Discriminatory attitudes toward people living with HIV among health care workers in Aceh, Indonesia: A vista from a very low HIV caseload region

Harapan, Harapan; Khalilullah, Said Alfin; Anwar, Samsul; Zia, Muhammad; Novianty, Fanny; Putra, Riza Pratama; Nesya, Sarah; Putra, Teuku Nanda; Kumalasari, Ika Sartika; Pratama, Rovy; Joris, Edho Biondi; Nasution, Mukri Pausan; Kurniawan, Hendra; Hossain, Mohammad Bellal; Yani, Muhammad

doi:10.1016/j.cegh.2013.08.001

Cited by 16 publications

(16 citation statements)

References 19 publications

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“…Second, programs should be designed not only to increase knowledge but also awareness – a topic critically important for the Malay ethnicity – in order to translate knowledge into real preventive practices. In addition, like in the case of Human Immunodeficiency Virus (HIV) [45], social stigma is prevalent in some communities and this has caused several complications for both the patients and the associated medical system. Social stigma can be associated with the disclosure of an individual’s HBV status [44, 46].…”

Section: Discussionmentioning

confidence: 99%

Knowledge and awareness of hepatitis B among households in Malaysia: a community-based cross-sectional survey

Rajamoorthy

Taib

Munusamy³

et al. 2019

BMC Public Health

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BackgroundHepatitis B (HepB) is a major public health concern in Malaysia yet little is known about knowledge and awareness of this infection in the country. Such information is essential for designing effective intervention strategies for HepB prevention and control. The aim of this study was to characterize knowledge and awareness regarding HepB in Malaysia and to identify their associated sociodemographic determinants.MethodsA community-based cross-sectional survey was conducted between January and May 2016 in Selangor state of Malaysia. A two-stage cluster random sampling design was used and one adult member of selected households was interviewed face-to-face. Logistic regression was used to estimate the differences in knowledge and awareness between groups.ResultsA total of 764 households completed the interviews and were included in the final analysis. Only 36.9 and 38.8% of the participants had good knowledge and awareness, respectively. The factors associated with good knowledge were being in the 35–44 year age group, Malay ethnicity, high educational attainment and high family income. Being Chinese, being older and having high educational attainment were determinants of having good awareness towards HepB. Participants who had good knowledge were 2.5 times more likely to also have good awareness (OR: 2.41, 95% CI: 1.78–3.26, p < 0.001).ConclusionsThis study reveals a low level of knowledge and awareness of HepB among households in Malaysia. This finding highlights the need to improve public knowledge and awareness through well-designed programs targeting vulnerable groups in order to reduce hepatitis B virus transmission and achieve the governmental target of eliminating viral hepatitis as a public health concern by 2030.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-6375-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Knowledge and awareness of hepatitis B among households in Malaysia: a community-based cross-sectional survey

Rajamoorthy

Taib

Munusamy³

et al. 2019

BMC Public Health

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“…However, studies find that a lack of specific poli-cies or guidelines about PLHIV care can increase discriminatory attitudes of HCPs. 25 To get to zero discrimination, we need to design effective interventions not only to learn about the prevalence of different cognitive prototypes among HCPs but also to assess the strength of counterfactuals among HCPs 26 to enable cluster analysis of different types of HCP stigma.…”

Section: Discussionmentioning

confidence: 99%

Fuzzy Modeling of the Enactment of Stigma by Healthcare Personnel Toward People Living with HIV in the Frame of Counterfactual Thinking: A Mixed-Method Approach

Darvishi

Doroudi

Madani

2018

AIDS Research and Human Retroviruses

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Existing research on HIV stigma has not thoroughly studied the healthcare providers' (HCP) judgment toward people living with HIV (PLHIV). The goal of this article is to conceptualize formation of stigma within attitudes of HCP through their judgmental process by using the Fairness Theory. The study is also aimed to develop a model for cognitive patterns of HCPs' stigmatizing judgments toward PLHIV by applying fuzzy logic. We applied a mixed method in two phases, including qualitative method and fuzzy analytical modeling. A sample of 17 physicians and 9 nurses from 6 hospitals in Tehran were recruited and saturation was achieved after 21 in-depth interviews. Then, the answers of six HCPs were selected for defining the fuzzy sets and membership functions' curve. Six patterns of HCPs' judgments emerged that were used for the fuzzy analysis. These patterns are outcomes of assessment on various aspects of fairness of stigmatization that is impacted by HCPs' counterfactual prototypes. Moral codes, hospital and medical rules, and also constraints imposed from the workplace environment are the references of counterfactual prototypes that affected the HCPs' judgment. Health policy makers can design more effective HIV stigma reduction interventions based on the six patterns of HCPs' judgment.

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“…Discriminatory attitudes report has been published elsewhere. 23 In this paper, the stigmatized attitudes report is presented. 24 Briefly, the interviewers read a prepared script that consisted of the study aims, risks, and benefits and obtained informed consent from all who participated.…”

Section: Methodsmentioning

confidence: 97%

“…The characteristics of HCPs in this study have been published elsewhere. 23 Briefly, the average age of the respondents was 28.73 years and vast majority (76.4%) of the participants were female. More than a half of participants were married and just over third part (38.2%) of respondents had had direct contact with PLHIV in their workplace.…”

Section: Sample Characteristicsmentioning

confidence: 99%

HIV-related stigmatized attitudes among health care providers in Aceh, Indonesia: The findings from a very low HIV case-load region

Harapan

Khalilullah

Anwar

et al. 2015

Polish Annals of Medicine

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Available online xxxKeywords: Stigmatized attitude Health care worker Health care setting Stigma PLHIV a b s t r a c t Introduction: Study of HIV-related stigmatized and discriminatory attitudes is predominantly conducted in the regions with high HIV prevalence; therefore, understanding about stigmatized and discriminatory attitudes dynamic in the region with a very low HIV prevalence is needed. Aim: To identify the levels of stigmatized attitudes toward people living with HIV (PLHIV)and their predictors among health care providers (HCPs) in Aceh, the lowest HIV prevalence province in Indonesia.Material and methods: A cross-sectional study was conducted in seven regencies in Aceh.Structured questionnaires were used to collect data from 589 HCPs (doctors, nurses, midwifes and supporting staffs). Univariate analyses including one-way analysis of variance, ttest and correlation test were performed according to data type. Multiple linear regression was conducted to identify the predictors of stigmatized attitudes. Results and discussion:The level of HIV-stigmatized attitudes among HCPs in Aceh was high.Univariate analysis revealed that location, experience of direct contact with PLHIV, knowledge on HIV transmission and prevention, value-driven stigma and overestimated risk to HIV transmission were associated significantly with stigmatized attitudes levels (P < 0.05).

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Discriminatory attitudes toward people living with HIV among health care workers in Aceh, Indonesia: A vista from a very low HIV caseload region

Abstract: c l i n i c a l e p i d e m i o l o g y a n d g l o b a l h e a l t h 3 (2 0 1 5) 2 9 e3 6

Cited by 16 publications

References 19 publications

Knowledge and awareness of hepatitis B among households in Malaysia: a community-based cross-sectional survey

Knowledge and awareness of hepatitis B among households in Malaysia: a community-based cross-sectional survey

Fuzzy Modeling of the Enactment of Stigma by Healthcare Personnel Toward People Living with HIV in the Frame of Counterfactual Thinking: A Mixed-Method Approach

HIV-related stigmatized attitudes among health care providers in Aceh, Indonesia: The findings from a very low HIV case-load region

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