Research Article
BibTex RIS Cite

Year 2025, Volume: 39 Issue: 3, 165 - 178, 25.07.2025
https://doi.org/10.18614/dehm.1751123

Abstract

References

  • 1. Dahlke S. Addressing ageism in healthcare through gerontological nursing. Open Access Government (2024) 41:42–43. doi: 10.56367/OAG-041-11229
  • 2. Wyman MF, Shiovitz-Ezra S, Bengel J. Ageism in the Health Care System: Providers, Patients, and Systems. In: Ayalon L, Tesch-Römer C, editors. International Perspectives on Aging. Cham: Springer International Publishing (2018). p. 193–212 doi: 10.1007/978-3-319-73820-8_13
  • 3. Simsek H, Bahadir H, Bi̇lgi̇n A. Physicians’ Attitudes Towards The Elderly: Ageism in a University Hospital in Turkey. Turkısh Journal Of Gerıatrics-Turk Gerıatri Dergisi (2019) 22: doi: 10.31086/tjgeri.2019150579
  • 4. Altun A, Demirel B. Üniversite Öğrencilerinin Yaşlı Ayrımcılığıyla İlgili Tutumları: Keskin MYO Örneği. MJSS (2020) 9:423–434. doi: 10.33206/mjss.679054
  • 5. Rudnicka E, Napierała P, Podfigurna A, Męczekalski B, Smolarczyk R, Grymowicz M. The World Health Organization (WHO) approach to healthy ageing. Maturitas (2020) 139:6–11. doi: 10.1016/j.maturitas.2020.05.018
  • 6. Koçak K, Keskin Şimşek H. The Identification of High School Students’ Attitudes Towards Ageism and Related Factors. JBACHS (2024) 8:423–432. doi: 10.30621/jbachs.1374685
  • 7. Ben-Harush A, Shiovitz-Ezra S, Doron I, Alon S, Leibovitz A, Golander H, Haron Y, Ayalon L. Ageism among physicians, nurses, and social workers: findings from a qualitative study. Eur J Ageing (2017) 14:39–48. doi: 10.1007/s10433-016-0389-9
  • 8. Nemiroff L. We can do better: Addressing ageism against older adults in healthcare. Healthc Manage Forum (2022) 35:118–122. doi: 10.1177/08404704221080882
  • 9. Samra R, Griffiths A, Cox T, Conroy S, Gordon A, Gladman JRF. Medical students’ and doctors’ attitudes towards older patients and their care in hospital settings: a conceptualisation. Age Ageing (2015) 44:776–783. doi: 10.1093/ageing/afv082
  • 10. Lui NL, Wong CH. Junior Doctors’ Attitudes Towards Older Adults and its Correlates in a Tertiary-care Public Hospital. Ann Acad Med Singap (2009) 38:125–129. doi: 10.47102/annals-acadmedsg.V38N2p125
  • 11. Gonzales E, Morrow-Howell N, Gilbert P. Changing Medical Students’ Attitudes Toward Older Adults. Gerontology & Geriatrics Education (2010) 31:220–234. doi: 10.1080/02701960.2010.503128
  • 12. Tufan F, Yuruyen M, Kizilarslanoglu MC, Akpinar T, Emiksiye S, Yesil Y, Ozturk ZA, Bozbulut UB, Bolayir B, Tasar PT, et al. Geriatrics education is associated with positive attitudes toward older people in internal medicine residents: A multicenter study. Archives of Gerontology and Geriatrics (2015) 60:307–310. doi: 10.1016/j.archger.2014.12.004
  • 13. Picakciefe M, Tiric E, Dede B, Yesilbas S, Cengiz RG, Gullu DM. Ageism Among Medical Trainees And Interns In Turkey and Related Factors: Отношение Медицинских Стажеров И Интернов В Турции К Дискриминации По Возрасту И Связанные С Ней Факторы. Успехи геронтологии (2024) 37:491–498. doi: 10.34922/AE.2024.37.5.002
  • 14. Oral B, Gunay O, Cetinkaya F. Attitudes of health professionals working in a university hospital towards ageism. Med-Science (2018)1. doi: 10.5455/medscience.2018.07.8925
  • 15. Zhao H, Wu B, Shi J, Reifsnider E, Fan J, Li J, Mao J. Chinese Medical Students’ Attitudes toward Older Adults and Willingness To Consider a Career in Geriatric Medicine: A Cross-Sectional Survey. Teaching and Learning in Medicine (2020) 32:486–493. doi: 10.1080/10401334.2020.1784739
  • 16. Kolushev I, Punchik B, Digmi D, Haiman K, Ritsner M, Moller O, Hadad S, Samson T, Freud T, Press Y. Ageism, Aging Anxiety, and Death and Dying Anxiety Among Doctors and Nurses. Rejuvenation Res (2021) 24:366–374. doi: 10.1089/rej.2020.2385
  • 17. Reuben DB, Lee M, Davis JW, Eslami MS, Osterweil DG, Melchiore S, Weintraub NT. Development and validation of a geriatrics attitudes scale for primary care residents. J Am Geriatr Soc (1998) 46:1425–1430. doi: 10.1111/j.1532-5415.1998.tb06012.x
  • 18. Sahin S, Mandiracioglu A, Tekin N, Senuzun F, Akcicek F. Attitudes toward the elderly among the health care providers: reliability and validity of Turkish version of the UCLA Geriatrics Attitudes (UCLA-GA) scale. Arch Gerontol Geriatr (2012) 55:205–209. doi: 10.1016/j.archger.2011.08.015
  • 19. Al Ghailani A, Al Lawati A, Al Kharusi F, Al Shabibi A, Al Wahaibi A, Al Wardi A, Alyafai A, Al Sinawi H. Knowledge and Attitude Towards the Elderly Among Doctors and Medical Students: A Questionnaire-Based Study. Cureus (2024) doi: 10.7759/cureus.56732
  • 20. De Biasio JC, Parkas V, Soriano RP. Longitudinal assessment of medical student attitudes toward older people. Medical Teacher (2016) 38:823–828. doi: 10.3109/0142159X.2015.1112891
  • 21. Zanjari N, Momtaz YA, Abdollahi T. Psychometric Properties of the Persian Version of the UCLA GeriatricsAttitudes Scale (UCLA-GAS). CAS (2022) 15:259–265. doi: 10.2174/1874609815666220419104512
  • 22. Ayrancı A. Tıp fakültesi öğrencilerinin yaşlılara karşı tutumları.(2020) https://hdl.handle.net/20.500.12452/4542 [Accessed January 26, 2025]
  • 23. Chua MPW, Tan C, Merchant RA, Soiza R. Attitudes of first-year medical students in Singapore towards older people and willingness to consider a career in geriatric medicine. Annals of the Academy of Medicine, Singapore (2008) https://www.semanticscholar.org/paper/Attitudes-of-first-year-medical-students-in-towards-Chua-Tan/3ab09978b3413130e79167245f1c09a99ccd7806?utm_source=consensus [Accessed January 26, 2025]
  • 24. De Biasio JC, Parkas V, Soriano RP. Longitudinal assessment of medical student attitudes toward older people. Medical Teacher (2016) 38:823–828. doi: 10.3109/0142159X.2015.1112891
  • 25. Goeldlin AO, Siegenthaler A, Moser A, Stoeckli YD, Stuck AE, Schoenenberger AW. Effects of geriatric clinical skills training on the attitudes of medical students. BMC Med Educ (2014) 14:233. doi: 10.1186/1472-6920-14-233
  • 26. Koh GC, Merchant RA, Lim WS, Amin Z. The Knowledge-Attitude Dissociation in Geriatric Education: Can It be Overcome? Ann Acad Med Singap (2012) 41:383–389. doi: 10.47102/annals-acadmedsg.V41N9p383
  • 27. Haque AF, Soong DG, Wong CL. Assessing the Impact of a Geriatric Clinical Skills Day on Medical Students’ Attitudes Toward Geriatrics. Can Geri J (2013) 17:12–15. doi: 10.5770/cgj.17.74

