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医疗环境中与艾滋病相关的耻辱感:一项针对中国服务提供者的调查。

HIV-related stigma in health care settings: a survey of service providers in China.

作者信息

Li Li, Wu Zunyou, Wu Sheng, Zhaoc Yu, Jia Manhong, Yan Zhihua

机构信息

Semel Institute-Center for Community Health, UCLA, Los Angeles, California 90024, USA.

出版信息

AIDS Patient Care STDS. 2007 Oct;21(10):753-62. doi: 10.1089/apc.2006.0219.

Abstract

We examined how individual and institutional factors in health care settings affected discrimination toward persons with HIV/AIDS. A representative sample of 1101 Chinese service providers was recruited in 2005, including doctors, nurses, and laboratory technicians. Multiple regression models were used to describe associations among identified variables, the relationships with HIV-related personal prejudicial attitudes, and perceived institutional support and discrimination at work. Multivariate analyses revealed that respondents' general view of persons living with HIV/AIDS and their perceived levels of support from their institutions regarding protection procedures were both important predictors for discrimination intent. Perceived institutional support varied according to age, gender, ethnicity, and training background. A better understanding of HIV-related discrimination in health care settings requires consideration of both individual and institutional factors.

摘要

我们研究了医疗环境中的个人因素和机构因素如何影响对艾滋病毒/艾滋病患者的歧视。2005年招募了1101名中国医疗服务提供者作为代表性样本,包括医生、护士和实验室技术人员。使用多元回归模型来描述已识别变量之间的关联、与艾滋病毒相关的个人偏见态度的关系,以及工作中感知到的机构支持和歧视。多变量分析显示,受访者对艾滋病毒/艾滋病感染者的总体看法以及他们感知到的机构在保护程序方面的支持水平,都是歧视意图的重要预测因素。感知到的机构支持因年龄、性别、种族和培训背景而异。要更好地理解医疗环境中与艾滋病毒相关的歧视,需要同时考虑个人因素和机构因素。

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