HIV/AIDS-related stigma and discrimination among healthcare providers in Western China: a population-based cross-sectional study

作者：Siyan Jia, Cen Yue, Lili Zhang, Li Liu, Maoling Yang, Yanqing Zhang, Yanqing Zhang, Jiaxin Liu, Min Luo, Jing Zhang, Junmei Wu, Junmei Wu, Qin Jiang, Tingting Luo, Yan Zhang, Yan Zhang, Weixin Liu · 发表于：BMC Infectious Diseases · 年份：2025 · DOI：10.1186/s12879-025-11311-9 · 被引用次数：12 · 研究领域：HIV/AIDS Research and Interventions、HIV-related health complications and treatments、HIV/AIDS drug development and treatment

BACKGROUND: The persistence of Human Immunodeficiency Virus (HIV) and/or Acquired Immune Deficiency Syndrome (AIDS)-related stigma and discrimination in healthcare settings remains a critical issue that urgently requires attention to effectively control HIV/AIDS epidemic. This study aimed to evaluate the extent of HIV/AIDS-related stigma and discrimination and explore the influencing factors among healthcare providers in western China, in order to inform decision-making regarding the reduction of stigma and discrimination intervention. METHODS: A cross-sectional study was conducted between October 2023 and July 2024, and 24,646 (with a response rate of 98.6%) healthcare providers completed the survey using a concise and standardized instrument, including sociodemographic and work-related characteristics, healthcare institutional policies and guidelines, attitudes and opinions about people living with Human Immunodeficiency Virus (PLHIV), as well as discriminatory behaviors. Multivariate linear regression analysis was performed to assess the influencing factors of HIV/AIDS-related stigma and discrimination among healthcare providers. RESULTS: The proportions of healthcare providers expressing concerns about dressing wounds and drawing blood were 65.1% and 60.3%, respectively. Approximately 40% of the participants believed that most PLHIV did not care if they infected others and had multiple sexual partners. Healthcare providers experienced more secondary stigma and discriminat...