scholarly journals An Investigation on People Living with HIV and AIDS Rejected by Medical Staff in China

Author(s):  
Yong Yu ◽  
Zijue Chang ◽  
Xiuya Liu ◽  
Yu Lu

Abstract Background: A cross-sectional survey was conducted from the two perspectives of the incidence, type, help-seeking situation of PLWHA(People living with HIV and AIDS)rejected by medical staff and the willingness of medical staff to diagnose and treat PLWHA to analyze the realistic problem of PLWHA and AIDS rejected by medical staff under the current Chinese cultural background.Methods: 1500 people were selected from PLWHA users in the WeChat work account of a Center for Disease Control and Prevention(CDC), and 1000 medical staff were selected from a third-class hospital in Guangxi, China. The self-compiled general information questionnaire and PLWHA medical rejection questionnaire were used to conduct a one-to-one WeChat online survey on PLWHA. A questionnaire on HIV/AIDS clinical knowledge, a questionnaire on HIV/AIDS attitude, and a questionnaire on the willingness to diagnose and treat PLWHA with clinical surgery were used to conduct a face-to-face survey on the selected medical staff.Results: 1146 valid PLWHA samples and 890 medical staff samples were obtained. 30.2% (346/1146) of HIV-infected/AIDS patients had experienced refusal from medical staff when visiting a hospital for non-HIV/AIDS-related diseases since the diagnosis of HIV+; 17.1% (196/1146) of HIV-infected/AIDS patients had been rejected by medical staff in the hospital due to other diseases in the past 12 months and 10.8% (124/1146) had been rejected in clinical surgeries; after receiving a refusal, 58.2% (114/196) of the HIV-infected/AIDS patients never asked for help, while only 37.8% (74/196) of the refused patients were resolved accordingly. Only 38.7% of medical staff clearly expressed their willingness to provide surgical treatment or post-operative nursing services for HIV-infected/AIDS patients. After controlling other factors, the answer accuracy of HIV/AIDS-related knowledge [odds ratio (OR)=2.41, 95% confidence interval (CI): 1.31, 4.43] and the attitudes towards HIV/AIDS (OR=6.74, 95%CI: 3.59, 12.66) were the influencing factors for medical staff's willingness to diagnosis and treat HIV-infected /AIDS patients with clinical surgery.Conclusions: Rejection by the medical staff is a common phenomenon during the treatment of HIV-infected/AIDS patients in China and the willingness of medical staff to diagnose and treat HIV-infected/AIDS patients is relatively weak.

2017 ◽  
Vol 11 (1) ◽  
pp. 67-75 ◽  
Author(s):  
Idongesit Godwin Utuk ◽  
Kayode Omoniyi Osungbade ◽  
Taiwo Akinyode Obembe ◽  
David Ayobami Adewole ◽  
Victoria Oluwabunmi Oladoyin

Background:Despite demonstrating global concerns about infection in the workplace, very little research has explored how co-workers react to those living with HIV in the workplace in sub-Saharan Africa. This study aimed to assess the level of stigmatising attitude towards co-workers living with HIV in the workplace.Methods:The study was a descriptive cross-sectional survey involving 403 respondents. They were recruited from selected companies through a multistage sampling technique. Survey was carried out using pre-tested semi-structured questionnaires. Data were analyzed using the Statistical Package for the Social Sciences to generate frequencies, cross tabulations of variables at 5% level of significance. Logistic regression model was used to determine the predictors at 95% confidence intervals.Results:Mean age of respondents was 32.9 ± 9.4 years with 86.1% being females. Overall, slightly below two-third (63.0%) had good knowledge on transmission of HIV/AIDS while 218 (54.1%) respondents had a high stigmatising attitude towards co-workers with HIV in the workplace. More female respondents (69.6%) demonstrated high stigmatising attitudes towards co-workers with HIV in the workplace (p = 0.012). Female workers were twice more likely to have high stigmatising attitudes towards co-worker with HIV [OR 2.1 (95% CI: 1.13 – 3.83)].Conclusion:Stigma towards people living with HIV/AIDs is still very persistent in different settings. Good knowledge amongst our participants about HIV/AIDs did not translate to low stigmatising attitudes among workers. Concerted efforts and trainings on the transmission of HIV/AIDs are essential to reduce stigma that is still very prevalent in workplace settings.


