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韩国医疗专业人员中与艾滋病毒/艾滋病相关耻辱感和歧视相关的因素:对韩国传染病专家的一项调查。

Factors associated with HIV/AIDS-related stigma and discrimination by medical professionals in Korea: A survey of infectious disease specialists in Korea.

作者信息

Lee H J, Kim D H, Na Y J, Kwon M R, Yoon H J, Lee W J, Woo S H

机构信息

Department of Preventive Medicine, Inha University College of Medicine, Incheon, Republic of Korea.

Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

Niger J Clin Pract. 2019 May;22(5):675-681. doi: 10.4103/njcp.njcp_440_17.

Abstract

OBJECTIVES

This study sought to identify factors associated with this discrimination by medical professionals in Korea.

SUBJECTS AND METHODS

This study was a cross-sectional survey. We conducted web-based surveys against infectious disease specialists and infectious disease nurse. We evaluated the frequency of human immunodeficiency virus (HIV)/AIDS-related discrimination by medical professionals by health service type on the 5-point scale. We identified the association between several factors and HIV/AIDS-related stigma and discrimination by medical professionals on the 5-point scale.

RESULTS

A total of 81 experts, 57 infectious disease specialists (approximately 27% of all infectious disease specialists in Korea) and 24 infectious disease nurse practitioners, participated in this study. The frequency of stigma and discrimination increased significantly when invasive treatment included both outpatient and inpatient services (both P < 0.05). Medical professional's preconceptions, fear of infection, and lack of knowledge have an association with HIV/AIDS-related stigma and discrimination by medical professionals.

CONCLUSION

HIV/AIDS-related stigma and discrimination by medical professionals in Korea might be associated with factors related to the fear of medical professionals.

摘要

目的

本研究旨在确定韩国医疗专业人员存在这种歧视行为的相关因素。

对象与方法

本研究为横断面调查。我们针对传染病专家和传染病护士开展了基于网络的调查。我们采用5分制评估医疗专业人员在不同医疗服务类型中对人类免疫缺陷病毒(HIV)/艾滋病相关歧视行为的发生频率。我们采用5分制确定了若干因素与医疗专业人员对HIV/艾滋病相关的污名化及歧视行为之间的关联。

结果

共有81名专家参与了本研究,其中包括57名传染病专家(约占韩国所有传染病专家的27%)和24名传染病执业护士。当侵入性治疗同时涵盖门诊和住院服务时,污名化和歧视行为的发生频率显著增加(P均<0.05)。医疗专业人员的先入之见、对感染的恐惧以及知识的匮乏与医疗专业人员对HIV/艾滋病相关的污名化及歧视行为存在关联。

结论

韩国医疗专业人员对HIV/艾滋病相关的污名化及歧视行为可能与医疗专业人员的恐惧相关因素有关。

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