Assessment of intern doctors' attitudes towards ageism and related factors: A single-center cross-sectional study

Year 2025, Volume: 39 Issue: 3, 165 - 178, 25.07.2025
https://doi.org/10.18614/dehm.1751123

Abstract

BACKGROUND
It is well known that ageism, or discrimination against older individuals, is a pervasive issue in healthcare settings, potentially affecting the quality of care provided to this population. In this paper, it was aimed to assess the attitudes of intern doctors toward ageism and to identify the sociodemographic, educational, and experiential factors influencing these attitudes.

MATERIAL and METHODS
A cross-sectional study was conducted among 158 intern doctors at Dokuz Eylül University Faculty of Medicine during the 2024–2025 academic year. Data were collected utilizing the Sociodemographic Information Form and the Turkish version of the UCLA Geriatrics Attitudes Scale (UCLA-GA). Multiple linear regression analyses were executed to identify factors associated with UCLA-GA scores.

RESULTS
The mean total UCLA-GA score of participants was 47.5 ± 4.6, indicating generally positive attitudes toward geriatrics. Intern doctors who expressed a preference to live with their parents in the future showed significantly higher total UCLA-GA scores (β = 1.793, 95% CI: 0.198–3.388, p = 0.028). Additionally, willingness to work in institutions providing elder care services was significantly associated with higher scores in the Medical Care (β = 1.078, 95% CI: 0.255–1.900, p = 0.011) and Resource Distribution (β = 1.057, 95% CI: 0.241–1.873, p = 0.011) subscales. Notably, aging was predominantly associated with negative themes such as illness, dependency, and death.

CONCLUSIONS
As a result, intern doctors indicated generally positive attitudes toward ageism. Those who preferred to live with their parents in the future exhibited more favorable perceptions of aging, while willingness to work in elder care institutions was associated with higher scores of medical care and resource distribution subscales. Despite these positive perspectives, aging remains largely perceived through negative lenses, such as illness, dependency, and mortality, emphasizing the need for targeted educational interventions to foster a more balanced and nuanced understanding of aging among future healthcare professionals.