2017 ◽  
Vol 12 (1) ◽  
pp. 92
Author(s):  
Arrum Firda Ayu Maqfiroch ◽  
Zahroh Shaluhiyah

ABSTRAKPenanggulangan HIV AIDS membutuhkan keterlibatan dari berbagai pihak. Salah satu pihak yang terlibat adalah OHIDHA. OHIDHA merupakan anggota keluarga yang hidup bersama ODHA dan memberikan dukungan kepada ODHA. Stigma di Kabupaten Sukoharjo dan Grobogan masih tinggi. Penelitian ini bertujuan untuk mengetahui faktor-faktor apakah yang menentukan respons OHIDHA dalam upaya penanggulangan HIV AIDS di Kabupaten Sukoharjo dan Grobogan.Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Teknik pengambilan data kuantitatif melalui wawancara dengan kuesioner. Penelitian ini didukung dengan penelitian kualitatif dengan teknik pengambilan data FGD. Jumlah responden adalah 92 OHIDHA, proporsi 50% dan selang kepercayaan 95%. Analisis data menggunakan analisis univariat dengan distribusi frekuensi, bivariat menggunakan Chi-Square dan multivariat menggunakan regresi logistik.Hasil penelitian menunjukkan bahwa variabel yang berhubungan dengan respons OHIDHA adalah hubungan dengan ODHA (p-value=0,001), lama hidup dengan ODHA (p-value=0,030), lama mengetahui status ODHA (p-value=0,001) dan sikap (p-value=0,005). Hasil analisis multivariat menunjukkan bahwa sikap (p-value=0,006) merupakan variabel yang mempunyai pengaruh paling signifikan dibanding variabel lainnya.Kata Kunci : OHIDHA, respons, Grobogan, Sukoharjo Respons of People Living With HIV AIDS to Control HIV and AIDS in Sukoharjo and Grobogan District; Controlling HIV and AIDS requird the involvement of various sector. One of the sector involved is People Living With HIV AIDS (PLWHA).  PLWHA is a family member who lives with people living with HIV and provide support to people living with HIV. Stigma in Sukoharjo and Grobogan still high. This study aims to determine the factors that determine whether the PLWHA response in control to HIV and AIDS in Sukoharjo Grobogan. This research was a quantitative study with cross sectional approach. Quantitative data collection techniques through interviews with questionnaires . This research was supported by qualitative research with FGD. The number of respondents was 92 PLWHA, the proportion of 50% and 95% confidence interval . Analysis of the data using univariate analysis with frequency distribution, bivariate using Chi-Square and multivariate using logistic regression. The results showed that the variables related to the PLWHA response is a relationship with people living with HIV ( p = 0,001 ) , long life with people living with HIV ( p = 0.030 ) , longer know the status of PLWHA ( 0.001 ) and attitude ( p = 0.005 ). Multivariate analysis showed that the attitude (p value = 0,006) was a variable that has the most significant effect compared to other variables .Keywords : AIDS , response , Grobogan , Sukoharjo


2018 ◽  
Vol 6 (1) ◽  
pp. 199-212
Author(s):  
Glodiana Sinanaj ◽  
Arjan Harxhi ◽  
Brunilda Subashi

There is a lack of nursing studies that are specifically focused on assessing and caring for people living with HIV / AIDS to improve their quality of life. Little is known about the current situation regarding the care of persons living with HIV / AIDS.This cross-sectional, descriptive and analytical study will try to identify the assessment of nursing care in order to promote a better understanding of nursing care. A structured self-administered questionnaire administered from April 30 to June 15, 2014, was used for data collection.The participants were 55 patients, whose average age was 33.3 ±7.98 years, ranging from 20 to 55 years of age, out of which 24 (43.6%) of patients were female, while 31 (56.4% of them were males). They had different socioeconomic and educational levels. Regarding the biological dimension of nursing care, despite a positive trend in patient care estimation, differences between individual patient groups are observed based on the educational level.So patients with secondary and higher education are more likely to positively assess nursing care by the biological dimension versus 8-year-old patients. While with the psychological dimension and with other dimensions such as spiritual, social, stigmatization and discrimination there is no statistically significant relation between the socio-demographic characteristics of patients.Among the 5 dimensions, it is noticed that patients have evaluated less positively stigma, discrimination, compared to other dimensions. So patients are noticed a dissatisfaction with the fact that they are treated by nurses at the time of health care. The Nursing School to increase the development and implementation of quality research should identify the feelings, experiences, experiences and meanings of HIV/AIDS patients on nursing care. HIV / AIDS is a growing risk of modern times, requiring long-lasting research and research.


2021 ◽  
Vol 12 ◽  
Author(s):  
Yao Yin ◽  
Angela Chia-Chen Chen ◽  
Shaoping Wan ◽  
Hong Chen

Background: 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.Objective: This study aimed to assess HIV-related stigma toward PLWH among nurses and determine factors associated with it in Liangshan, China.Design: We conducted a cross-sectional survey using a stratified, random cluster sampling method.Participants: Registered nurses (N = 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.Methods: 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.Results: 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.Conclusions: 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.


