Wang Wei, Wang Liling, Wang Jun, Zhu Naling, Luo Yali, Tang Weiping, Qiao Yaping
Department of Preventive Medicine, Shenzhen Baoan Women's and Children's Hospital, Guangdong, China.
Department of MCH Management, Shenzhen Baoan Women's and Children's Hospital, Guangdong, China.
Curr HIV Res. 2021;19(6):525-534. doi: 10.2174/1570162X19666210910143742.
HIV-related stigma poses a crucial barrier to HIV therapy and prevention worldwide. Stigma taking place in healthcare settings has also been a global challenge for years.
To measure HIV-related stigma among health care facilities in Baoan, Shenzhen and to take decision regarding stigma-reduction intervention.
We conducted a cross-sectional survey in Shenzhen Baoan Women's and Children's Hospital, China in February 2019. We collected data on HIV-related stigma from 207 hospital staff randomly selected for an anonymous survey online by a standardized questionnaire. We analyzed the influence factors on HIV-related stigma taking place in health facilities using the statistical method.
The percentages of worry expressed when touching clothing, dressing wound, and drawing blood for PLWH were 60.9%, 84.5%, and 82.6%, respectively. 76.3% of respondents reported at least one form of extra precautions taken during service provision to PLWH. Younger hospital employees with less working experience were more likely concerned about occupation risk of HIV infection (P<0.05). Single workers with lower education and no experience of training on HIV-related stigma were prone to discriminatory opinions against PLWH (P<0.05).
HIV-related stigma in health facilities remains a significant challenge, and evidence- based interventions at both systematic and individual levels are needed for improvements.
与艾滋病病毒相关的耻辱感是全球艾滋病治疗和预防的关键障碍。多年来，医疗机构中存在的耻辱感也是一项全球性挑战。
测量深圳宝安医疗机构中与艾滋病病毒相关的耻辱感，并就减少耻辱感的干预措施做出决策。
2019年2月，我们在中国深圳宝安妇幼保健院进行了一项横断面调查。我们通过标准化问卷，从207名随机挑选的医院工作人员中收集了与艾滋病病毒相关耻辱感的数据，这些人员参与了在线匿名调查。我们使用统计方法分析了医疗机构中与艾滋病病毒相关耻辱感的影响因素。
接触艾滋病病毒感染者的衣物、为其包扎伤口和抽血时表示担心的比例分别为60.9%、84.5%和82.6%。76.3%的受访者报告在为艾滋病病毒感染者提供服务期间至少采取了一种额外的预防措施。工作经验较少的年轻医院员工更有可能担心感染艾滋病病毒的职业风险（P<0.05）。受教育程度较低、没有接受过与艾滋病病毒相关耻辱感培训的单身员工更容易对艾滋病病毒感染者持有歧视性观点（P<0.05）。
医疗机构中与艾滋病病毒相关的耻辱感仍然是一项重大挑战，需要在系统和个人层面采取循证干预措施加以改善。
