Using case vignettes to measure HIV-related stigma among health professionals in China

被引:61
作者
Li, Li
Wu, Zunyou
Zhao, Yu
Lin, Chunqing
Detels, Roger
Wu, Sheng
机构
[1] Univ Calif Los Angeles, Ctr Community Hlth, NPI, Los Angeles, CA 90024 USA
[2] Chinese Ctr Dis Control & Prevent, Beijing, Peoples R China
[3] Univ Calif Los Angeles, Sch Publ Hlth, Los Angeles, CA 90024 USA
关键词
HIV stigma; HIV/AIDS; health care; china; hepatitis B; UNITED-STATES; AIDS PATIENTS; CARE; KNOWLEDGE; HIV/AIDS; DISCRIMINATION; STIGMATIZATION; ATTITUDES; QUALITY; PEOPLE;
D O I
10.1093/ije/dyl256
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background We examined Chinese health professionals' attitudes towards patients with AIDS vs patients with hepatitis B. Methods A representative sample of 1101 Chinese health professionals was used. Prejudicial attitudes and willingness to interact were measured based on two case vignettes. Results Statistical analyses revealed that health professionals had negative biases against acquired immunodeficiency syndrome (AIDS) patients and reported much less willingness to interact with AIDS patients than hepatitis B patients. Perceived risk of infection at work was also negatively associated with willingness to interact with patients with human immunodeficiency virus (HIV)/AIDS, but relationships varied by profession. Conclusions This study underscores the importance of developing and implementing stigma reduction interventions in health care settings to address attitudinal biases and discrimination in clinical practice.
引用
收藏
页码:178 / 184
页数:7
相关论文
共 36 条
[1]  
Arakawa O, 1997, Nihon Koshu Eisei Zasshi, V44, P749
[2]   Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale [J].
Berger, BE ;
Ferrans, CE ;
Lashley, FR .
RESEARCH IN NURSING & HEALTH, 2001, 24 (06) :518-529
[3]   Interventions to reduce HIV/AIDs stigma: What have we learned? [J].
Brown, L ;
Macintyre, K ;
Trujillo, L .
AIDS EDUCATION AND PREVENTION, 2003, 15 (01) :49-69
[4]   Future research on structural and institutional forms of HIV discrimination [J].
Chan, KY ;
Reidpath, DD .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2005, 17 :S215-S218
[5]   Nurses' knowledge, attitudes, and practice related to HIV transmission in Northeastern China [J].
Chen, WT ;
Han, M ;
Holzemer, WL .
AIDS PATIENT CARE AND STDS, 2004, 18 (07) :417-422
[6]  
Cohen Leonard A, 2005, J Dent Educ, V69, P896
[7]   STIGMATIZATION OF AIDS PATIENTS BY MENTAL-HEALTH PROFESSIONALS [J].
CRAWFORD, I ;
RIBORDY, SC ;
HUMFLEET, G ;
HO, FC ;
VICKERS, VL .
PROFESSIONAL PSYCHOLOGY-RESEARCH AND PRACTICE, 1991, 22 (05) :357-361
[8]   Occupational risk of HIV infection among Western health care professionals posted in AIDS endemic areas [J].
de Graaf, R ;
Houweling, H ;
van Zessen, G .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 1998, 10 (04) :441-452
[10]  
Foreman M., 2003, UNDERSTANDING RESPON