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埃及医护人员对艾滋病毒感染者的污名化和歧视。

HIV-related stigma and discrimination by healthcare workers in Egypt.

机构信息

Public Health and Community Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

Endemic Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

出版信息

Trans R Soc Trop Med Hyg. 2022 Jul 6;116(7):636-644. doi: 10.1093/trstmh/trab188.

Abstract

BACKGROUND

HIV-related stigma and discrimination (SAD) have imposed serious adverse health consequences on people living with HIV (PLHIV), including limited access to medical care and delayed diagnosis, which in turn limits the prevention and control of the disease. This study was conducted to explore the stigmatizing attitudes and behaviors of healthcare workers (HCWs) towards HIV patients and PLHIV.

METHODS

A cross-sectional study targeted HCWs who attended the United Conference of Hepatogastroenterology and Infectious Diseases that was held on 25-28 September 2019 in Cairo governorate. A self-administrated questionnaire was completed by 359 HCWs.

RESULTS

The majority of HCWs reported some discriminatory practices when rendering care to HIV patients, with nurses showing the highest significant number of discriminatory practices. A considerable proportion of HCWs reported witnessing HIV-related SAD at their health facilities.

CONCLUSIONS

HIV-related SAD was prevalent among HCWs. Hence, HIV-related training relevant to the needs of different groups of HCWs is recommended. Provision of infection control supplies to protect against occupational exposure is also needed. The setting and enforcement of anti-stigma policies and guidelines in various healthcare settings are crucial.

摘要

背景

艾滋病毒相关的耻辱和歧视(SAD)对艾滋病毒感染者(PLHIV)造成了严重的不良健康后果,包括获得医疗服务的机会有限和诊断延迟,这反过来又限制了疾病的预防和控制。本研究旨在探讨医护人员(HCWs)对艾滋病毒患者和 PLHIV 的污名化态度和行为。

方法

这是一项横断面研究,针对的是 2019 年 9 月 25 日至 28 日在开罗省举行的联合肝胆病学和传染病会议的医护人员。359 名医护人员填写了一份自我管理的问卷。

结果

大多数医护人员在为艾滋病毒患者提供护理时报告了一些歧视性做法,护士表现出的歧视性做法最多。相当一部分医护人员报告在他们的卫生机构中目睹了与艾滋病毒相关的耻辱。

结论

艾滋病毒相关耻辱在医护人员中很普遍。因此,建议根据不同群体医护人员的需求提供艾滋病毒相关培训。还需要提供感染控制用品以防止职业暴露。在各种医疗保健环境中制定和执行反耻辱政策和准则至关重要。

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