Stigma and discrimination by healthcare providers towards patients diagnosed with HIV and tuberculosis: A study from India.

The National medical journal of India Pub Date : 2024-03-01 DOI:10.25259/NMJI_1000_2022

Archana Siddaiah, Krishnamachari Srinivasan, Elsa Heylen, Maria L Ekstrand

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Abstract

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.

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医疗服务提供者对确诊为艾滋病毒感染者和肺结核患者的羞辱和歧视：印度的一项研究。

背景据报道，医护人员（HCWs）对人类 HIV 和肺结核（TB）的蔑视程度很高。方法我们比较了印度各地医院的护理专业学生和病房工作人员报告的 HIV 和 TB 耻辱感得分。我们使用一个经过验证的污名化量表来了解对 HIV 和 TB 传播的担忧 (TW) 和歧视意图 (ID)。结果共有 3733 人接受了访谈。与肺结核患者相比，护理专业学生和病房工作人员在对艾滋病患者执行高风险和低风险任务时表达了更高的 TW。护理专业学生的平均得分分别为 2.1 分和 1.86 分；病房工作人员的平均得分分别为 1.82 分和 1.79 分（均 p

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The National medical journal of India

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