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孙华闽, 李小杉, 曹阳, 陶赟, 杜欢, 杨珍珍, 庄勋. 医护学生对HIV感染者/艾滋病患者就医歧视调查[J]. 中国公共卫生, 2015, 31(5): 693-696. DOI: 10.11847/zgggws2015-31-05-45
引用本文: 孙华闽, 李小杉, 曹阳, 陶赟, 杜欢, 杨珍珍, 庄勋. 医护学生对HIV感染者/艾滋病患者就医歧视调查[J]. 中国公共卫生, 2015, 31(5): 693-696. DOI: 10.11847/zgggws2015-31-05-45
SUN Hua-min, LI Xiao-shan, CAO Yang.et al, . Discrimination towards PLWHA seeking medical service among medical and nursing students[J]. Chinese Journal of Public Health, 2015, 31(5): 693-696. DOI: 10.11847/zgggws2015-31-05-45
Citation: SUN Hua-min, LI Xiao-shan, CAO Yang.et al, . Discrimination towards PLWHA seeking medical service among medical and nursing students[J]. Chinese Journal of Public Health, 2015, 31(5): 693-696. DOI: 10.11847/zgggws2015-31-05-45

医护学生对HIV感染者/艾滋病患者就医歧视调查

Discrimination towards PLWHA seeking medical service among medical and nursing students

  • 摘要: 目的了解医护学生对HIV感染者/艾滋病患者(PLWHA)就医歧视现状, 分析影响就医歧视的因素。方法调查南通大学临床及护理14个班级的449名医护学生, 采用自我编制的问卷匿名调查医护学生对PLWHA就医歧视现状及相关影响因素。结果医护学生对PLWHA就医歧视七个领域得分为:特殊标记(9.89±2.15)分、过度防护(9.34±1.48)分、区别治疗(8.72±1.65)分、强制通知(8.30±1.98)分、强制检测(7.84±1.89)分、刻意保持距离(6.98±1.98)分、拒绝提供医护服务(5.72±1.55)分。医护学生对PLWHA就医歧视与年龄、性别、专业、年级、来自省份、有在医疗机构的实习经历、参加过艾滋病相关培训、亲朋中有医务人员、传播知识得分、医务恐惧程度、对待同事患者的态度、污名化程度及就医权利认识13个因素有关(P<0.01或P<0.05)。结论医护学生对PLWHA的就医方面存在不同程度的歧视, 医务恐惧、污名化和对待同事患者的态度是影响医护学生对PLWHA就医歧视的主要因素。

     

    Abstract: ObjectiveTo investigate the prevalence and influencing factors of discrimination towards people living with human immunodeficiency virus(HIV)/acquired immunodeficiency syndrome(AIDS)(PLWHA)seeking medical service among medical and nursing students.MethodsA total of 449 medical and nursing students were selected with random and cluster sampling from 14 classes in Nantong University.The discrimination towards PLWHA seeking medical service was measured with a self-designed questionnaire.ResultsAmong the participants,the scores for 7 dimensions of discriminative attitude towards PLWHA in the case of providing medical service were 9.89±2.15 for addressing special concern,9.34±1.48 for excessive protection,8.72±1.65 for taking differential treatment,8.30±1.98 for compulsory notification,7.84±1.89 for compulsory test,6.98±1.98 for keeping a distance from a PLWHA,and 5.72±1.55 for unwilling or refusing to provide medical service,respectively.The determinants of the discriminative attitudes included age,gender,majoring,grade,residential province before into the university,clinical practice experience in medical institution,with relevant training on AIDS,with relatives or friends engaged in medical service,the knowledge about the transmission of HIV,degree of fear of HIV infection,attitude towards HIV infected colleague,stigmatization to PLWHA,and the awareness of PLWHA's right to seek medication(P<0.01 or P<0.05).ConclusionThere are discriminative attitudes towards PLWHA seeking medical service among medical and nursing students and the discriminations of the students mainly associate with the fear of HIV infection,stigmatization to PLWHA,and attitude towards HIV infected colleague.

     

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