Exploring intentions to discriminate against patients living with HIV/AIDS among future healthcare providers in Malaysia.
Exploring intentions to discriminate against patients living with HIV/AIDS among future healthcare providers in Malaysia.
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DOI：
10.1111/tmi.12306
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发表时间：
2014-06
期刊：
影响因子：
--
通讯作者：
Altice FL
中科院分区：
文献类型：
--
作者：
Earnshaw VA;Jin H;Wickersham J;Kamarulzaman A;John J;Altice FL
在马来西亚，对艾滋病毒/艾滋病患者(PLWHA)的耻辱很严重。尽管耻辱一直未得到充分研究，但它可能是治疗大约81000名马来西亚PLWHA的障碍。目前的研究探索了在医学和牙科学生中歧视PLWHA的意图的相关性，这些学生是马来西亚未来的医疗保健提供者。2012年，马来西亚七所大学对1296名医学和牙科学生进行了一项在线横断面调查；1165名(89.9%)完成了调查并进行了分析。测量了社会人口学特征、与污名相关的结构和歧视PLWHA的意图。采用线性混合模型，由大学进行聚类控制。最终的多变量模型表明，打算更多地歧视PLWHA的学生是女性，在培训和学习牙科方面不太先进。他们进一步认可了对PLWHA的更负面的态度，内化了更多与艾滋病毒相关的羞耻感，报告了更多与艾滋病毒相关的恐惧，并更强烈地反对PLWHA应该得到良好的护理。最终模型解释了歧视意图的38%，其中10%由社会人口学特征解释，28%由污名相关结构解释。关键是要减少医学和牙科学生的耻辱，消除歧视的意图，并实现对马来西亚PLWHA的公平照顾。减少耻辱的干预措施应该是多管齐下的，解决态度、内在羞耻、恐惧和值得关怀的观念。
Stigma towards people living with HIV/AIDS (PLWHA) is strong in Malaysia. Although stigma has been understudied, it may be a barrier to treating the approximately 81 000 Malaysian PLWHA. The current study explores correlates of intentions to discriminate against PLWHA among medical and dental students, the future healthcare providers of Malaysia. An online, cross-sectional survey of 1296 medical and dental students was conducted in 2012 at seven Malaysian universities; 1165 (89.9%) completed the survey and were analysed. Sociodemographic characteristics, stigma-related constructs and intentions to discriminate against PLWHA were measured. Linear mixed models were conducted, controlling for clustering by university. The final multivariate model demonstrated that students who intended to discriminate more against PLWHA were female, less advanced in their training, and studying dentistry. They further endorsed more negative attitudes towards PLWHA, internalised greater HIV-related shame, reported more HIV-related fear and disagreed more strongly that PLWHA deserve good care. The final model accounted for 38% of the variance in discrimination intent, with 10% accounted for by sociodemographic characteristics and 28% accounted for by stigma-related constructs. It is critical to reduce stigma among medical and dental students to eliminate intentions to discriminate and achieve equitable care for Malaysian PLWHA. Stigma-reduction interventions should be multipronged, addressing attitudes, internalised shame, fear and perceptions of deservingness of care.
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DOI：
10.1080/09540121.2013.766302
发表时间：
2013-11-01
影响因子：
1.7
作者：
Wong, Li Ping
通讯作者：
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影响因子：
7.6
作者：
AJZEN, I;FISHBEIN, M
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
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作者：
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影响因子：
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作者：
Earnshaw, Valerie A.;Smith, Laramie R.;Copenhaver, Michael M.
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