Discriminatory attitudes toward people living with HIV among health care workers in Aceh, Indonesia: A vista from a very low HIV caseload region

被引：12

作者：

Harapan, Harapan ^{[1
,2
]}

Khalilullah, Said Alfin ^{[1
]}

Anwar, Samsul ^{[3
]}

Zia, Muhammad ^{[1
]}

Novianty, Fanny ^{[1
]}

Putra, Riza Pratama ^{[1
]}

Nesya, Sarah ^{[1
]}

Putra, Teuku Nanda ^{[1
]}

Kumalasari, Ika Sartika ^{[1
]}

Pratama, Rovy ^{[1
]}

Joris, Edho Biondi ^{[1
]}

Nasution, Mukri Pausan ^{[4
]}

Kurniawan, Hendra ^{[5
,6
]}

Hossain, Mohammad Bellal ^{[7
,8
]}

Yani, Muhammad ^{[5
,9
]}

机构：

[1] Syiah Kuala Univ, Sch Med, Med Res Unit, Jl Tanoeh Abe,Darussalam, Banda Aceh 23111, Indonesia

[2] Syiah Kuala Univ, Trop Dis Ctr, Sch Med, Banda Aceh, Indonesia

[3] Natl Dong Hwa Univ, Dept Appl Math, Hualien, Taiwan

[4] Minist Hlth Republ Indonesia, Primary Hlth Serv Langda, PTT Program, Jakarta, Papua, Indonesia

[5] Syiah Kuala Univ, Sch Med, Dept Publ Hlth, Banda Aceh, Indonesia

[6] Prince Songkla Univ, Fac Med, Epidemiol Unit, Songkhla, Thailand

[7] London Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London, England

[8] Univ Dhaka, Dept Populat Sci, Dhaka, Bangladesh

[9] Aceh Prov Hlth Off, Banda Aceh, Indonesia

来源：

CLINICAL EPIDEMIOLOGY AND GLOBAL HEALTH | 2015年 / 3卷 / 01期

关键词：

Discriminatory attitudes; Discrimination; PLHIV; HIV; Health care worker;

D O I：

10.1016/j.cegh.2013.08.001

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: The aim of this study was to identify the level of discriminatory attitudes towards people living with HIV (PLHIV) among health care workers (HCWs) and the factors influencing discriminatory attitudes in very low HIV load region. Methods: This research was conducted at seven regencies in Aceh, Indonesia. A crosssectional study design was adopted and 589 HCWs selected purposively were included in this study. Research was conducted from October 2012 to January 2013. Correlation analysis, analysis of variance and independent sample t test analysis were used according to the type of data. Multiple linear regression models were used to identify the predictor factors. Results: It was observed that the level of discriminatory attitudes is high. Bivariate analysis showed that regency, education, type of HCW, religion, direct contact experience with PLHIV, HIV/AIDS-related training, knowledge on transmission and prevention of HIV, value-driven stigma, overestimated risk to HIV transmission, and facility profile were significantly related to the level of discriminatory attitudes (p < 0.05). A multiple linear regression model identified the following correlate to discriminatory attitudes: being Muslim, low-level of knowledge on transmission and prevention of HIV, and high level of value-driven stigma and overestimated risk to HIV transmission (R-2 = 0.205). Conclusions: Our study found that knowledge on transmission and prevention of HIV, value-driven stigma and overestimated risk to HIV transmission are the only significant predictors of discriminatory attitudes towards PLHIV among HCWs in Aceh. Therefore to reduce those factors, trainings on HIV-related discrimination to HCWs and clear guidelines and protocols related to PLHIV care are urgently needed. Copyright (C) 2013, INDIACLEN. Publishing Services by Reed Elsevier India Pvt Ltd. All rights reserved.

引用

页码：29 / 36

页数：8

共 32 条

[1]

Aggleton P, 2005, HIV RELATED STIGMA D

[2]

Ahsan Ullah A K M, 2011, J Int Assoc Physicians AIDS Care (Chic), V10, P97, DOI 10.1177/1545109710381926

[3]

ALKENBRACK S, 2004, SOCIAL EC IMPACT HIV

[4] Stigmatization of Patients with HIV/AIDS among Doctors and Nurses in Belize [J].