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Negative social reaction to strabismus in school children ages 8-12 years

Lukman H, Kiat JE, Ganesan A, Chua WL, Khor KL, Choong YF

J AAPOS, 2011 Jun;15(3):238-40.
PMID: 21683635 DOI: 10.1016/j.jaapos.2011.01.158

To investigate children's willingness to sit next to a child with noticeable exotropia as a measure of social alienation.

Matched MeSH terms: Prejudice*
Review paper: gender competencies in the medical curriculum: addressing gender bias in medicine

Wong YL

Asia Pac J Public Health, 2009 Oct;21(4):359-76.
PMID: 19661102 DOI: 10.1177/1010539509337730

Gender inequalities in health and gender bias in medicine are interrelated challenges facing health care providers and educators. Women and girls are disadvantaged in accessing health care because of their low social status and unequal treatment in medical care. Gender bias has long been inherent in clinical practice, medical research, and education. This can be traced to the medical curriculum that shapes the perceptions, attitudes, and behavior of the future doctor. The author advocates medical curricula change to address gender inequalities in health and gender bias in medicine. She analyses the reasons for integration of gender competencies in the medical curriculum, discusses what gender competencies are, and reviews ways to in-build gender competencies and their assessment. Efforts to change and gender sensitize medical curricula in developed and developing countries are also reviewed. The review hopes to contribute to strategic medical curriculum reform, which would lead to gender-sensitive health services and equity in health.

Matched MeSH terms: Prejudice*
Gender issues in medical and public health education

Wong YL

Asia Pac J Public Health, 2000;12 Suppl:S74-7.
PMID: 11338745

There is no doubt that gender bias has been inherent in medical and public health education, research, and clinical practice. This paper discusses the central question for medical and public health educators viz. whether women's health concerns and needs could be best addressed by the conventional biomedical approach to medical and public health education, research, and practice. Gender inequalities in health and gender bias in medical and public health education are revealed. It is found that in most public health and prevention issues related to women's health, the core issue is male-female power relations, and not merely the lack of public health services, medical technology, or information. There is, thus, an urgent need to gender-sensitize public health and medical education. The paper proposes a gender analysis of health to distinguish between biological causes and social explanations for the health differentials between men and women. It also assessed some of the gender approaches to public health and medical education currently adopted in the Asia-Pacific region. It poses the pressing question of how medical and public health educators integrate the gender perspective into medical and public health education. The paper exhorts all medical and public health practitioners to explore new directions and identify innovative strategies to formulate a gender-sensitive curriculum towards the best practices in medicine and public health that will meet the health needs of women and men in the 21st century.

Matched MeSH terms: Prejudice*
Organizational barriers and ethnicity in the Scottish NHS

Sheffield J, Hussain A, Coleshill P

J Manag Med, 1999;13(4-5):263-4.
PMID: 10787497

The NHS faces a crisis in terms of staffing and recruitment. Many of the ethnic minority GPs in inner city areas throughout the UK are coming up to retirement age, and there is an insufficient supply of trainees to fill estimated vacancies. Over 2,000 nursing vacancies exist across the UK, and recruitment to the profession and retention within the profession are poor. Nurses have been recruited from overseas for the past 40 years, and are currently being recruited from Finland, Malaysia, and the West Indies, whilst doctors are being sought in India, Pakistan and Africa. Overseas recruitment is not a new phenomenon, and numerous studies have been carried out to examine equal opportunities and racial discrimination within the NHS. The aim of this paper was to examine ethnicity and equal opportunities within the Scottish NHS and record the levels of organisational awareness of ethnicity and equal opportunities' issues. The paper also examines the link between health service delivery to ethnic minorities and internal cultural attitudes to staff.

Matched MeSH terms: Prejudice*
Strabismus-related prejudice in 5-6-year-old children

Lukman H, Kiat JE, Ganesan A, Chua WL, Khor KL, Choong YF

Br J Ophthalmol, 2010 Oct;94(10):1348-51.
PMID: 20601661 DOI: 10.1136/bjo.2009.173526

There is a general consensus that individuals with conspicuous strabismus are perceived more negatively with respect to physical appearance, personality and capability. Such social biases can potentially lead to social alienation and negative psychosocial development, particularly when experienced at a young age. This study aims to explore young children's perception of peers with noticeable exotropia.