References

  • 1. Dahlke S. Addressing ageism in healthcare through gerontological nursing. Open Access Government (2024) 41:42–43. doi: 10.56367/OAG-041-11229
  • 2. Wyman MF, Shiovitz-Ezra S, Bengel J. Ageism in the Health Care System: Providers, Patients, and Systems. In: Ayalon L, Tesch-Römer C, editors. International Perspectives on Aging. Cham: Springer International Publishing (2018). p. 193–212 doi: 10.1007/978-3-319-73820-8_13
  • 3. Simsek H, Bahadir H, Bi̇lgi̇n A. Physicians’ Attitudes Towards The Elderly: Ageism in a University Hospital in Turkey. Turkısh Journal Of Gerıatrics-Turk Gerıatri Dergisi (2019) 22: doi: 10.31086/tjgeri.2019150579
  • 4. Altun A, Demirel B. Üniversite Öğrencilerinin Yaşlı Ayrımcılığıyla İlgili Tutumları: Keskin MYO Örneği. MJSS (2020) 9:423–434. doi: 10.33206/mjss.679054
  • 5. Rudnicka E, Napierała P, Podfigurna A, Męczekalski B, Smolarczyk R, Grymowicz M. The World Health Organization (WHO) approach to healthy ageing. Maturitas (2020) 139:6–11. doi: 10.1016/j.maturitas.2020.05.018
  • 6. Koçak K, Keskin Şimşek H. The Identification of High School Students’ Attitudes Towards Ageism and Related Factors. JBACHS (2024) 8:423–432. doi: 10.30621/jbachs.1374685
  • 7. Ben-Harush A, Shiovitz-Ezra S, Doron I, Alon S, Leibovitz A, Golander H, Haron Y, Ayalon L. Ageism among physicians, nurses, and social workers: findings from a qualitative study. Eur J Ageing (2017) 14:39–48. doi: 10.1007/s10433-016-0389-9
  • 8. Nemiroff L. We can do better: Addressing ageism against older adults in healthcare. Healthc Manage Forum (2022) 35:118–122. doi: 10.1177/08404704221080882
  • 9. Samra R, Griffiths A, Cox T, Conroy S, Gordon A, Gladman JRF. Medical students’ and doctors’ attitudes towards older patients and their care in hospital settings: a conceptualisation. Age Ageing (2015) 44:776–783. doi: 10.1093/ageing/afv082
  • 10. Lui NL, Wong CH. Junior Doctors’ Attitudes Towards Older Adults and its Correlates in a Tertiary-care Public Hospital. Ann Acad Med Singap (2009) 38:125–129. doi: 10.47102/annals-acadmedsg.V38N2p125
  • 11. Gonzales E, Morrow-Howell N, Gilbert P. Changing Medical Students’ Attitudes Toward Older Adults. Gerontology & Geriatrics Education (2010) 31:220–234. doi: 10.1080/02701960.2010.503128
  • 12. Tufan F, Yuruyen M, Kizilarslanoglu MC, Akpinar T, Emiksiye S, Yesil Y, Ozturk ZA, Bozbulut UB, Bolayir B, Tasar PT, et al. Geriatrics education is associated with positive attitudes toward older people in internal medicine residents: A multicenter study. Archives of Gerontology and Geriatrics (2015) 60:307–310. doi: 10.1016/j.archger.2014.12.004
  • 13. Picakciefe M, Tiric E, Dede B, Yesilbas S, Cengiz RG, Gullu DM. Ageism Among Medical Trainees And Interns In Turkey and Related Factors: Отношение Медицинских Стажеров И Интернов В Турции К Дискриминации По Возрасту И Связанные С Ней Факторы. Успехи геронтологии (2024) 37:491–498. doi: 10.34922/AE.2024.37.5.002
  • 14. Oral B, Gunay O, Cetinkaya F. Attitudes of health professionals working in a university hospital towards ageism. Med-Science (2018)1. doi: 10.5455/medscience.2018.07.8925
  • 15. Zhao H, Wu B, Shi J, Reifsnider E, Fan J, Li J, Mao J. Chinese Medical Students’ Attitudes toward Older Adults and Willingness To Consider a Career in Geriatric Medicine: A Cross-Sectional Survey. Teaching and Learning in Medicine (2020) 32:486–493. doi: 10.1080/10401334.2020.1784739
