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暨南大学硕士学位论文广东省艾滋病病毒感染者
暨南大学硕士学位论文
广东省艾滋病病毒感染者/患者就医歧视现状研究
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ABSTRACT
Objective The aim of the present study is to understand the occurrence of medical discrimination against person living with HIV/AIDS(PLWHA) in Guangdong province, to summarize the main challenges and explore the reasons in depth, and provide relevant policy recommendations for addressing medical discrimination against PLWHA.
Methods Qualitative and quantitative research methods were used to understand the occurrence of discrimination among PLWHA during their medical treatment. By focusing on the investigation of PLWHA in two AIDS designated hospital outpatient in Guangdong Province (Guangzhou No.8 Peoples Hospital and Shenzhen Third Peoples Hospital) with home-made questionnaire face to face. Use convenient sampling method to select doctors and nurses in six hospitals in Guangdong Province to investigate their occupational exposure of HIV, and their experiences and views of treatment or care PLWHA. Data were entered into a computer database using Epidata 3.1 software. Using SPSS 13.0 statistical software applications descriptive analysis, t test, ?2 test, analysis of variance or Wilcoxon rank sum test, the General Linear Model (GLM) and Logistic regression analysis for data analysis.
Results
35.00% (155/443) PLWHA had suffered discrimination from the medical staff, the types of differential treatment (29.38%) and refuse treatment (24.51%) are most common. Medical discrimination occurs in non-designated hospitals, and more exist in the diagnosis and treatment of occupational exposure aspects(surgery, interventional procedures, etc.). Female and be in clinical are more vulnerable to medical discrimination.
30.70%(136/443) of PLWHA should reduce the hospital times because of HIV
infection cases, and only one-third of PLWHA will take the initiative to inform the doctor of their infection. The main difficulty in the presence of PLWHA in the medical process are: the small number of designated
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