Objective: To perform the cross-cultural adaptation of the original North American version of the Attitudes Toward Lesbians and Gay Men Scale (ATLG) for use in Brazil, and to evaluate the psychometric properties of the adapted instrument in a sample of Brazilian heterosexual physicians. Methods: Stages of cross-cultural adaptation were as follows: translation by two independent evaluators, translation synthesis, evaluation by the target population for semantic equivalence, pilot study with 42 physicians, and final instrument preparation involving 224 heterosexual physicians practicing medicine in the Federal District. Invitations containing a link to the study were sent to physicians via e-mail, social media and medical associations. Inclusion criteria were as follows: being a physician authorized to practice medicine in Brazil, practicing medicine in the Brazilian Federal District, and self-declared heterosexual, as stipulated in the original version of the ATLG scale. Exclusion criteria were not disclosed to potential participants to avoid inhibition and unwillingness to participate; respondents meeting exclusion criteria were removed from the sample during data analysis. Results: Exploratory and confirmatory factor analyses suggested a one-factor solution to be the most representative of the data, including all 20 items with high reliability (composite reliability coefficients =0.948). Conclusion: The ATLG scale is a suitable instrument to assess physicians’ attitudes toward homosexuals, with good validity and reliability evidence based on the sample studied.
Objective:To adapt the Knowledge about Homosexuality Questionnaire to Brazilian Portuguese, and to assess knowledge of heterosexual physicians on homosexuality.Methods:The following steps for cultural adaptation were made: translation by two independent evaluators, translation synthesis, and evaluation of semantic properties by the target population, followed by the development of a pilot study and administration of the instrument to 224 heterosexual physicians working in the Brazilian Federal District.Results:The mean number of correct answers in the questionnaire was 11.8 (SD=2.81) out of 18 items, i.e., 65.5%. Catholic and evangelical physicians gave a significant lower number of correct answers compared with those who believed in other religions or who did not believe in any religion (p=0.009), and 40% of sample did not know that homosexuality is not considered a disease.Conclusion:This study adapted the American instrument entitled Knowledge about Homosexuality Questionnaire and provided evidence for its validation in Brazil, revealing physicians' lack of knowledge about several aspects related to homosexuality. The findings of this study may help in guiding improvements in medical training and practice.
a RESUMOO processo de envelhecimento crescente no Brasil e no mundo é acompanhado também por uma maior diversificação sexual. Existem poucos estudos que avaliam as condições de saúde e as especificidades do envelhecimento da população de idosos composta por lésbicas, gays e bissexuais (LGB). Limitações acerca de terminologias e métodos de investigação não apropriados aplicados nos estudos fazem com que dados epidemiológicos sobre essa população sejam imprecisos. Este artigo teve como objetivos: abordar a temática sobre idosos LGB, focando os aspectos relacionados a cuidados de saúde dessa população; descrever aspectos demográficos e limitações acerca dos estudos epidemiológicos; abordar as especificidades do atendimento médico a pessoas LGB idosas e o papel dos profissionais geriatras e gerontólogos nesse contexto. PALAVRAS-CHAVE: homossexualidade; bissexualidade; envelhecimento; idoso. ABSTRACTThe quick aging process in Brazil and the world is also followed by greater sexual diversity. There are few studies regarding health conditions and aging among lesbian, gay, and bisexual older adults (LGB). Limitations about terminology and methods applied in LGB studies render data dimness. The aims of manuscript are: to comment the health care needs of LGB older adults; to describe the demographics and limitations of epidemiological studies; to address particular medical care of the older LGB people; to comment about the role of geriatricians and gerontologists professionals in this context.
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