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吉达高年级牙科学生中的艾滋病相关歧视

HIV-Related Discrimination among Senior Dental Students in Jeddah.

作者信息

Alshouibi Ehab, Alaqil Faten

机构信息

Department of Dental Public Health, King Abdulaziz University, Jeddah, Saudi Arabia.

Department of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

J Int Soc Prev Community Dent. 2019 May-Jun;9(3):219-224. doi: 10.4103/jispcd.JISPCD_420_18. Epub 2019 Jun 7.

Abstract

AIMS AND OBJECTIVES

Advances in the medical management of HIV infection have increased life expectancy and reduced the mortality rate of infected individuals. As a result, dental and medical health-care workers have a higher chance to meet HIV-positive patients in their clinics. People living with HIV and AIDS (PLWHA) are frequently experiencing discrimination. That negative attitude toward HIV remains quite common among health-care professionals. The purpose of this study was to assess students' attitudes toward PLWHA.

MATERIALS AND METHODS

The present study was a cross-sectional survey to assess the attitudes of senior dental students toward HIV/AIDS in Jeddah, Saudi Arabia. Data were collected using an online self-administered questionnaire. Data analysis was done using the statistical package of social sciences. Descriptive statistics including means, standard deviations, frequencies, and percentages were calculated and used to present the data. A binary logistic regression model was constructed to estimate the effect of different predictors on the level of HIV-related discrimination.

RESULTS

A total of 400 individuals took part in the study. Bivariate analysis of HIV discrimination in relation to other variables showed that those reluctant to treat HIV patients, the majority (82%) showed a negative tendency toward HIV/AIDS patients, while 75% who were willing to treat them exhibited more positive attitudes, which was statistically significant ( < 0.0001). The discrimination was high, almost 87%, among those who feared accidental exposure to HIV patients; however, 73% of those who did not experience fear, felt nondiscriminative, which was also statistically significant ( < 0.0001).

CONCLUSIONS

Stigmatizing views toward PLWHA exist among senior dental students in Jeddah. The most significant predictors of discrimination included fear of accidental exposure, reluctance to provide treatment to these patients, and self-protective concerns.

摘要

目的

艾滋病病毒感染医疗管理方面的进展延长了预期寿命,降低了感染者的死亡率。因此,牙科和医护人员在诊所遇到艾滋病毒呈阳性患者的几率更高。艾滋病毒/艾滋病感染者经常遭受歧视。医护人员中对艾滋病毒的这种消极态度仍然相当普遍。本研究的目的是评估学生对艾滋病毒/艾滋病感染者的态度。

材料与方法

本研究是一项横断面调查,旨在评估沙特阿拉伯吉达市高年级牙科学生对艾滋病毒/艾滋病的态度。通过在线自填问卷收集数据。使用社会科学统计软件包进行数据分析。计算包括均值、标准差、频率和百分比在内的描述性统计量,并用于呈现数据。构建二元逻辑回归模型以估计不同预测因素对艾滋病毒相关歧视水平的影响。

结果

共有400人参与了该研究。对艾滋病毒歧视与其他变量的双变量分析表明,那些不愿治疗艾滋病毒患者的人中,大多数(82%)对艾滋病毒/艾滋病患者表现出消极倾向,而愿意治疗他们的人中75%表现出更积极的态度,这在统计学上具有显著意义(<0.0001)。在那些担心意外接触艾滋病毒患者的人中,歧视率很高,几乎达到87%;然而,在那些没有这种担忧的人中,73%感觉没有歧视,这在统计学上也具有显著意义(<0.oo01)。

结论

吉达市高年级牙科学生中存在对艾滋病毒/艾滋病感染者的污名化观点。歧视的最重要预测因素包括担心意外接触、不愿为这些患者提供治疗以及自我保护担忧。

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