医护人员对艾滋病毒和结核病患者的污名化和歧视：来自印度的一项研究。
Stigma and discrimination by healthcare providers towards patients diagnosed with HIV and tuberculosis: A study from India.
机构信息
Department of Community Medicine, St John's National Academy of Health Sciences, Koramangala, Bengaluru 560034, Karnataka, India.
Center for AIDS Prevention Studies, University of California, UCSF DPS, Box 0886 550 16th St, 3rd floor, San Francisco 94143, California, USA.
出版信息
Natl Med J India. 2024 Mar-Apr;37(2):82-85. doi: 10.25259/NMJI_1000_2022.
Background High levels of human HIV and tuberculosis (TB) stigma have been reported among healthcare workers (HCWs). Methods We compared HIV and TB stigma scores reported by nursing students and ward staff from hospitals across India. Transmission worry (TW) and intent to discriminate (ID) for HIV and TB were captured using a validated stigma scale. Results A total of 3733 individuals were interviewed. Nursing students and ward staff expressed higher TW while carrying out high- and low-risk tasks on patients with HIV compared to TB. Mean scores were 2.1 and 1.86 among nursing students; 1.82 and 1.79 among ward staff (all p<0.001). Both groups expressed a significantly higher ID against patients with HIV compared to TB (mean percentage: 75.6 and 70.3 among nursing students; and 81.8 and 78.8 among ward staff; all p<0.001). Conclusion TB stigma has implications for providing quality TB care. Training of HCWs regarding transmission dynamics, the importance of standard precautions during patient care, regardless of diagnosis is essential.
背景
在医护工作者（HCWs）中，报告了高水平的人 HIV 和结核病（TB）污名。
方法
我们比较了来自印度各地医院的护理学生和病房工作人员报告的 HIV 和 TB 污名评分。使用经过验证的污名量表，评估了对 HIV 和 TB 的传播担忧（TW）和歧视意图（ID）。
结果
共访谈了 3733 人。与 TB 相比，护理学生和病房工作人员在对 HIV 患者进行高风险和低风险任务时，表达了更高的 TW。护理学生的平均得分分别为 2.1 和 1.86；病房工作人员的平均得分分别为 1.82 和 1.79（均<0.001）。两组人员对 HIV 患者的 ID 均明显高于 TB（护理学生的平均百分比分别为 75.6%和 70.3%；病房工作人员的平均百分比分别为 81.8%和 78.8%；均<0.001）。
结论
TB 污名对提供高质量的 TB 护理有影响。对 HCWs 进行关于传播动态、无论诊断如何，在患者护理过程中标准预防措施的重要性的培训至关重要。
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