Matched MeSH terms: Prejudice*
Fulltext Effect of Psychiatric Clinical Posting on Attitudes among Student Nurses in Universiti Malaysia Sabah

Segaran R., Olga, Wilfred

Borneo Journal of Medical Sciences, 2018;12(101):47-0.
MyJurnal

Students taking up nursing course bring with them stereotypes and prejudice towards mentally-ill clients. Nurses harbouring such stigmatising attitude can have a profound effect on their subsequent therapeutic relationship and quality of care rendered for the mentally-ill clients. Typically, students who harbour stigmatising views, develop positive mindset after psychiatric posting.

Matched MeSH terms: Prejudice
Support for weight-related anti-discrimination laws and policies: Modelling the role of attitudes toward poverty alongside weight stigma, causal attributions about weight, and prejudice

Swami V, Voracek M, Furnham A, Robinson C, Tran US

Body Image, 2023 Jun;45:391-400.
PMID: 37116305 DOI: 10.1016/j.bodyim.2023.04.005

In the present study, we sought to position support for weight-related anti-discrimination laws and policies within a broader political and socioeconomic context. Specifically, we hypothesised that individualistic (rather than structural) anti-poverty attitudes would provide the basis for negative weight-related dispositions. To test this hypothesis, we asked 392 respondents from the United Kingdom to complete measures of support for weight-related anti-discrimination laws and policies, attributions about the causes of being larger-bodied, and weight-related stigma and prejudice. Path analysis with robust maximum likelihood estimation indicated that greater individualistic anti-poverty attitudes were significantly and directly associated with lower support for weight-related anti-discrimination laws and policies. This direct association was also significantly mediated by weight-related stigma and via a serial mediation involving both weight-related stigma and prejudice. Although greater individualistic anti-poverty attitudes were significantly associated with greater personal attributions for being larger-bodied, the latter did not emerge as a significant mediation pathway. The present findings highlight the importance of considering broader political and socioeconomic contextual factors that may provide a basis for the development, maintenance, and manifestation of negative weight-related dispositions.

Matched MeSH terms: Prejudice
Fulltext Continuities and discontinuities in the cultural evolution of global consciousness

Zhang RJ, Liu JH, Lee M, Lin MH, Xie T, Chen SX, et al.

Philos Trans R Soc Lond B Biol Sci, 2024 Jan;379(1893):20220263.
PMID: 37952613 DOI: 10.1098/rstb.2022.0263

Global consciousness (GC), encompassing cosmopolitan orientation, global orientations (i.e. openness to multicultural experiences) and identification with all humanity, is a relatively stable individual difference that is strongly associated with pro-environmental attitudes and behaviours, less ingroup favouritism and prejudice, and greater pandemic prevention safety behaviours. Little is known about how it is socialized in everyday life. Using stratified samples from six societies, socializing institution factors correlating positively with GC were education, white collar work (and its higher income) and religiosity. However, GC also decreased with increasing age, contradicting a 'wisdom of elders' transmission of social learning, and not replicating typical findings that general prosociality increases with age. Longitudinal findings were that empathy-building, network-enhancing elements like getting married or welcoming a new infant, increased GC the most across a three-month interval. Instrumental gains like receiving a promotion (or getting a better job) also showed positive effects. Less intuitively, death of a close-other enhanced rather than reduced GC. Perhaps this was achieved through the ritualized management of meaning where a sense of the smallness of self is associated with growth of empathy for the human condition, as a more discontinuous or opportunistic form of culture-based learning. This article is part of the theme issue 'Evolution and sustainability: gathering the strands for an Anthropocene synthesis'.

