医疗服务提供者歧视艾滋病毒感染者的意图。

Healthcare providers' intention to discriminate against people with HIV.

作者信息

Idris Almutaz M, Crutzen Rik, van den Borne Hubertus W, Stutterheim Sarah E

机构信息

College of Applied Medical Science, Buraydah Colleges, Buraydah, Saudi Arabia.

Department of Health Promotion, Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands.

出版信息

Front Public Health. 2025 Mar 14;13:1464250. doi: 10.3389/fpubh.2025.1464250. eCollection 2025.

DOI:10.3389/fpubh.2025.1464250

PMID:40161024

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11949966/

Abstract

BACKGROUND

Healthcare providers' discrimination practices against people with HIV is a real challenge for control and prevention efforts. The study aims to explore the association between healthcare providers' intention to discriminate against people with HIV and HIV stigma-related constructs, their sociodemographic, and occupation characteristics in Sudan.

METHODS

A cross-sectional survey of healthcare providers was carried out in governmental hospitals in Kassala State, Sudan. Respondents completed measures assessing their intentions to discriminate against people with HIV, HIV-related stigma constructs, sociodemographic, and occupational characteristics. Bivariate and multiple linear regression analysis were used to assess the associations between discriminatory intentions against people with HIV and the studied variables.

RESULTS

A total of 387 participants (223 physicians and 164 nurses) completed the survey. Participants had relatively high intentions to discriminate against people with HIV (M = 5.19, SD = 1.34-on a scale from 1 to 7), prejudiced attitudes (M = 4.70, SD = 1.29), internalized shame about HIV (M = 5.19, SD = 1.34), fear of HIV (M = 4.65, SD = 1.39), and the belief that patients with HIV do not deserve good care (M = 4.90, SD = 1.35). Healthcare providers' intention to discriminate against people with HIV was associated with prejudiced attitudes, internalized shame about HIV, fear of HIV, and the belief that people with HIV do not deserve good care. Female health care providers, nurses, and those with postgraduate degrees and fewer years of work experience were more likely to have a high intention to discriminate against people with HIV.

CONCLUSIONS

Intention to discriminate against people with HIV was high among healthcare providers. Addressing HIV-related stigma constructs and understanding the differential effects of healthcare providers' sociodemographic and occupational characteristics on their discriminatory intentions are imperative to developing effective intervention to reduce intention to discriminate against people with HIV among healthcare providers.

摘要

背景

医疗服务提供者对艾滋病毒感染者的歧视行为是防控工作面临的一项现实挑战。本研究旨在探讨苏丹医疗服务提供者歧视艾滋病毒感染者的意图与艾滋病毒相关污名化观念、他们的社会人口学特征及职业特征之间的关联。

方法

在苏丹卡萨拉州的政府医院对医疗服务提供者开展了一项横断面调查。受访者完成了评估其歧视艾滋病毒感染者的意图、与艾滋病毒相关的污名化观念、社会人口学特征及职业特征的测评。采用双变量和多元线性回归分析来评估针对艾滋病毒感染者的歧视意图与所研究变量之间的关联。

结果

共有387名参与者（223名医生和164名护士）完成了调查。参与者歧视艾滋病毒感染者的意图相对较高（M = 5.19，SD = 1.34——评分范围为1至7），存在偏见态度（M = 4.70，SD = 1.29），对艾滋病毒有内化羞耻感（M = 5.19，SD = 1.34），害怕艾滋病毒（M = 4.65，SD = 1.39），并且认为艾滋病毒感染者不应得到良好护理（M = 4.90，SD = 1.35）。医疗服务提供者歧视艾滋病毒感染者的意图与偏见态度、对艾滋病毒的内化羞耻感、害怕艾滋病毒以及认为艾滋病毒感染者不应得到良好护理的观念有关。女性医疗服务提供者、护士以及拥有研究生学历且工作经验较少的人更有可能有较高的歧视艾滋病毒感染者的意图。