{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:56:15Z","timestamp":1791482175725,"version":"4.3.4"},"reference-count":53,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Aim\/objective<\/jats:title>\n                    <jats:p>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 T\u00fcrkiye.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Homophobia among healthcare professionals undermines equitable care for sexual minorities and remains underexplored in T\u00fcrkiye, 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional survey design was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean homophobia score was 102.14 (SD\u2009=\u200924.73). 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\u2019s degree was associated with higher odds (OR = 4.24).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec006\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0360301","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:30:20Z","timestamp":1791480620000},"page":"e0360301","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sexual prejudice and associated factors among clinical nurses in T\u00fcrkiye: A cross-sectional study"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9496-991X","authenticated-orcid":true,"given":"Ezgi","family":"\u015ei\u015fman","sequence":"first","affiliation":[{"name":"Kocaeli University","place":["\u0130zmit, Kocaeli, T\u00fcrkiye"],"department":["Department of Psychiatry, Faculty of 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K\u00f6yl\u00fc","year":"2015"},{"key":"pone.0360301.ref008","year":"2025"},{"issue":"2","key":"pone.0360301.ref009","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1037\/0022-006X.62.2.243","article-title":"Ethnic-minority lesbians and gay men: Mental health and treatment issues","volume":"62","author":"B Greene","year":"1994","journal-title":"J Consult Clin Psychol"},{"issue":"9","key":"pone.0360301.ref010","doi-asserted-by":"crossref","first-page":"1845","DOI":"10.1080\/13607863.2021.2003300","article-title":"Barriers and opportunities for the mental health of LGBT older adults and older people living with HIV: A systematic literature review","volume":"26","author":"A Marshall","year":"2022","journal-title":"Aging Ment Health"},{"issue":"1","key":"pone.0360301.ref011","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1177\/00914150231171838","article-title":"Health disparities among lesbian, gay, bisexual, transgender, and queer older adults: A structural competency 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Sci"},{"issue":"1","key":"pone.0360301.ref039","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1186\/s12909-019-1727-3","article-title":"Training to reduce LGBTQ-related bias among medical, nursing, and dental students and providers: A systematic review","volume":"19","author":"M Morris","year":"2019","journal-title":"BMC Med Educ"},{"issue":"1","key":"pone.0360301.ref040","doi-asserted-by":"crossref","first-page":"21624","DOI":"10.7448\/IAS.20.1.21624","article-title":"The effects of educational curricula and training on LGBT-specific health issues for healthcare students and professionals: A mixed-method systematic review","volume":"20","author":"AO Sekoni","year":"2017","journal-title":"J Int AIDS Soc"},{"issue":"12","key":"pone.0360301.ref041","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.3390\/healthcare13121474","article-title":"Predictors of transphobia and attitudes toward transgender individuals among nurses in T\u00fcrkiye: A cross-sectional 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Sci"},{"issue":"6","key":"pone.0360301.ref045","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1111\/jnu.12596","article-title":"Are nurses homophobic? 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Herek","year":"1996"},{"issue":"1","key":"pone.0360301.ref050","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/jonm.13167","article-title":"Under the same rainbow: A study on homophobia and discrimination among private sector health care professionals","volume":"29","author":"G Taskiran Eskici","year":"2021","journal-title":"J Nurs Manag"},{"key":"pone.0360301.ref051","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1146\/annurev-psych-113011-143809","article-title":"Organizational climate and culture","volume":"64","author":"B Schneider","year":"2013","journal-title":"Annu Rev Psychol"},{"key":"pone.0360301.ref052","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.geoforum.2012.08.002","article-title":"Kissing is not a universal right: Sexuality, law and the scales of citizenship","volume":"49","author":"P Hubbard","year":"2013","journal-title":"Geoforum"},{"key":"pone.0360301.ref053","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.nedt.2019.02.014","article-title":"Turkish nurse educators knowledge regarding LGBT health and their level of homophobia: A descriptive-cross sectional study","volume":"76","author":"F Aslan","year":"2019","journal-title":"Nurse Educ Today"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0360301","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:30:26Z","timestamp":1791480626000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0360301"}},"subtitle":[],"editor":[{"given":"Daniel","family":"Demant","sequence":"first","affiliation":[{"name":"University of Technology Sydney","place":["AUSTRALIA"]}],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":53,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,10,8]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0360301","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]}}}