Using case vignettes to measure HIV-related stigma among health professionals in China

Int J Epidemiol. 2007 Feb;36(1):178-84. doi: 10.1093/ije/dyl256. Epub 2006 Dec 14.

Abstract

Background: We examined Chinese health professionals' attitudes towards patients with AIDS vs patients with hepatitis B.

Methods: A representative sample of 1101 Chinese health professionals was used. Prejudicial attitudes and willingness to interact were measured based on two case vignettes.

Results: Statistical analyses revealed that health professionals had negative biases against acquired immunodeficiency syndrome (AIDS) patients and reported much less willingness to interact with AIDS patients than hepatitis B patients. Perceived risk of infection at work was also negatively associated with willingness to interact with patients with human immunodeficiency virus (HIV)/AIDS, but relationships varied by profession.

Conclusions: This study underscores the importance of developing and implementing stigma reduction interventions in health care settings to address attitudinal biases and discrimination in clinical practice.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Acquired Immunodeficiency Syndrome / epidemiology
  • Acquired Immunodeficiency Syndrome / psychology
  • Acquired Immunodeficiency Syndrome / transmission
  • Adult
  • Attitude of Health Personnel*
  • China / epidemiology
  • Educational Status
  • Female
  • HIV Infections / epidemiology
  • HIV Infections / psychology*
  • HIV Infections / transmission
  • Health Personnel / psychology
  • Hepatitis B / epidemiology
  • Hepatitis B / psychology
  • Humans
  • Infectious Disease Transmission, Patient-to-Professional
  • Male
  • Nurse-Patient Relations
  • Occupational Diseases / etiology
  • Physician-Patient Relations
  • Prejudice*
  • Professional-Patient Relations
  • Risk Factors