Matched MeSH terms: Prejudice
Fulltext Beliefs and attitudes of medical students from public and private universities in Malaysia towards individuals with HIV/AIDS

Koh KC, Teh JR, Khan SA

ScientificWorldJournal, 2013;2013:462826.
PMID: 24285935 DOI: 10.1155/2013/462826

We describe the findings from a survey assessing the beliefs regarding testing, confidentiality, disclosure, and environment of care and attitudes towards care of people with HIV/AIDS (PLHWA), in 1020, 4th and 5th year medical students, from public and private medical universities in Malaysia. A self-administered validated questionnaire based on the UNAIDS Model Questionnaire with a 5-point Likert scale (5, strongly disagree; 4, disagree; 3, neutral; 2, agree; 1, strongly agree) was used as a survey tool. The survey included demographic data and data on undergraduate training received on HIV/AIDS. Statistical significance in the demographic data and training received by respondents was evaluated using the chi-square test while the independent Student's t-test was used for comparison of means between public and private universities. A P value of <0.05 was considered statistically significant with 95% confidence interval. Our study revealed less than 20% of medical students received adequate training to care for PLHWA. They had prevalent negative beliefs regarding testing, confidentiality, disclosure and environment of care towards PLHWA although in giving care to PLHWA, their attitudes were largely positive and nondiscriminatory.
Study site: 7 public and private universities in Malaysia

Matched MeSH terms: Prejudice/psychology; Prejudice/statistics & numerical data
Prevalence and factors associated with HIV/AIDS-related stigma and discriminatory attitudes: a cross-sectional nationwide study

Wong LP

Prev Med, 2013;57 Suppl:S60-3.
PMID: 23583477 DOI: 10.1016/j.ypmed.2013.03.013

OBJECTIVE: The prime purpose of this study is to assess HIV/AIDS-related self-stigma and discrimination (S&D) attitudes and associated factors using multivariate analysis of data from the 2010-11 National Survey of Understanding the Root of HIV/AIDS Related Stigma and Discrimination.
METHOD: A national telephone survey was carried out with 2271 of the Malaysian public aged 18-60 years. The sample was contacted by random digit dialing covering the whole of Peninsular Malaysia from December 2010 to May 2011. The HIV-transmission knowledge, HIV-related self-stigma, and public stigma were investigated.
RESULTS: Despite high level of HIV-transmission knowledge [mean (SD)=10.56 (2.42), mean score at 70th percentile] the respondents in this study had moderate levels (mean scores near midpoints) of self-stigma and public stigma attitudes. HIV-transmission knowledge score was not significantly correlated with self-stigma score, but showed a significantly small positive effect (r<0.2) for public stigma scores. Ethnicity is the strongest correlate of HIV-transmission knowledge, self-stigma, and public stigma attitudes in the multivariate analyses. Other significant correlates were age, socioeconomic group, and urban-rural setting.
CONCLUSIONS: The root causes of HIV stigma and discriminatory attitudes were not associated with knowledge deficiency. Interventions should be oriented towards promoting de-stigmatization of HIV/AIDS, and tailored socio-culturally.
KEYWORDS: Discriminatory; HIV/AIDS; Knowledge; Stigma

Matched MeSH terms: Prejudice/psychology; Prejudice/statistics & numerical data*
A doctor's duty is to heal the unhealthy: the story of Tun Dr Mahathir Mohamad

Ong HT

Ann Acad Med Singap, 2005 Jul;34(6):45C-51C.
PMID: 16010379

Mahathir Mohamad was born in 1925 in Alor Star, Kedah. He entered the King Edward VII College of Medicine in Singapore in 1947 and graduated in 1953. His years in the medical school equipped young Mahathir with the training necessary to assess and diagnose a problem, before dispensing the appropriate treatment. Throughout his later years in the political limelight, Dr Mahathir recognised the very important role the medical college had in laying the strong foundation for his successful career. He joined UMNO in 1945, already interested in politics at the tender age of 20; he was first elected into Parliament in 1964. The vigorous expression of his candid views did not go down well during the troubled days following the 13 May 1969 racial riots and he was expelled from UMNO, his writings were banned, and he was considered a racial extremist. Nevertheless, his intellectual and political influence could not be ignored for long; he returned to Parliament in 1974, and became the fourth, and longest serving, Prime Minister of Malaysia in 1981. Dr Mahathir has found fame as a Malay statesman, and an important Asian leader of the twentieth century with much written, locally and internationally, debating his policies. This article, using Dr Mahathir's own writings, starts with his description of his early life, proceeds to look at his medical career, then touches on his diagnosis of the problems plaguing the Malays, before concluding with his views on the need to stand up to the prejudices and pressures of the Western world. Throughout his life, Dr Mahathir behaved as the ever-diligent medical doctor, constantly studying the symptoms to diagnose the cause of the ills in his community and country, before proceeding to prescribe the correct treatment to restore good health. It is a measure of his integrity and intellectual capability that he did not seek to hide his failures, or cite unfinished work in an attempt to cling to political power.

