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探索印度尼西亚未来医护人员中的 HIV 污名现象。

Exploring HIV stigma among future healthcare providers in Indonesia.

机构信息

Faculty of Nursing, Universitas Indonesia, Depok Campus, Indonesia.

Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta Campus, Indonesia.

出版信息

AIDS Care. 2022 Jan;34(1):29-38. doi: 10.1080/09540121.2021.1897777. Epub 2021 Mar 9.

Abstract

Future healthcare professionals are an important group for interventions to eliminate HIV stigma in the health workforce. Researchers examined HIV stigma and its relationship with healthcare discipline, HIV knowledge, and religiosity among nursing, medical, and midwifery students (N = 505) in three regions of Indonesia. In a multivariable linear model, higher HIV stigma was associated with male sex, lower levels of income and HIV knowledge, and higher levels of religiosity. An interaction of healthcare discipline and province was also significant. Medical students in Jakarta had higher predicted stigma scores compared to nursing students in Jakarta and compared to medical students in other provinces. Nursing students in Papua had lower predicted stigma scores compared to medical and midwifery students in Papua and compared to nursing students elsewhere. Strategies to reduce HIV stigma in the Indonesian health workforce should include a strong focus on pre-clinical educational settings and consider public nursing institutions as providing possible best practice models.

摘要

未来的医疗保健专业人员是消除卫生保健人员中艾滋病毒耻辱感的干预措施的重要群体。研究人员在印度尼西亚的三个地区调查了护理、医学和助产学专业学生(N=505)的艾滋病毒耻辱感及其与医疗保健学科、艾滋病毒知识和宗教信仰的关系。在多变量线性模型中,艾滋病毒耻辱感与男性、收入和艾滋病毒知识水平较低以及宗教信仰程度较高有关。医疗保健学科和省份之间的相互作用也很显著。雅加达的医学生与雅加达的护理学生相比,以及与其他省份的医学生相比,其预测的耻辱感得分更高。巴布亚的护理学生与巴布亚的医学和助产学学生以及其他地方的护理学生相比,其预测的耻辱感得分较低。在印度尼西亚卫生保健人员中减少艾滋病毒耻辱感的策略应特别重视临床前教育环境,并考虑公立护理机构提供可能的最佳实践模式。

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