  • 16. Kolushev I, Punchik B, Digmi D, Haiman K, Ritsner M, Moller O, Hadad S, Samson T, Freud T, Press Y. Ageism, Aging Anxiety, and Death and Dying Anxiety Among Doctors and Nurses. Rejuvenation Res (2021) 24:366–374. doi: 10.1089/rej.2020.2385
  • 17. Reuben DB, Lee M, Davis JW, Eslami MS, Osterweil DG, Melchiore S, Weintraub NT. Development and validation of a geriatrics attitudes scale for primary care residents. J Am Geriatr Soc (1998) 46:1425–1430. doi: 10.1111/j.1532-5415.1998.tb06012.x
  • 18. Sahin S, Mandiracioglu A, Tekin N, Senuzun F, Akcicek F. Attitudes toward the elderly among the health care providers: reliability and validity of Turkish version of the UCLA Geriatrics Attitudes (UCLA-GA) scale. Arch Gerontol Geriatr (2012) 55:205–209. doi: 10.1016/j.archger.2011.08.015
  • 19. Al Ghailani A, Al Lawati A, Al Kharusi F, Al Shabibi A, Al Wahaibi A, Al Wardi A, Alyafai A, Al Sinawi H. Knowledge and Attitude Towards the Elderly Among Doctors and Medical Students: A Questionnaire-Based Study. Cureus (2024) doi: 10.7759/cureus.56732
  • 20. De Biasio JC, Parkas V, Soriano RP. Longitudinal assessment of medical student attitudes toward older people. Medical Teacher (2016) 38:823–828. doi: 10.3109/0142159X.2015.1112891
  • 21. Zanjari N, Momtaz YA, Abdollahi T. Psychometric Properties of the Persian Version of the UCLA GeriatricsAttitudes Scale (UCLA-GAS). CAS (2022) 15:259–265. doi: 10.2174/1874609815666220419104512
  • 22. Ayrancı A. Tıp fakültesi öğrencilerinin yaşlılara karşı tutumları.(2020) https://hdl.handle.net/20.500.12452/4542 [Accessed January 26, 2025]
  • 23. Chua MPW, Tan C, Merchant RA, Soiza R. Attitudes of first-year medical students in Singapore towards older people and willingness to consider a career in geriatric medicine. Annals of the Academy of Medicine, Singapore (2008) https://www.semanticscholar.org/paper/Attitudes-of-first-year-medical-students-in-towards-Chua-Tan/3ab09978b3413130e79167245f1c09a99ccd7806?utm_source=consensus [Accessed January 26, 2025]
  • 24. De Biasio JC, Parkas V, Soriano RP. Longitudinal assessment of medical student attitudes toward older people. Medical Teacher (2016) 38:823–828. doi: 10.3109/0142159X.2015.1112891
  • 25. Goeldlin AO, Siegenthaler A, Moser A, Stoeckli YD, Stuck AE, Schoenenberger AW. Effects of geriatric clinical skills training on the attitudes of medical students. BMC Med Educ (2014) 14:233. doi: 10.1186/1472-6920-14-233
  • 26. Koh GC, Merchant RA, Lim WS, Amin Z. The Knowledge-Attitude Dissociation in Geriatric Education: Can It be Overcome? Ann Acad Med Singap (2012) 41:383–389. doi: 10.47102/annals-acadmedsg.V41N9p383
  • 27. Haque AF, Soong DG, Wong CL. Assessing the Impact of a Geriatric Clinical Skills Day on Medical Students’ Attitudes Toward Geriatrics. Can Geri J (2013) 17:12–15. doi: 10.5770/cgj.17.74
There are 27 citations in total.

Details

Primary Language English
Subjects Rural Clinical Health
Journal Section Research Article
Authors

Mehmet Emin Arayıcı 0000-0002-0492-5129

Submission Date January 28, 2025
Acceptance Date February 24, 2025
Publication Date July 25, 2025
Published in Issue Year 2025 Volume: 39 Issue: 3

Cite

Vancouver Arayıcı ME. Assessment of intern doctors’ attitudes towards ageism and related factors: A single-center cross-sectional study. Dev Exp Health Med. 2025;39(3):165-78.