Discriminatory attitudes towards people living with HIV/AIDS and associated factors: a population based study in the Chinese general population
Discriminatory attitudes towards people living with HIV/AIDS and associated factors: a population based study in the Chinese general population
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DOI：
10.1136/sti.2004.011767
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发表时间：
2005-04-01
影响因子：
3.6
通讯作者：
Tsui, HY
中科院分区：
文献类型：
--
作者：
Lau, JTF;Tsui, HY
目的：了解艾滋病病毒感染者/艾滋病患者(PLWHA)的歧视态度及其影响因素。结果：约42%的受访者在20个相关项目中至少有5个项目表现出歧视态度。举例来说，约42%的被访者会避免与沙田医院管理局有身体接触；35%认为应解雇所有受感染的医护人员；约47%的市民赞成立法禁止沙田医院管理局访港。相当比例的受访者也对公共卫生健康持负面看法(例如，43.7%的人同意大多数公共卫生协会是滥交的，20.7%的人认为公共卫生协会只是受到他们应得的惩罚，等等)。多元回归分析发现，年龄、HIV相关知识、上述对PLWHA的负面看法、对艾滋病的恐惧、对HIV相关信息的暴露是对PLWHA歧视态度的独立预测因素。在五类慢性病患者中，约30%的人认为PLWHA在资源分配上的优先次序最低。结论：香港公众对PLWHA形成了一些负面看法。对妇女解放运动的歧视态度很普遍，涵盖了她们生活的不同方面。干预方案是必要的，需要采取综合办法。
Objectives: To examine the level of discriminatory attitudes towards people living with HIV/AIDS (PLWHA) and factors in association with such attitudes.Methods: A population based cross sectional telephone survey was conducted. A total of 808 Hong Kong Chinese aged 18 - 50 randomly selected from the general population participated in the study.Results: Around 42% of the respondents exhibited discriminatory attitudes in at least five out of the 20 relevant items. For instance, about 42% would avoid making physical contact with PLWHA; 35% believed that all infected medical staff should be dismissed and about 47% would agree with enacting a law to prohibit PLWHA from visiting Hong Kong. A sizeable proportion of the respondents also hold negative perceptions about PLWHA ( for example, 43.7% agreed that the majority of PLWHA are promiscuous, 20.7% thought that PLWHA are merely receiving the punishment they deserve, etc). Multiple regression analysis found that age, HIV related knowledge, the above mentioned negative perceptions about PLWHA, fear related to AIDS, and exposure to HIV related information were independent predictors of discriminatory attitudes towards PLWHA. About 30% would give PLWHA the lowest priority in resource allocation among five groups of patients with chronic diseases.Conclusions: The general public in Hong Kong has formed some negative perceptions of PLWHA. Discriminatory attitudes towards PLWHA are common and cover different aspects of their life. Intervention programmes are warranted and an integrated approach is required.