. URL: http://revistasum.umanizales.edu.co/ojs/index.php/archivosmedicina/article/view/256
Moral, J., & Valle, A. (2015).Un estudio descriptivo-correlacional en estudiantes mexicanos de medicina y psicología del noreste de México para validar la escala de Homonegatividad Internalizada.Perspectivas Sociales, 17(2), 67-92. URL: http://perspectivassociales.uanl.mx/index.php/pers/article/view/53
Moral, J., & Valle, A. (2019). Propiedades métricas de la Escala de Autoritarismo de Ala Derecha en estudiante de medicina mexicanos. Revista de Psicología y Ciencias del Comportamiento, 10(2).
Moral, J., Valle, A., & Martínez, E. (2013). Evaluación del rechazo hacia la homosexualidad en estudiantes de medicina y psicología con base en tres escalas conceptualmente afines. Psicología desde el Caribe, 3(3), 526-550. URL: http://www.scielo.org.co/pdf/psdc/v30n3/v30n3a05.pdf
Morandini, J. S., Blaszczynski. A., Ross, M. W., Costa, D. S., & Dar-Nimrod, I. (2015). Essentialist beliefs, sexual identity uncertainty, internalized homonegativity and psychological wellbeing in gay men. Journal of Counseling Psychology, 62(3), 413-424. https://doi.org/10.1037/cou0000072
Morrison, M. A., & Morrison, T. G. (2009). Modern and old-fashioned homonegativity among samples of Canadian and American university students. Journal of Cross-Cultural Psychology, 40(4), 523-542. https://doi.org/10.1177/0022022109335053
Morrison, T. G., Parriag, A. V., & Morrison, M. A. (1999). The psychometric properties of the homonegativity scale. Journal of Homosexuality, 37(4), 111-126. https://doi.org/10.1300/J082v37n04_07
Moya, M., & Expósito, F. (2001). Nuevas formas, viejos intereses: neosexismo en varones españoles. Psicothema, 13(4), 643-649. URL: http://www.psicothema.com/psicothema.asp?id=492}
Neumann, R., Hülsenbeck, K., & Seibt, B. (2004). Attitudes towards people with AIDS and avoidance behavior: Automatic and reflective bases of behavior. Journal of Experimental Social Psychology, 40(4), 543-550. https://doi.org/10.1016/j.jesp.2003.10.006
Newson, L., & Richerson, P. J. (2016). Moral beliefs about homosexuality: testing a cultural evolutionary hypothesis. ASEBL Journal. 12(1), 2-21. URL: https://www.sfc.edu/uploaded/documents/publications/ASEBLv12n1Jan16.pdf
Ortiz, M. S., Gómez, D., Canoino, M., & Barrera, A. (2016). Validación de la versión en español de la Escala de Optimismo Disposicional (LOT-R) en una muestra Chilena de estudiantes universitarios. Terapia Psicológica, 34(1), 53-58. http://dx.doi.org/10.4067/S0718-48082016000100006
Pearte, C., Renk, K., & Negy, C. (2013). Explaining variation in relations among intrinsic religiosity, political conservatism, and homonegativity as a function of authoritarianism’s three components: an expansion on recent literature. Sexuality Research and Social Policy, 10(2), 97-109. https://doi.org/10.1007/s13178-013-0114-9
Piña, J. M., & Aguayo, H. B. (2015). Homofobia en estudiantes universitarios de México. Región y Sociedad, 27(64), 5-35. URL: https://regionysociedad.colson.edu.mx:8086/index.php/rys/article/view/309
Pirlott, A. G., & Cook, C. L. (2018). Prejudices and discrimination as goal activated and threat driven: The affordance management approach applied to sexual prejudice. Psychological Review, 125(6), 1002-1027. https://doi.org/10.1037/rev0000125
Puckett, J. A., Newcomb, M. E., Ryan, D. T., Swann, G., Garofalo, R., & Mustanski, B. (2017). Internalized homophobia and perceived stigma: a validation study of stigma measures in a sample of young men who have sex with men. Sexual Research and Social Policy, 14(1), 1-16. https://doi.org/10.1007/s13178-016-0258-5
Quiles, M. N., Rodríguez, V. B., Torres, R. R., Pérez, A. R., & Martel, E. C. (2003). La medida de la homofobia manifiesta y sutil. Psicothema, 15(2), 197-204. URL: http://www.psicothema.es/pdf/1045.pdf
Quirós, R. R., & Sibaja, M. (2017). Predictores psicosociales que subyacen al pensamiento político: un estudio en dos poblaciones universitarias costarricenses. Revista Psicologia Política, 17(39), 370-385. URL: http://pepsic.bvsalud.org/scielo.php?script=sci_abstract&pid=S1519-549X2017000200014&lng=pt&nrm=iso
Rodríguez, Y., Lameiras, M., Carrera, V., & Vallejo, P. (2013). Validación de la Escala de Homofobia Moderna en una muestra de adolescentes. Anales de Psicología, 29(2), 523-533. URL: https://revistas.um.es/analesps/issue/view/11651
Rojas, R., de Castro, F., Villalobos, A., Allen-Leigh, B., Romero, M., Braverman-Bronstein, A., & Uribe, P. (2017). Educación sexual integral: cobertura, homogeneidad, integralidad y continuidad en escuelas de México. Salud Publica de México, 59(1), 19-27. http://dx.doi.org/10.21149/8411
Savard, C., Lussier, Y., & Sabourin, S. (2014). Échelle auto-rapportée de psychopathie de Levenson: adaptation française et validation. Criminologie. 47(2), 263-293. http://dx.doi.org/10.7202/1026736ar
Scimeca, G., Bruno. A., Pandolfo. G., Micò, U., Romeo, V. M., Abenavoli, E., … & Muscatello, M. R. (2013). Alexithymia, negative emotions, and sexual behavior in heterosexual university students from Italy. Archives of Sexual Behavior, 42(1), 117-127. http://dx.doi.org/10.1007/s10508-012-0006-8
Simkin, H., & Etchezahar, E. (2013). Las orientaciones religiosas extrínseca e intrínseca: Validación de la" Age Universal" I-E Scale en el contexto argentino. Psykhe, 22(1), 97-106. http://dx.doi.org/10.7764/psykhe.22.1.477
Wellman, J. A., Czopp, A. M., & Geers, A. (2009). The egalitarian optimist and the confrontation of prejudice. Journal of Positive Psychology, 4(5), 389-395. http://dx.doi.org/10.1080/17439760902992449
Wester, S. R., Vogel, D. L., O’Neli. J. M., & Danforth, L. (2012). Development and evaluation of the Gender Role Conflict Scale Short Form (GRCS-SF). Psychology of Men and Masculinity, 13(2), 199-210. http://dx.doi.org/10.1037/a0025550
Whitley, B. E., & Ægisdóttir, S. (2000). The gender belief system, authoritarianism, social dominance orientation, and heterosexuals’ attitudes toward lesbians and gay men. Sex Roles, 42(11/12), 947-967. https://doi.org/10.1023/A:1007026016001
Whitley, B. E., & Lee, S. E. (2000). The relationship of authoritarianism and related constructs to attitudes toward homosexuality. Journal of Applied Social Psychology, 30(1), 144-170. https://doi.org/10.1111/j.1559-1816.2000.tb02309.x
Wilkinson, W. W. (2004). Research: Religiosity, authoritarianism, and homophobia: a multidimensional approach. The International Journal for the Psychology of Religion, 14(1), 55-67. https://doi.org/10.1207/s15327582ijpr1401_5
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