污名化与羞耻感：在中国照料艾滋病毒/艾滋病患者的后果
Stigmatization and shame: consequences of caring for HIV/AIDS patients in China.
作者信息
Li L, Lin C, Wu Z, Wu S, Rotheram-Borus M J, Detels R, Jia M
机构信息
University of California, Los Angeles, CA 90024, USA.
出版信息
AIDS Care. 2007 Feb;19(2):258-63. doi: 10.1080/09540120600828473.
Abstract
Using a representative sample of 478 doctors, nurses, and lab technicians working with people living with HIV/AIDS (PLWHA), a cross-sectional study was conducted to assess the impact of the AIDS epidemic on medical care systems and service providers in China. Correlation analyses showed significant association between internalized shame reported by service providers and their perception of being stigmatized due to working with PLWHA. Multivariate analyses revealed that the perceived level of institutional support for AIDS care was significantly related to the stigmatization and shame reported by the service providers. The study findings suggest that improved institutional support for AIDS care at the facility level and HIV-related stigma reduction intervention are crucial to maintain a high quality performance by the workforce in the health care system.
摘要
利用478名与艾滋病毒/艾滋病感染者（PLWHA）共事的医生、护士和实验室技术人员组成的代表性样本，开展了一项横断面研究，以评估艾滋病疫情对中国医疗系统和服务提供者的影响。相关性分析表明，服务提供者报告的内化羞耻感与他们因与艾滋病毒/艾滋病感染者共事而被污名化的认知之间存在显著关联。多变量分析显示，机构对艾滋病护理的支持程度与服务提供者报告的污名化和羞耻感显著相关。研究结果表明，改善机构在设施层面上对艾滋病护理的支持以及减少与艾滋病毒相关的污名化干预措施，对于维持医疗系统中工作人员的高质量表现至关重要。
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