2017 ◽  
Vol 12 (2) ◽  
pp. 229
Author(s):  
Misrina Ratnawati ◽  
Sutopo Patria Jati ◽  
Syamsulhuda BM

ABSTRAKTingkat penyebaran HIV/AIDS yang semakin mengkhawatirkan, memerlukan penanggulangan secara terpadu dari berbagi pihak, baik pemerintah, lembaga swadaya masyarakat, termasuk tokoh agama. Pemuka agama diyakini memegang peranan strategis untuk menanggulangi dampak buruk, sekaligus memutus mata rantai penyebaran HIV dan AIDS. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi stigma tokoh agama terhadap ODHA. Penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional. Pengambilan data dilakukan pada 164 tokoh agama di Kabupaten Banyumas. Analisis data univariat menggunakan distribusi frekuensi, analisis bivariat menggunakan chi square dan analisis multivariat menggunakan uji regresi logistik. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan stigma tokoh agama terhadap ODHA adalah nilai/kepercayaan, pengetahuan tentang HIV/AIDS dan dukungan teman. Faktor yang paling dominan adalah pengetahuan tentang HIV/AIDS. Dari penelitian ini dapat disimpulkan bahwa pengetahuan tentang HIV/AIDS dapat mempengaruhi stigma terhadap ODHA selain dukungan teman dan nilai / kepercayaan.Kata kunci: Stigma terhadap ODHA, Pengetahuan Tentang HIV/AIDS, TomaABSTRACTKnowledge about HIV/AIDS Influencing The stigma towards people living with HIV in Banyumas. The rate of the spread of HIV/ AIDS that more and more worrisome needs an integrated tackling from various parties such as the government, non – governmental organizations, includes religious figures. Religious leader is believed that they have a strategic role in tackling the bad effect, at the same time break the chain of the spread of HIV and AIDS. This research aimed to know the factors that influence the stigma of religious figures towards people living with HIV/ AIDS. The kind of the research isanalytical correlational with crossectional approach. The data was collected from 164 the religious figures. Data were analyzed using univariate with frequency distribution, bivariate with Chi-square, and multivariate with logistic regression. The result showed that factors related to The stigma towards people living with HIV were knowledge about HIV/AIDS, value/belief and friend’s support. Knowledge about HIV/AIDS was the main factor that has considerable influence to The stigma towards people living with HIV. From this research, can be conclude that Knowledge about HIV/AIDS can affect The stigma towards people living with HIV besides value/belief and friend’s support.Keywords : The stigma towards people living with HIV, knowledge, religious figures


2021 ◽  
Author(s):  
Xiaojie Huang ◽  
Maohe Yu ◽  
Gengfeng Fu ◽  
Guanghua Lan ◽  
Linghua Li ◽  
...  

BACKGROUND HIV infection is a significant independent risk factor for both severe COVID-19 presentation at hospital admission and in-hospital mortality. Available information has suggested that people living with HIV and AIDS (PLWHA) could benefit from COVID-19 vaccination. However, there is a dearth of evidence on willingness to receive COVID-19 vaccination among PLWHA. OBJECTIVE The aim of this study was to investigate willingness to receive COVID-19 vaccination among a national sample of PLWHA in China. METHODS This cross-sectional online survey investigated factors associated with willingness to receive COVID-19 vaccination among PLWHA aged 18 to 65 years living in eight conveniently selected Chinese metropolitan cities between January and February 2021. Eight community-based organizations (CBOs) providing services to PLWHA facilitated the recruitment. Eligible PLWHA completed an online survey developed using a widely used encrypted web-based survey platform in China. We fitted a single logistic regression model to obtain adjusted odds ratios (aORs), which involved one of the independent variables of interest and all significant background variables. Path analysis was also used in the data analysis. RESULTS Out of 10,845 PLWHA approached by the CBOs, 2740 completed the survey, and 170 had received at least one dose of the COVID-19 vaccine. This analysis was performed among 2570 participants who had never received COVID-19 vaccination. Over half of the participants reported willingness to receive COVID-19 vaccination (1470/2570, 57.2%). Perceptions related to COVID-19 vaccination were significantly associated with willingness to receive COVID-19 vaccination, including positive attitudes (aOR 1.11, 95% CI 1.09-1.12; <i>P</i>&lt;.001), negative attitudes (aOR 0.96, 95% CI 0.94-0.97; <i>P</i>&lt;.001), perceived support from significant others (perceived subjective norm; aOR 1.53, 95% CI 1.46-1.61; <i>P</i>&lt;.001), and perceived behavioral control (aOR 1.13, 95% CI 1.11-1.14; <i>P</i>&lt;.001). At the interpersonal level, receiving advice supportive of COVID-19 vaccination from doctors (aOR 1.99, 95% CI 1.65-2.40; <i>P</i>&lt;.001), CBO staff (aOR 1.89, 95% CI 1.51-2.36; <i>P</i>&lt;.001), friends and/or family members (aOR 3.22, 95% CI 1.93-5.35; <i>P</i>&lt;.001), and PLWHA peers (aOR 2.38, 95% CI 1.85-3.08; <i>P</i>&lt;.001) was associated with higher willingness to receive COVID-19 vaccination. The overall opinion supporting COVID-19 vaccination for PLWHA on the internet or social media was also positively associated with willingness to receive COVID-19 vaccination (aOR 1.59, 95% CI 1.31-1.94; <i>P</i>&lt;.001). Path analysis indicated that interpersonal-level variables were indirectly associated with willingness to receive COVID-19 vaccination through perceptions (β=.43, 95% CI .37-.51; <i>P</i>&lt;.001). CONCLUSIONS As compared to PLWHA in other countries and the general population in most parts of the world, PLWHA in China reported a relatively low willingness to receive COVID-19 vaccination. The internet and social media as well as interpersonal communications may be major sources of influence on PLWHA’s perceptions and willingness to receive COVID-19 vaccination.


