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Peer-reviewedCC BY 4.0PLOS One

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

  • Ezgi Şişman1
  • Mehtap Güngör2
  • Umut Günay3
  • Aila Gareayaghi4
  • Hanife Yılmaz
  • İlay Dalkıran
  • Fatma Seher Kocaayan
  • Aslıhan Polat
4 affiliations
  1. 1Department of Psychiatry, Faculty of Medicine, Kocaeli University, İzmit, Kocaeli, Türkiye
  2. 2Psychiatry Clinic, Kocaeli City Hospital, İzmit, Kocaeli, Türkiye
  3. 3Şemdinli State Hospital, Şemdinli, Hakkari, Türkiye
  4. 4Community Mental Health Center, Kocaeli University, İzmit, Kocaeli, Türkiye
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Abstract

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.

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Cite

BibTeXRIS
BibTeX
@article{sisman2026sexual,
  title = {{Sexual prejudice and associated factors among clinical nurses in Türkiye: A cross-sectional study}},
  author = {Ezgi Şişman and Mehtap Güngör and Umut Günay and Aila Gareayaghi and Hanife Yılmaz and İlay Dalkıran and Fatma Seher Kocaayan and Aslıhan Polat},
  journal = {PLOS One},
  year = {2026},
  month = oct,
  doi = {10.1371/journal.pone.0360301},
  url = {https://doi.org/10.1371/journal.pone.0360301},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Sexual prejudice and associated factors among clinical nurses in Türkiye: A cross-sectional study
AU  - Ezgi Şişman
AU  - Mehtap Güngör
AU  - Umut Günay
AU  - Aila Gareayaghi
AU  - Hanife Yılmaz
AU  - İlay Dalkıran
AU  - Fatma Seher Kocaayan
AU  - Aslıhan Polat
PY  - 2026
DA  - 2026/10/08
JO  - PLOS One
DO  - 10.1371/journal.pone.0360301
UR  - https://doi.org/10.1371/journal.pone.0360301
AB  - 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.
SN  - 1932-6203
ER  -