卫生工作者对关键人群背景的艾滋病毒/艾滋病患者的污名化程度较低

Jihan Qonitatillah, Samsriyaningsih Handayani, E. Ernawati, M. Rusli
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引用次数: 2

摘要

卫生工作者对艾滋病病毒携带者(PLWHA)的污名化可能会产生广泛的影响,因此有必要确定影响污名化发生的因素。查明导致卫生工作者污名化减少的因素将对提高艾滋病毒感染者的生活质量、提高药物依从性以及最终降低艾滋病毒感染率产生影响。本研究的目的是分析社区卫生中心卫生工作者对PLWHA污名感的相关因素。这项研究采用了一种使用访谈的横断面设计。来自泗水Soetomo医生医院传染病中级护理中心的九十四名患者接受了采访。使用卫生政策项目标准化简要问卷修改的问卷评估污名感,Cronbachα为0.786。数据同时在IBM SPSS Statistics 22.0 for Windows软件上进行二元多元回归分析。94名患者中有30人具有关键人群背景,大多数人群是注射吸毒者和女性性工作者。PLWHA认为,当社区卫生工作者抽血、提供护理并认为他们参与了不负责任的行为时,他们受到了最严重的侮辱。在东爪哇社区卫生中心的卫生工作者中,年龄(p=0.008)、婚姻状况(p=0.013)和关键人群的病史(p=0.006)与艾滋病毒/艾滋病患者(PLWHA)对污名的感知之间存在关系。未来需要重新研究影响HIV相关污名化的因素,以提高患者的生活质量。
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LOWER PERCEIVED-STIGMATIZATION BY HEALTH WORKERS AMONG HIV-AIDS PATIENTS OF KEY POPULATION BACKGROUNDS
The stigma of people living with HIV-AIDS (PLWHA) by health workers may have a broad impact, so it is necessary to identify the factors that influence the occurrence of stigma. Identification of factors that cause a decrease in stigmatization by health workers will have an impact on improving the quality of life of people with HIV, increasing compliance with medication, and ultimately reducing the incidence of HIV infection itself. The purpose of this study was to analyze factors related to PLWHA’s perception of stigma among health workers in the community health center.  This research applied a cross-sectional design using interviews. Ninety-four patients from the Infectious Disease Intermediate Care of Dr. Soetomo Hospital Surabaya, a tertiary level hospital, were interviewed. The stigma perception was assessed using a questionnaire modified from the Standardized Brief Questionnaire by Health Policy Project with Cronbach’s Alpha of 0.786. The data were simultaneously analyzed with binary multiple regressions on IBM SPSS Statistics 22.0 for Windows software. There were 30 out of 94 patients with key population backgrounds, and most population was injecting drug users (IDUs) and female sex workers (FSWs). PLWHA perceived most stigmatized community health workers when they drew blood, provided care, and considered they were involved in irresponsible behavior. There were relationships between age(p=0.008), marital status(p=0.013), and the history of key population (p=0.006)to people living with HIV-AIDS (PLWHA)’s perception of stigma among health workers in East Java community health center. Future re search on factors influencing HIV-related stigma is needed to improve patients’ quality of life.
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