Interrelationships Between HIV/AIDS and Risk Behavior Prejudice Among Medical Students in Southern China
Interrelationships Between HIV/AIDS and Risk Behavior Prejudice Among Medical Students in Southern China
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DOI：
10.2174/157016209789973655
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发表时间：
2009-11-01
影响因子：
1
通讯作者：
Reidpath, Daniel D.
中科院分区：
文献类型：
--
作者：
Chan, Kit Yee;Yang, Yi;Reidpath, Daniel D.
卫生保健环境中的耻辱对向艾滋病毒/艾滋病患者提供治疗和护理构成了相当大的障碍。中国南部所在的地区是世界上艾滋病疫情增长最快的地区之一。在这一地区，卫生工作者对PLWHA的态度目前研究不足。本文考察了中国医学生对HIV/AIDS的偏见态度与对注射吸毒(IDU)、商业性行为(CS)和商业性献血(CBD)三种危险行为的态度之间的关系。广州的医学生(N=352)被呈现了两个随机的片段；每个片段描述一个假设的男性，除了疾病诊断(艾滋病/白血病)和共同特征(IDU/CS/CBD/输血/NOCO特征)。在阅读完每个小插曲后，参与者完成了一个标准的偏见量表。单变量和多变量分析显示，与艾滋病、注射毒品和CS相关的偏见水平显著。不管是什么疾病，IDU或CS患者被判定为比接受输血的患者严重得多。没有发现艾滋病与被污名化的共同特征之间存在显著的相互作用。这些发现表明，对PLWHA的偏见需要在对危险行为的污名的更大背景下理解。虽然在艾滋病和被污名化的危险行为之间没有发现显著的相互作用，但当地艾滋病毒/艾滋病、注射吸毒者和CS人群之间的重叠表明，解决与危险行为相关的偏见对于改善对PLWHA的护理和治疗至关重要。
Stigma within health care settings poses a considerable barrier to the provision of treatment and care for patients with HIV/AIDS (PLWHA). Southern China is located in a region with one of the world's fastest growing HIV/AIDS epidemics. Attitudes towards PLWHA amongst health workers are currently under-researched in this region. This paper examines the inter-relationships between prejudicial attitudes among Chinese medical students towards HIV/ AIDS and attitudes towards three risk behaviors: injecting drug use (IDU), commercial sex (CS) and commercial blood donation (CBD). Medical students (N = 352) in Guangzhou were presented with two random vignettes; each describing a hypothetical male that was identical, except for the disease diagnosis (AIDS/leukemia) and the co-characteristic (IDU/CS/CBD/blood transfusion/noco-characteristic). After reading each vignette, participants completed a standard prejudicial scale. Univariate and multivariable analyses revealed significant levels of prejudice associated with AIDS, IDU and CS. Regardless of the disease, patients with IDU or CS were judged significantly worse than patients who had received a blood transfusion. No significant interactions were found between AIDS and the stigmatized co-characteristics. The findings suggest that prejudice towards PLWHA needs to be understood within the larger context of the stigma towards risk behaviors. Although non-significant interactions were found between AIDS and the stigmatized risk behaviors, the overlap between the local HIV/ AIDS, IDU and CS populations suggests that addressing risk behavior-related prejudices could be critical for improving care and treatment for PLWHA.