Yin Yao, Chen Angela Chia-Chen, Wan Shaoping, Chen Hong
Department of Neurology/West China School of Nursing, West China Hospital, Sichuan University, Chengdu, China.
College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United States.
Front Psychiatry. 2021 Aug 23;12:714597. doi: 10.3389/fpsyt.2021.714597. eCollection 2021.
The Liangshan Yi Autonomous Prefecture has one of the most serious human immunodeficiency virus (HIV) epidemics in China. Evidence shows HIV-related stigma toward people living with HIV (PLWH) among nurses impedes HIV prevention and treatment. However, only limited research about HIV-related stigma toward PLWH from the perspective of nurses in Liangshan has been conducted. This study aimed to assess HIV-related stigma toward PLWH among nurses and determine factors associated with it in Liangshan, China. We conducted a cross-sectional survey using a stratified, random cluster sampling method. Registered nurses ( = 1,248; primary hospitals = 102, secondary hospitals = 592, tertiary hospitals = 554) who were aged 18 or older, worked in the selected hospitals for at least 6 months, and consented to participate were recruited. All participants completed an anonymous online survey measuring sociodemographic characteristics, HIV-related stigma and HIV knowledge. We used multiple stepwise regression analysis to examine factors associated with HIV-related stigma toward PLWH among these nurses. The mean score of HIV-related stigma among nurses was 50.7 (SD = 8.3; range 25-78). Nurses who were more experienced, had higher levels of education, and were working in tertiary hospitals reported higher level of HIV-related stigma. Those who had better HIV knowledge, reported a willingness to receive HIV-related training, were working in areas that had a high prevalence of HIV, had prior experience working in AIDS specialized hospitals, and worked in hospitals that had policies to protect PLWH showed a lower level of HIV-related stigma toward PLWH. Our findings suggested that providing culturally congruent education and training about HIV and care, and having hospitals that promoted policies protecting PLWH, may reduce HIV-related stigma toward PLWH among nurses in China.
凉山彝族自治州是中国艾滋病疫情最为严重的地区之一。有证据表明，护士对艾滋病病毒感染者（PLWH）的艾滋病相关污名化阻碍了艾滋病的预防和治疗。然而，从凉山护士的角度对PLWH的艾滋病相关污名化进行的研究有限。本研究旨在评估凉山护士对PLWH的艾滋病相关污名化情况，并确定与之相关的因素。我们采用分层随机整群抽样方法进行了一项横断面调查。招募了年龄在18岁及以上、在选定医院工作至少6个月且同意参与的注册护士（n = 1248；基层医院102名，二级医院592名，三级医院554名）。所有参与者完成了一项匿名在线调查，测量社会人口学特征、艾滋病相关污名化和艾滋病知识。我们使用多元逐步回归分析来检验这些护士中与PLWH的艾滋病相关污名化相关的因素。护士中艾滋病相关污名化的平均得分为50.7（标准差 = 8.3；范围25 - 78）。经验更丰富、教育程度更高且在三级医院工作的护士报告的艾滋病相关污名化程度更高。那些艾滋病知识更好、报告愿意接受艾滋病相关培训、在艾滋病高发地区工作、有在艾滋病专科医院工作的经验以及在有保护PLWH政策的医院工作的护士对PLWH的艾滋病相关污名化程度较低。我们的研究结果表明，提供与文化相符的艾滋病和护理教育与培训，以及拥有促进保护PLWH政策的医院，可能会减少中国护士对PLWH的艾滋病相关污名化。
