期刊论文详细信息
BMC Public Health
Knowledge of HIV and factors associated with attitudes towards HIV among final-year medical students at Hanoi medical university in Vietnam
Huy V Nguyen1  Ha N Pham2  Michael Platten3 
[1] Department of Health Management and Organization, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam;World Health Organization, Hanoi, Vietnam;Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
关键词: Attitude;    Knowledge;    Medical students;    Vietnam;    HIV;   
Others  :  1131876
DOI  :  10.1186/1471-2458-14-265
 received in 2013-11-03, accepted in 2014-03-12,  发布年份 2014
PDF
【 摘 要 】

Background

The success of HIV care strongly depends upon skills of the healthcare worker. Vietnam has a punitive history towards HIV and even though this has changed recently, persons living with HIV are still facing discrimination. The objective of this paper is to assess the gaps in knowledge of HIV and factors associated with discriminatory attitudes towards persons living with HIV among medical students in order to improve medical training.

Methods

In a cross-sectional quantitative study using a structured questionnaire, 200 final-year medical students at Hanoi Medical University were approached for data collection in May of 2012. Descriptive statistics (percentages) were used to present four HIV knowledge tests. Linear regression models were examined to highlight factors that are associated with general attitudes towards HIV and attitudes towards HIV in a clinical setting.

Results

Although students performed overall well in the knowledge category of HIV discrimination and stigma, there were several gaps in knowledge of HIV, including the categories of HIV-related basic sciences, prevention, and care and treatment. Knowledge of stigma and discrimination was a significant positive predictor of General non-prejudicial attitude to HIV and AIDS (β = 0.186, P < 0.01) and Non-discriminatory attitude to HIV and AIDS at work (β = 0.188, P < 0.01). Training on methadone treatment was found to be a significant positive predictor (β = 0.168, P < 0.05) while family size was negatively associated (β = -0.170, P < 0.05) with General non-prejudicial attitude to HIV and AIDS.

Conclusions

The study suggests a need for incorporating HIV training into the core curricula for medical students. As persons who inject drugs carry a proportionately high burden of HIV in Vietnam, it is also important to include methadone training for students.

