Investigation on status quo of AIDS discriminatory attitudes and analysis of influencing factors among medical staff in midwifery institutions in Jiangsu Province

Abstract

Abstract: Objective To investigate the status quo of acquired immunodeficiency syndrome（AIDS） discrimination attitude in midwives in Jiangsu Province,and study its influencing factors,so as to provide a basis for eliminating stigma and discrimination against AIDS and creating a zero discrimination medical atmosphere. Methods From May to June 2023,medical staff in midwifery institutions in Jiangsu Province were selected by convenient sampling method. Based on Chinese version of Zelaya AIDS discrimination scale,the Chinese version of the stigma discrimination scale for medical staff was used for reference to measure the status quo of medical staff's discriminatory attitude towards PLWHA mother infant interruption. Results A total of 16 008 questionnaires were collected,of which 15 490 were valid. The survey showed that medical personnel currently exhibit severe discrimination in worrying about infectious diseases,with a score of（2.70±0.80）points,followed by seeking medical treatment and social discriminatory behavior,with a score of（2.33±0.57）points. They showed a good attitude towards policy and environmental support for medical institutions,with a score of（2.03±0.55）points. Multivariate analysis showed that male,medical staff under 30 years of age,high education level,urban registered residence,people with less than 5 years of service,low occupational exposure,knowledge of prevention and control regulations and action plans,and medical staff who had participated in hospital training had significantly lower discrimination（all P<0.05）. Conclusion There is a certain degree of AIDS discrimination among medical staff in midwifery institutions in Jiangsu Province. Among them,medical workers have negative attitudes and discrimination. The main reason is that they fear and misunderstand the spread and infection of AIDS. Classified and targeted anti-discrimination health education for medical personnel can effectively improve the status of discrimination by letting them know the "Regulations on the Prevention and Control of AIDS","The Norms for the Prevention of Mother to Child Transmission of AIDS,Syphilis and hepatitis B（2020） ","Action Plan for the Elimination of Mother to Child Transmission of AIDS,Syphilis and hepatitis B（2022-2025） ".

Key words: AIDS discrimination, Medical staff, Zelaya AIDS discrimination scale, AIDS prevention and control, Midwifery institutions

CLC Number:

R192

CAI Jinyi, CHEN Yao, LI Lin, LUO Can. Investigation on status quo of AIDS discriminatory attitudes and analysis of influencing factors among medical staff in midwifery institutions in Jiangsu Province. [J]OCCUPATION AND HEALTH, 2024, 40(19): 2668-2673.

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