Matched MeSH terms: Prejudice
Sex differences in educational encouragement and academic achievement

Khan A

Psychol Rep, 2012 Aug;111(1):149-55.
PMID: 23045856

Sex differences in educational encouragement and their predictiveness of academic achievement were examined among 442 secondary school students (M age = 13.2 yr., SD = 1.9). Education-related encouragement received from mothers, fathers, friends, and teachers was assessed. Academic achievement was based on student self-reports and grades. Female adolescents reported receiving statistically significantly more educational encouragement from their mothers, fathers, friends, and teachers than did male adolescents. In regression, sex and educational encouragement from parents, friends, and teachers were found to be significant predictors of academic achievement.

Matched MeSH terms: Prejudice*
Malaysia can't thrive while it excludes minority talent

Phang IY

Nature, 2005 Sep 15;437(7057):318.
PMID: 16163325
Matched MeSH terms: Prejudice*
Country watch: South-East Asia

Bagasao TM

AIDS STD Health Promot Exch, 1996.
PMID: 12347180
Matched MeSH terms: Prejudice*
Women's rights: eternal principles, changing forms

Asiaweek, 1993 Nov 17.
PMID: 12287494
Matched MeSH terms: Prejudice*
Responding to local needs. Self-help groups

Jayaseelan J

AIDS Action, 1993 Mar-May;[nil](20):4.
PMID: 12288933

PIP: Pink Triangle, the only community-based group in Malaysia which works with men who have sex with men, took initial steps in August 1992 to establish a self-help project for people who are HIV-seropositive. Supporting people who are HIV-positive and fighting for their rights is new in Malaysia. The group has thus far been publicized through its public education events, hospitals, and other nongovernmental organizations. For the first time, information is being published specifically by and for people living with HIV/AIDS. The project also has a phone line to allow people to speak anonymously with someone who shares their experience. Many callers are men who have sex with men in the social context of intense prejudice and discrimination. Afraid to openly acknowledge their sexuality with strangers, the callers have yet to accede to meeting each other face-to-face in a group setting. The author notes in closing that Pink Triangle must be realistic about what can be achieved in Malaysia and allow the group to develop according to people's needs and not on the basis of a model imported from outside of the country.

Matched MeSH terms: Prejudice*
Fulltext Prejudice in science - Lessons from the coronavirus story

Ng KH, Bezak E

Phys Med, 2020 Jul;75:83-84.
PMID: 32559649 DOI: 10.1016/j.ejmp.2020.06.011

In the current pandemic times, medical physicists may not be aware that there is an interesting story on two significant discoveries related to the coronavirus. One is the invention of the polymerase chain reaction (PCR) and the other is the first electron microscopic observation and identification of the coronavirus. Both of them were disregarded by the reviewers and major journals declined to publish these discoveries. These days, PCR, for example, is a widespread method for analyzing DNA, having a profound effect on healthcare, especially now during the Covid-19 pandemic. Prejudice or perhaps ignorance prevail in every aspect of our society, and there is no exception in scientific research. We need to, however, learn from these two stories and be open-minded about novel discoveries and findings - as they may be just disruptive in the "right" way to lead to an unexpected breakthrough.

Matched MeSH terms: Prejudice/history*
Sex inequality in kidney transplantation rates

Schaubel DE, Stewart DE, Morrison HI, Zimmerman DL, Cameron JI, Jeffery JJ, et al.

Arch. Intern. Med., 2000 8 6;160(15):2349-54.
PMID: 10927733 DOI: 10.1001/archinte.160.15.2349

BACKGROUND: Men in the United States undergoing renal replacement therapy are more likely than women to receive a kidney transplant. However, the ability to pay may, in part, be responsible for this finding.