【 授权许可】

   
2014 Platten et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150303101038440.pdf 201KB PDF download
【 参考文献 】
  • [1]World Health Organization: Handbook on Monitoring and Evaluation of Human Resources for Health 2009. Geneva; 2009.
  • [2]World Health Organization: Treat, Train, Retain: The AIDS and health workforce plan. Geneva; 2006.
  • [3]The WHO website: Country Statistics. 2013. http://www.who.int/countries/vnm/en/ webcite
  • [4]National Committee for AIDS, Drugs, and Prostitution prevention and control: Vietnam AIDS response progress report 2012. Hanoi; 2012.
  • [5]UNAIDS: Facts and figures. 2012. http://www.unaids.org.vn/index.php?option=com_content&view=category&layout=blog&id=13&Itemid=27&lang=en webcite
  • [6]Ministry of Health Vietnam and Health Partnership Group: Joint annual health review 2010: Vietnam’s Health System on the Threshold of the Five-year Plan 2011–2015. Hanoi; 2010.
  • [7]Nguyen Ha P, Pharris A, Huong NT, Chuc NT, Brugha R, Thorson A: The evolution of HIV policy in Vietnam: from punitive control measures to a more rights-based approach. Glob Health Action 2010, 28:3.
  • [8]Vietnam Ministry of Health: Joint Annual Health Review 2012: Improving quality of medical service. Hanoi; 2012.
  • [9]Li L, Wu Z, Wu S, Zhaoc Y, Jia M, Yan Z: HIV-related stigma in health care settings: a survey of service providers in China. AIDS Patient Care STDS 2007, 21(10):753-62.
  • [10]USAIDS Inter-Agency Working Group on Stigma and Discrimination: HIV-Related Stigma and Discrimination Indicators Development Workshop Report. Washington, D.C; 2004.
  • [11]National Committee for AIDS, Drug, and Prostitution prevention and control: National strategy HIV/AIDS prevention and control 2010–2020 (Fifth draft). Hanoi; 2011.
  • [12]Najem GR, Okuzu EI: International comparison of medical students’ perceptions of HIV infection and AIDS. J Natl Med Assoc 1998, 90(12):765-74.
  • [13]Tesić V, Kolarić B, Begovac J: Attitudes towards HIV/AIDS among four year medical students at the University of Zagreb Medical School–better in 2002 than in 1993 but still unfavorable. Coll Antropol 2006, 30(Suppl 2):89-97.
  • [14]Ahmed SI, Hassali MA, Bukhari NI, Sulaiman SA: A comparison of HIV/AIDS-related knowledge, attitudes and risk perception between final year medical and pharmacy students: a cross sectional study. HealthMED 2011, 5(2):326-335.
  • [15]Al-Rabeei NA, Dallak AM, Al-Awadi FG: Knowledge, attitude and beliefs towards HIV/AIDS among students of health institutes in Sana’a city. East Mediterr Health J 2012, 18(3):221-226.
  • [16]Massiah E, Roach TC, Jacobs C, St John AM, Inniss V, Walcott J, Blackwood C: Stigma, discrimination, and HIV/AIDS knowledge among physicians in Barbados. Rev Panam Salud Publica 2004, 16(6):395-401.
  • [17]Brachman P Jr, Kozarsky P, Cetron M, Jacob MS, Boonitt B, Wongsrichanalai J, Keystone JS: Knowledge and attitudes of hospital-based physicians and trainees about HIV infection in the United States, Canada, India, and Thailand. Arch Intern Med 1996, 156(7):761-6.
  • [18]Webber G: Chinese health care providers’ attitudes about HIV: a review. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV 2007, 19(5):685-691.
  • [19]Sengupta S, Banks B, Jonas D, Miles MS, Smith GC: HIV interventions to reduce HIV/AIDS stigma: a systematic review. AIDS Behav 2011, 15(6):1075-87.
  • [20]Pickles D, King L, Belan I: Attitudes of nursing students towards caring for people with HIV/AIDS: thematic literature review. J Adv Nurs 2009, 65(11):2262-73.
  • [21]Lau JT, Tsui HY: Discriminatory attitudes towards people living with HIV/AIDS and associated factors: a population based study in the Chinese general population. Sex Transm Infect 2005, 81(2):113-9.
  • [22]Cao X, Sullivan SG, Xu J, Wu Z: China CIPRA Project 2 Team. Understanding HIV-related stigma and discrimination in a “blameless” population. AIDS Educ Prev 2006, 18(6):518-28.
  • [23]Brown L, Macintyre K, Trujillo L: Interventions to reduce HIV/AIDS stigma: what have we learned? AIDS Educ Prev 2003, 15(1):49-69. Review
  • [24]Li L, Liang LJ, Lin C, Wu Z, Wen Y: Individual attitudes and perceived social norms: Reports on HIV/AIDS-related stigma among service providers in China. Int J Psychol 2009, 44(6):443-50.
  • [25]Bermingham S, Kippax S: HIV-related discrimination: a survey of New South Wales general practitioners. Aust N Z J Public Health 1998, 22(1):92-7.
  • [26]Li L, Wu Z, Zhao Y, Lin C, Detels R, Wu S: Using case vignettes to measure HIV-related stigma among health professionals in China. Int J Epidemiol 2007, 36(1):178-84.
  • [27]Green G, Platt S: Fear and loathing in health care settings reported by people with HIV. Sociol Health Illness 1997, 19:70-92.
  • [28]Nguyen TT, Nguyen LT, Pham MD, Vu HH, Mulvey KP: Methadone maintenance therapy in Vietnam: an overview and scaling-up plan. Adv Prev Med 2012, 2012:732484.
  • [29]Li L, Lin C, Wu Z, Wu S, Rotheram-Borus MJ, Detels R, Jia M: Stigmatization and shame: consequences of caring for HIV/AIDS patients in China. AIDS Care 2007, 19(2):258-63.
  • [30]Korhonen T, Kylmä J, Houtsonen J, Välimäki M, Suominen T: University students’ knowledge of, and attitudes towards, HIV and AIDS, homosexuality and sexual risk behaviour: a questionnaire survey in two Finnish universities. J Biosoc Sci 2012, 44(6):661-75.
  • [31]Pham HN, Protsiv M, Larsson M, Ho HT, de Vries DH, Thorson A: Stigma, an important source of dissatisfaction of health workers in HIV response in Vietnam: a qualitative study. BMC Health Serv Res 2012, 12:474. BioMed Central Full Text
  文献评价指标  
  下载次数:7次 浏览次数:9次