Abstract
HIV/AIDS-related stigma and discrimination among health care professionals is one of the most important factors of this disease expansion. This study aimed to assess the stigmatized attitude among health care providers toward people living with HIV (PLHIV) at Tanta University Hospitals. The study is a cross-sectional survey. Data was gathered from randomly selected 310 health care workers at Tanta University Hospital using a structured questionnaire. Among studied participants, only 24.0 % had previous contact with HIV patients during work and 21.3 % felt worried to touch cloths of HIV patients, 26.4 % were worried to dress the wounds of HIV patients and 27.4 % were afraid to get blood sample from HIV patients. Those who were unwilling to care for HIV patients represented 40 % and only 36 % reported that if discriminating against HIV patients, they may get in trouble. Less than one half (42 %) reported having enough supply for reducing risk of nosocomial infection with HIV and 86 % reported having no guidelines to deal with HIV patients. Out of the participants, 78.7 % reported that HIV patients should be ashamed of themselves. Among the participants, 35, 48, and 43 % preferred not to provide medical services to injecting drug users, men having sex with men and sex workers suspected to have HIV infection, respectively. Infection control is defective in the supplies and procedures. There is absence of policy and protocols with regard to dealing with PLHIV. Health care providers showed high levels of stigma and discrimination against PLHIV.
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References
Abler L, Henderson G, Wang X et al (2014) Affected by HIV stigma: interpreting results from a population survey of an urban center in Guangxi, China. AIDS Behav 18:192–201
Behravan H, Noghani M, Abachi A (2011) The stigmatization of HIV/AIDS and its consequences. Iranian Journal of Sociology 12:143–166 [In Persian]
Chan KY, Reidpath DD (2007) Stigmatization of patients with AIDS: understanding the interrelationship between Thai nurses’ attitudes toward HIV/AIDS, drug use, and commercial sex. AIDS Patient Care & STDs 21(10):763–775. doi:10.1089/apc.2007.0004
Chellamuthu M, Dhanasekaran G (2014) Stigma—a social menace. Global Journal for Resaerch Analysis 3(4):85–87
Dovidio JF, Major B, Crocker J (2000) Stigma: introduction and overview. In: Heatherton TF, Kleck RE, Hebl MR, Hull JG (eds) The social psychology of stigma. Guilford Publications, New York, pp. 1–28
Ekstrand ML, Bharat S, Ramakrishna J, Heylen E (2012) Blame, symbolic stigma and HIV misconceptions are associated with support for coercive measures in urban India. AIDS Behav Apr 16(3):700–710
Famoroti T, Fernandes L, Chima S (2013) Stigmatization of people living with HIV/AIDS by healthcare workers at a tertiary hospital in KwaZulu-Natal, South Africa: a cross-sectional descriptive study. BMC Medical Ethics 14(Suppl 1):S6
Feyissa GT, Abebe L, Girma E, Woldie M (2012) Stigma and discrimination against people living with HIV by healthcare providers, Southwest Ethiopia. BMC Public Health 12:522
Hassan ZM, Wahsheh MA (2011) Knowledge and attitudes of Jordanian nurses towards patients with HIV/AIDS: findings from a nationwide survey. Issues Ment Health Nurs 32(12):774–784
Holzemer WL, Uys L, Makoae L, Stewart A, Phetlhu R, Dlamini PS, Naidoo J (2007) A conceptual model of HIV/AIDS stigma from five African countries. J Adv Nurs 58(6):541–551
Jin H, Hampton AJ, Yu X et al (2006) Depression and suicidality in HIV/AID in China. Journal of Affective Disorder 94:269–275
Kalichman SC, Simbayi L (2003) HIV testing attitudes, AIDS stigma, and voluntary counseling and testing in a Black township in Cape Town, South Africa. Sex Transm Infect 79:442–447
Krishna V, Bhatti R, Chandra P, Juvva S (2005) Unheard voices: experiences of families living with HIV/AIDS in India. Contemp Fam Ther 27(4):483–506
Li L, Liang L, Wu Z, Lin C, We Y (2009) Individual attitudes and perceived social norms: reports on HIV/AIDS-related stigma among service providers in China. Int J Psychol 44(6):443–450
Mahendra VS, Gilborn L, George B, Samson L, Mudoi R, Jadav S, et al. (2006) New Delhi: Population Council; Reducing AIDS- related stigma and discrimination in Indian hospitals
Mahindra VS, Gilborn L, Bharat S, Modi R, Gupta I, George B, Samson L, Daly C, Pulerwitz J (2007) Understanding and measuring aids related stigma in health care settings: a developing country perspective. SAHARA J 4:616–625
Nyblade L, Jain A, Benkirane M, Li L, Lohiniva A, McLean R, Turan JM, Varas- Dı’az N, Cintro’n-Bou F, Guan J, Kwena Z, Thomas W (2013) A brief, standardized tool for measuring HIV-related stigma among health facility staff: results of field testing in China, Dominica, Egypt, Kenya, Puerto Rico and St. Christopher & Nevis. J Int AIDS Soc 16(Suppl 2):18718
Richard Parker and Peter Aggleton (2002) HIV/AIDS-related stigma and discrimination : a conceptual framework and an agenda for action, Horizons program, copyright the population council Inc
Piot P (2006) AIDS: from crisis management to sustained strategic response. Lancet 368:526–530
Pulerwitz J, Michaelis AP, Lippman SA et al (2008) HIV-related stigma, service utilization, and status disclosure among truck drivers crossing the southern borders in Brazil. AIDS Care 20:764–770
Treves-Kagan S, Steward W, Ntswane L, Haller R, Gilvydis J, Gulati H, Barnhart S, Lippman S (2016) Why increasing availability of ART is not enough: a rapid, community-based study on how HIV-related stigma impacts engagement to care in rural South Africa. BMC Public Health 16:87
Waluyo A, Culbert G, Levy J, Norr K (2015) Understanding HIV-related stigma among Indonesian nurses. J Assoc Nurses AIDS Care 26(1):69–80
Weiss MG, Ramakrishna J, Somma D (2006) Health-related stigma: rethinking concepts and interventions. Psychol Health Med 11(3):277–287
Zarei N, Joulaei H, Darabi E, Fararouei M (2015) Stigmatized attitude of healthcare providers: a barrier for delivering health services to HIV positive patients. IJCBNM 3(4):292–300
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Kabbash, I.A., Abo Ali, E.A., Elgendy, M.M. et al. HIV/AIDS-related stigma and discrimination among health care workers at Tanta University Hospitals, Egypt. Environ Sci Pollut Res 25, 30755–30762 (2018). https://doi.org/10.1007/s11356-016-7848-x
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DOI: https://doi.org/10.1007/s11356-016-7848-x