埃及坦塔大学医院医护人员中与艾滋病毒/艾滋病相关的耻辱和歧视。

HIV/AIDS-related stigma and discrimination among health care workers at Tanta University Hospitals, Egypt.

机构信息

Department of Public Health and Community Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.

Students in Faculty of Medicine, Tanta University, Tanta, Egypt.

出版信息

Environ Sci Pollut Res Int. 2018 Nov;25(31):30755-30762. doi: 10.1007/s11356-016-7848-x. Epub 2016 Oct 18.

Abstract

HIV/AIDS-related stigma and discrimination among health care professionals is one of the most important factors of this disease expansion. This study aimed to assess the stigmatized attitude among health care providers toward people living with HIV (PLHIV) at Tanta University Hospitals. The study is a cross-sectional survey. Data was gathered from randomly selected 310 health care workers at Tanta University Hospital using a structured questionnaire. Among studied participants, only 24.0 % had previous contact with HIV patients during work and 21.3 % felt worried to touch cloths of HIV patients, 26.4 % were worried to dress the wounds of HIV patients and 27.4 % were afraid to get blood sample from HIV patients. Those who were unwilling to care for HIV patients represented 40 % and only 36 % reported that if discriminating against HIV patients, they may get in trouble. Less than one half (42 %) reported having enough supply for reducing risk of nosocomial infection with HIV and 86 % reported having no guidelines to deal with HIV patients. Out of the participants, 78.7 % reported that HIV patients should be ashamed of themselves. Among the participants, 35, 48, and 43 % preferred not to provide medical services to injecting drug users, men having sex with men and sex workers suspected to have HIV infection, respectively. Infection control is defective in the supplies and procedures. There is absence of policy and protocols with regard to dealing with PLHIV. Health care providers showed high levels of stigma and discrimination against PLHIV.

摘要

艾滋病毒/艾滋病相关的污名和歧视在卫生保健专业人员中是这种疾病蔓延的最重要因素之一。本研究旨在评估坦塔大学医院卫生保健提供者对艾滋病毒感染者(PLHIV)的污名态度。该研究是一项横断面调查。使用结构化问卷从坦塔大学医院随机选择的 310 名卫生保健工作者中收集数据。在所研究的参与者中,只有 24.0%的人在工作中曾与艾滋病毒患者接触过,21.3%的人担心接触艾滋病毒患者的衣物,26.4%的人担心为艾滋病毒患者包扎伤口,27.4%的人害怕从艾滋病毒患者身上采集血样。不愿照顾艾滋病毒患者的人占 40%,只有 36%的人报告说,如果歧视艾滋病毒患者,他们可能会遇到麻烦。不到一半(42%)的人报告说有足够的供应品来减少医院感染艾滋病毒的风险,86%的人报告说没有处理艾滋病毒患者的指南。参与者中有 78.7%的人报告说艾滋病毒患者应该为自己感到羞耻。在参与者中,分别有 35%、48%和 43%的人表示不愿意为注射吸毒者、男男性行为者和疑似艾滋病毒感染的性工作者提供医疗服务。感染控制在供应和程序方面存在缺陷。在处理 PLHIV 方面没有政策和协议。卫生保健提供者对 PLHIV 表现出高度的污名化和歧视。

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