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Addressing HIV stigma in protected medical settings.
- Source :
-
AIDS Care . Dec2015, Vol. 27 Issue 12, p1439-1442. 4p. - Publication Year :
- 2015
-
Abstract
- Previous studies suggest that the implementation of universal precaution (UP) plays a role in reducing HIV stigma. In this study we investigate the efficacy of a stigma reduction intervention on UP compliance and explore whether UP compliance could potentially influence HIV stigma reduction in medical settings. A randomized controlled intervention trial was conducted in two provinces of China with 1760 healthcare service providers recruited from 40 county-level hospitals. Longitudinal analyses included data collection at baseline, 6-, and 12-month follow-up assessments. Using a hierarchical modeling approach, we estimated the intervention effect for each provider's UP compliance and its potential mediating role on HIV stigma with the bootstrapping method. A significant intervention effect on UP compliance was observed at both the 6- and 12-month follow-up assessments. The intervention effect on provider avoidance intent was partially mediated by the provider's own UP compliance at the two follow-up points. This study provides evidence that UP compliance should be part of HIV stigma reduction programs, especially in resource-restrained countries. Findings suggest that a protected work environment may be necessary but not sufficient to address HIV stigma in medical settings. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CHI-squared test
*CONFIDENCE intervals
*STATISTICAL correlation
*FISHER exact test
*HEALTH facilities
*LONGITUDINAL method
*MEDICAL cooperation
*MEDICAL personnel
*MEDICAL protocols
*QUESTIONNAIRES
*REGRESSION analysis
*RESEARCH
*RESEARCH funding
*SCALE analysis (Psychology)
*SOCIAL stigma
*T-test (Statistics)
*RANDOMIZED controlled trials
*DESCRIPTIVE statistics
*INTRACLASS correlation
HIV infections & psychology
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 27
- Issue :
- 12
- Database :
- Academic Search Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 111970098
- Full Text :
- https://doi.org/10.1080/09540121.2015.1114990