OBJECTIVE: To compare adult male and female transplantation rates in a setting in which equal access to medical treatment is assumed.

METHODS: Using data from the Canadian Organ Replacement Register, the rate of first transplantations was computed for the 20, 131 men and the 13,458 women aged 20 years or older who initiated renal replacement therapy between January 1, 1981, and December 31, 1996. Poisson regression analysis was used to estimate the male-female transplantation rate ratio, adjusting for age, race, province, calendar period, underlying disease leading to renal failure, and dialytic modality. Actuarial survival methods were used to compare transplantation probability for covariable-matched cohorts of men and women.

RESULTS: Men experienced 20% greater covariable-adjusted kidney transplantation rates relative to women (rate ratio, 1.20; 95% confidence interval, 1.13-1.27). The sex disparity was stronger for cadaveric transplants (rate ratio, 1.23) compared with those from living donors (rate ratio, 1.10). The 5-year probability of receiving a transplant was 47% for men and 39% for women within covariable-matched cohorts (P

Matched MeSH terms: Prejudice*
Fulltext Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting

Chew KS, van Merrienboer JJG, Durning SJ

BMC Med Educ, 2019 Jan 10;19(1):18.
PMID: 30630472 DOI: 10.1186/s12909-018-1451-4

BACKGROUND: Establishing a diagnosis is a complex, iterative process involving patient data gathering, integration and interpretation. Premature closure is a fallacious cognitive tendency of closing the diagnostic process before sufficient data have been gathered. A proposed strategy to minimize premature closure is the use of a checklist to trigger metacognition (the process of monitoring one's own thinking). A number of studies have suggested the effectiveness of this strategy in classroom settings. This qualitative study examined the perception of usability of a metacognitive mnemonic checklist called TWED checklist (where the letter "T = Threat", "W = What if I am wrong? What else?", "E = Evidence" and "D = Dispositional influence") in a real clinical setting.
METHOD: Two categories of participants, i.e., medical doctors (n = 11) and final year medical students (Group 1, n = 5; Group 2, n = 10) participated in four separate focus group discussions. Nielsen's 5 dimensions of usability (i.e. learnability, effectiveness, memorability, errors, and satisfaction) and Pentland's narrative network were adapted as the framework to study the usability and the implementation of the checklist in a real clinical setting respectively.
RESULTS: Both categories (medical doctors and medical students) of participants found that the TWED checklist was easy to learn and effective in promoting metacognition. For medical student participants, items "T" and "W" were believed to be the two most useful aspects of the checklist, whereas for the doctor participants, it was item "D". Regarding its implementation, item "T" was applied iteratively, items "W" and "E" were applied when the outcomes did not turn out as expected, and item "D" was applied infrequently. The one checkpoint where all four items were applied was after the initial history taking and physical examination had been performed to generate the initial clinical impression.
CONCLUSION: A metacognitive checklist aimed to check cognitive errors may be a useful tool that can be implemented in the real clinical setting.

Matched MeSH terms: Prejudice/psychology*
Fulltext Imagine All The Synchrony: The effects of actual and imagined synchronous walking on attitudes towards marginalised groups

Atherton G, Sebanz N, Cross L

PLoS One, 2019;14(5):e0216585.
PMID: 31086399 DOI: 10.1371/journal.pone.0216585

Stereotyping is a pervasive societal problem that impacts not only minority groups but subserves individuals who perpetuate stereotypes, leading to greater distance between groups. Social contact interventions have been shown to reduce prejudice and stereotyping, but optimal contact conditions between groups are often out of reach in day to day life. Therefore, we investigated the effects of a synchronous walking intervention, a non-verbal embodied approach to intergroup contact that may reduce the need for optimal contact conditions. We studied attitude change towards the Roma group in Hungary following actual and imagined walking, both in a coordinated and uncoordinated manner. Results showed that coordinated walking, both imagined and in vivo, led to explicit and implicit reductions in prejudice and stereotyping towards both the Roma individual and the wider Roma social group. This suggests that coordinated movement could be a valuable addition to current approaches towards prejudice reduction.

Matched MeSH terms: Prejudice*

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