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首页> 外文期刊>AIDS care. >An assessment of health-care students' attitudes toward patients with or at high risk for HIV: Implications for education and cultural competency
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An assessment of health-care students' attitudes toward patients with or at high risk for HIV: Implications for education and cultural competency

机译：评估保健学生对艾滋病毒感染者或艾滋病高危患者的态度：对教育和文化能力的影响

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Stigma perpetuated by health-care providers has been found to be a barrier to care for vulnerable populations, including HIV-infected, people who inject drugs (PWIDs), and men who have sex with men (MSM) in multiple clinical contexts and remains unexamined among professional health-care students in Malaysia. This cross-sectional, anonymous, and Internet-based survey assessed the attitudes of medical and dental students toward HIV-infected, PWID, and MSM patients. Survey invitation was emailed to 3191 students at 8 professional schools; 1296 (40.6%) responded and scored their attitudes toward these patient groups using a feeling thermometer, indicating their attitudes on a sliding scale from 0 (most negative) to 100 (most positive). Compared to general patients (mean = 76.50), the mean scores for HIV-infected (mean = 54.04; p < 0.001), PWID (mean = 37.50; p < 0.001), and MSM (mean=32.13; p < 0.001) patients were significantly lower and significantly different between each group comparison. Within group differences, most notably religion, ethnicity, and personally knowing someone from these populations were associated with significant differences in attitudes. No differences were noted between pre-clinical and clinical year of training. Health-care students represent the next generation of clinicians who will be responsible for future HIV prevention and treatment efforts. Our findings suggest alarmingly negative attitudes toward these patients, especially MSM, necessitating prompt and effective interventions designed to ameliorate the negative attitudes of health-care students toward vulnerable populations, specifically HIV-infected, PWID, and MSM patients in Malaysia.
机译：业已发现，医疗服务提供者永久存在的污名病是照顾弱势人群的障碍，其中包括艾滋病毒感染者，注射毒品的人以及在多种临床情况下与男性发生性关系的男性（MSM），但仍未得到检查在马来西亚的专业保健学生中。这项横断面，匿名且基于Internet的调查评估了医学和牙科学生对HIV感染，PWID和MSM患者的态度。调查邀请已通过电子邮件发送给8所职业学校的3191名学生; 1296（40.6％）的人对此做出了反应，并使用了体温计对他们的态度进行了评分，表明他们的态度在从0（最负）到100（最正）的范围内滑动。与一般患者相比（平均值= 76.50），HIV感染者（平均值= 54.04; p <0.001），PWID（平均值= 37.50; p <0.001）和MSM（平均值= 32.13; p <0.001）患者的平均评分两组之间的差异显着降低，且差异显着。在群体差异内，最显着的是宗教，种族和与这些人群的个人交往与态度上的显着差异有关。临床前和临床培训年之间没有发现差异。保健学生代表下一代临床医生，他们将负责未来的HIV预防和治疗工作。我们的发现表明，对这些患者，特别是MSM的负面态度令人震惊，需要采取及时有效的干预措施，以减轻卫生保健学生对弱势人群，特别是马来西亚的HIV感染者，PWID和MSM患者的负面态度。

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