Global Health Division, International Development Group, RTI International, 13th St., NW, Suite 750, Washington, DC, 20005, USA.
St. Johns Research Institute, St. John's National Academy of Health Sciences, Bangalore, Karnataka, India.
AIDS Behav. 2021 Feb;25(2):389-396. doi: 10.1007/s10461-020-03001-1.
Health facility stigma impedes HIV care and treatment. Worry of contracting HIV while caring for people living with HIV is a key driver of health facility stigma, however evidence for this relationship is largely cross-sectional. This study evaluates this relationship longitudinally amongst nursing students and ward staff in India. Worry of contracting HIV and other known predictors of intent to discriminate were collected at baseline and 6 months in 916 nursing students and 747 ward staff. Using fixed effects regression models, we assessed the effect of key predictors on intent to discriminate over a 6-month period. Worry of contracting HIV predicted intent to discriminate for nursing students and ward staff in care situations with low and high-risk for bodily fluid exposure, confirming prior cross-sectional study results and underscoring the importance of addressing worry of contracting HIV as part of health facility HIV stigma-reduction interventions.
卫生机构污名阻碍了艾滋病毒的护理和治疗。护理艾滋病毒感染者时担心感染艾滋病毒是卫生机构污名的一个关键驱动因素，但这一关系的证据主要是横断面的。本研究在印度对护理学生和病房工作人员进行了纵向评估。在 916 名护理学生和 747 名病房工作人员中，在基线和 6 个月时收集了对感染艾滋病毒的担忧以及其他已知的歧视意图预测因素。使用固定效应回归模型，我们评估了关键预测因素对 6 个月期间歧视意图的影响。在低风险和高风险体液暴露的护理情况下，对感染艾滋病毒的担忧预测了护理学生和病房工作人员的歧视意图，这证实了先前的横断面研究结果，并强调了在卫生机构艾滋病毒污名减少干预措施中解决对感染艾滋病毒的担忧的重要性。
