Political conservatism and social distancing from people living with HIV among Medical students: mediating roles of negative stereotypes and negative Intergroup emotions

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Veröffentlicht in:BMC Medical Education vol. 25 (2025), p. 1
1. Verfasser: Salih Atakan Nemli
Weitere Verfasser: Ranjbar, Hamed Abdollahpour, Turan, Bulent
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Springer Nature B.V.
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LEADER 00000nab a2200000uu 4500
001 3165514940
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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-06768-w  |2 doi 
035 |a 3165514940 
045 2 |b d20250101  |b d20251231 
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100 1 |a Salih Atakan Nemli 
245 1 |a Political conservatism and social distancing from people living with HIV among Medical students: mediating roles of negative stereotypes and negative Intergroup emotions 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundHIV-related stigma within the health care system is a major barrier preventing people living with HIV (PLWH) from accessing and continuing treatment. Psychosocial factors such as political orientation, personality characteristics, and personal moral values of health care providers have not been adequately investigated. Furthermore, a deeper understanding of the mechanisms and effects of these drivers on social distancing from PLWH is needed. The present study aims to fill these gaps in the literature by examining the stigmatizing attitudes of medical students from the perspective of the inevitability of prejudice.MethodWe sampled 609 medical students in Türkiye. Political orientation, stereotyping attitudes, stigmatizing attitudes, emotional reactions toward PLWH, and social distance from PLWH were assessed via self-reported questionnaires. Multiple regression analysis and serial mediation analysis were used.ResultsPolitical conservatism correlated significantly with negative stereotypes (r =.29, p <.01) and negative intergroup emotions (r =.35, p =.01). Notably, negative stereotypes were strongly associated with social distancing (r =.41, p <.01). Serial mediation analysis indicated that the total effect of political conservatism on social distancing was significant. The serial indirect association between higher political conservatism and higher social distancing from PLWH was significant (β = 0.07, SE = 0.01, 95% CI [0.05, 0.10]). This association was mediated first by endorsing negative stereotypes about PLWH and then by negative intergroup emotions toward PLWH.ConclusionsThe findings suggest that interventions targeting stereotyping and negative intergroup emotions could reduce discriminatory attitudes and behaviors of medical students, thereby enhancing healthcare delivery to PLWH. Policy measures can focus on the integration of stigma-reduction training and intergroup sensitivity programs in medical education curricula. Furthermore, it may help to address discrimination in the healthcare system and beyond by enhancing understanding of structural and societal factors that drive HIV-related stigma. 
651 4 |a Turkey 
653 |a Social distancing 
653 |a Conservatism 
653 |a Behavior 
653 |a Health care policy 
653 |a Stigma 
653 |a Medical students 
653 |a Antiretroviral drugs 
653 |a Emotions 
653 |a Drug therapy 
653 |a Human immunodeficiency virus--HIV 
653 |a Confidentiality 
653 |a Stereotypes 
653 |a Prejudice 
653 |a Acquired immune deficiency syndrome--AIDS 
653 |a Psychological aspects 
653 |a Attitudes 
653 |a Medical education 
653 |a Behavior Modification 
653 |a Physicians 
653 |a Social Behavior 
653 |a Hygiene 
653 |a Test Anxiety 
653 |a Negative Attitudes 
653 |a Cognitive Processes 
653 |a Outcomes of Treatment 
653 |a Political Attitudes 
653 |a Rejection (Psychology) 
653 |a Interpersonal Relationship 
653 |a Political Affiliation 
653 |a Beliefs 
653 |a Psychological Patterns 
653 |a School Policy 
653 |a Knowledge Level 
653 |a Drug Use 
653 |a Health Behavior 
653 |a Emotional Response 
653 |a Behavior Change 
653 |a Fear 
700 1 |a Ranjbar, Hamed Abdollahpour 
700 1 |a Turan, Bulent 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1 
786 0 |d ProQuest  |t Healthcare Administration Database 
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856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3165514940/fulltext/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3165514940/fulltextPDF/embedded/L8HZQI7Z43R0LA5T?source=fedsrch