Document Detail


HIV-related avoidance and universal precaution in medical settings: opportunities to intervene.
MedLine Citation:
PMID:  21029091     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the association between adherence to universal precaution (UP) and avoidance attitudes toward patients living with HIV/AIDS (PLH) among service providers. DATA SOURCES/SETTING: A total of 1,760 health service providers were randomly selected from 40 county hospitals in two provinces of China.
STUDY DESIGN: A self-administered questionnaire was used to collect demographic characteristics, UP knowledge and training, UP adherence, availability of UP supplies at work, and avoidance attitudes toward PLH in a cross-sectional survey.
DATA ANALYSIS: A series of regression models were used to examine associations among the UP-related factors and their relationship to avoidance attitudes toward PLH.
PRINCIPAL FINDINGS: UP training was associated with better knowledge of and adherence to UP and perceived availability of UP supplies in hospitals. UP training, knowledge, and adherence were significantly associated with avoidance attitudes toward PLH in medical practice. Being a nurse was also related to HIV-related avoidance.
CONCLUSION: UP promotion campaigns, including in-service training and reinforcement of UP adherence, could play an important role in the battle against HIV-related avoidance in medical settings. Intervention programs should focus on not only individual providers' attitudes and behaviors but also on structural support for norms shifts in the medical community.
Authors:
Li Li; Chunqing Lin; Zunyou Wu; Jihui Guan; Manhong Jia; Zhihua Yan
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-10-28
Journal Detail:
Title:  Health services research     Volume:  46     ISSN:  1475-6773     ISO Abbreviation:  Health Serv Res     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-04     Completed Date:  2011-05-11     Revised Date:  2012-05-03    
Medline Journal Info:
Nlm Unique ID:  0053006     Medline TA:  Health Serv Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  617-31     Citation Subset:  IM    
Copyright Information:
© Health Research and Educational Trust.
Affiliation:
Center for Community Health, Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles, Los Angeles, CA 90024, USA. lililili@ucla.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Attitude of Health Personnel*
China
Cross-Sectional Studies
Female
Guideline Adherence / statistics & numerical data
HIV Infections / prevention & control,  psychology*
Health Knowledge, Attitudes, Practice
Humans
Linear Models
Male
Middle Aged
Questionnaires
Universal Precautions* / statistics & numerical data
Young Adult
Grant Support
ID/Acronym/Agency:
R01 MH070931/MH/NIMH NIH HHS; R01 MH081778/MH/NIMH NIH HHS; R01 MH081778-03/MH/NIMH NIH HHS; R01MH081778/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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