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0249025
Author(s):  
Lara Youssef ◽  
Souheil Hallit ◽  
Hala Sacre ◽  
Pascale Salameh ◽  
Michelle Cherfan ◽  
...  

Background Up till today, studies carried in Lebanon have focused more on the prevalence of HIV and behaviors and quality of life of infected individuals, however, none of these studies discussed the degree of stigma towards these populations. Therefore, the aim of this study is to measure the rate of stigma in terms of knowledge, attitude and practice towards patients living with Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) (PLWHA) and examine the factors associated with this stigma. Methods A cross-sectional survey, enrolling 862 participants, was carried across the five governorates in Lebanon: Beirut, Mount Lebanon, North, South and Bekaa. The survey was a self-administered questionnaire which covered information about participants’ general demographics, their knowledge, attitudes, practices and awareness towards HIV/AIDS in Lebanon., attitudes towards PLWHA, practices related to HIV/AIDS and awareness regarding HIV/AIDS situation in Lebanon. Results The response rate to the survey was 78.36% (862 participants). Being Muslim (Beta = -2.56) or Druze (Beta = -2.64) compared to Christians were significantly associated with lower knowledge towards HIV/AIDS, whereas having a secondary (Beta = 2.71) and a university (Beta = 3.04) levels of education compared to illiteracy and higher age (Beta = 0.05) were significantly associated with higher knowledge. Higher knowledge (Beta = 0.66) was significantly associated with better attitude, whereas higher age (Beta = -0.14) and being Muslim compared to Christian (Beta = -3.44) were significantly associated with worse attitude. Better attitude (Beta = 0.02) was significantly associated with better practice, whereas females compared to males (Beta = -0.39), having a secondary level of education compared to illiteracy (Beta = -0.88) and being Muslim compared to Christian (Beta = -0.32) were significantly associated with worse practice. Conclusion Our results stress the need for educational programs, advocacy campaigns and policies to help reduce HIV stigma. This will then help start developing interventions and strategies for a possible reduction in the stigmatization level.


2020 ◽  
Vol 2 ◽  
pp. 99-101
Author(s):  
Ng Kang

Objectives: Oral health care to people living with HIV/AIDS (PLWHA) is usually neglected due to the social stigma and the fear of cross infection. Hence, this study aimed to assess the knowledge regarding HIV/AIDS and the attitude of junior residents in providing oral care to PLWHA. Materials and Methods: A cross-sectional questionnaire was administered to 96 junior dental residents in our institute, who were providing oral care at peripheral dental centers. Subjects answered a question “will you be willing to provide oral care on your free will if you knew the patient has HIV/AIDS” either “yes” or “no;” followed by questionnaire assessing knowledge on HIV/AIDS, and its oral manifestations and Medical Condition Regard Scale were used for assessing the attitude of residents. Results: Of the 96, only four reported to treat HIV/AIDS patients willingly; only 2% of residents have ever treated HIV/AIDS patients. More than 70% of them did not know the protocol in case of needle prick or blood splatter and post-exposure prophylaxis. However, the knowledge regarding oral manifestation of HIV/AIDS was satisfactory. The attitude of the residents was more negative (median=3.02) toward treating HIV/AIDS patients. Conclusion: Knowledge regarding post-exposure protocol was poor and it is high time that special care dentistry is included as part of the dental curriculum to increase awareness and knowledge regarding HIV/AIDS; and we do recommend compulsory postings for junior residents in tertiary hospitals to alleviate the fear, discrimination, and stigmatizing attitude toward HIV/AIDS.


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