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Exploring intentions to discriminate against patients living with HIV/AIDS among future healthcare providers in Malaysia

ObjectivesStigma towards people living with HIV/AIDS (PLWHA) is strong in Malaysia. Although stigma has been understudied, it may be a barrier to treating the approximately 81000 Malaysian PLWHA. The current study explores correlates of intentions to discriminate against PLWHA among medical and dent...

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Main Authors: Earnshaw, V.A., Jin, H., Wickersham, J., Kamarulzaman, Adeeba, John, J., Altice, F.L.
Format: Article
Language:English
Published: Wiley 2014
Subjects:
R Medicine
RK Dentistry
Online Access:http://eprints.um.edu.my/10640/1/Exploring_intentions_to_discriminate_against_patients_living_with_HIVAIDS_among_future_healthcare_providers_in_Malaysia.pdf
http://eprints.um.edu.my/10640/
http://onlinelibrary.wiley.com/doi/10.1111/tmi.12306/pdf
http://dx.doi.org/10.1111/tmi.12306
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spelling my.um.eprints.106402019-02-13T08:54:18Z http://eprints.um.edu.my/10640/ Exploring intentions to discriminate against patients living with HIV/AIDS among future healthcare providers in Malaysia Earnshaw, V.A. Jin, H. Wickersham, J. Kamarulzaman, Adeeba John, J. Altice, F.L. R Medicine RK Dentistry ObjectivesStigma towards people living with HIV/AIDS (PLWHA) is strong in Malaysia. Although stigma has been understudied, it may be a barrier to treating the approximately 81000 Malaysian PLWHA. The current study explores correlates of intentions to discriminate against PLWHA among medical and dental students, the future healthcare providers of Malaysia. MethodsAn online, cross-sectional survey of 1296 medical and dental students was conducted in 2012 at seven Malaysian universities; 1165 (89.9%) completed the survey and were analysed. Socio-demographic characteristics, stigma-related constructs and intentions to discriminate against PLWHA were measured. Linear mixed models were conducted, controlling for clustering by university. ResultsThe final multivariate model demonstrated that students who intended to discriminate more against PLWHA were female, less advanced in their training, and studying dentistry. They further endorsed more negative attitudes towards PLWHA, internalised greater HIV-related shame, reported more HIV-related fear and disagreed more strongly that PLWHA deserve good care. The final model accounted for 38% of the variance in discrimination intent, with 10% accounted for by socio-demographic characteristics and 28% accounted for by stigma-related constructs. ConclusionsIt is critical to reduce stigma among medical and dental students to eliminate intentions to discriminate and achieve equitable care for Malaysian PLWHA. Stigma-reduction interventions should be multipronged, addressing attitudes, internalised shame, fear and perceptions of deservingness of care. Wiley 2014 Article PeerReviewed application/pdf en http://eprints.um.edu.my/10640/1/Exploring_intentions_to_discriminate_against_patients_living_with_HIVAIDS_among_future_healthcare_providers_in_Malaysia.pdf Earnshaw, V.A. and Jin, H. and Wickersham, J. and Kamarulzaman, Adeeba and John, J. and Altice, F.L. (2014) Exploring intentions to discriminate against patients living with HIV/AIDS among future healthcare providers in Malaysia. Tropical Medicine and International Health, 19 (6). pp. 672-679. ISSN 1360-2276 http://onlinelibrary.wiley.com/doi/10.1111/tmi.12306/pdf http://dx.doi.org/10.1111/tmi.12306
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
language English
topic R Medicine
RK Dentistry
spellingShingle R Medicine
RK Dentistry
Earnshaw, V.A.
Jin, H.
Wickersham, J.
Kamarulzaman, Adeeba
John, J.
Altice, F.L.
Exploring intentions to discriminate against patients living with HIV/AIDS among future healthcare providers in Malaysia
description ObjectivesStigma towards people living with HIV/AIDS (PLWHA) is strong in Malaysia. Although stigma has been understudied, it may be a barrier to treating the approximately 81000 Malaysian PLWHA. The current study explores correlates of intentions to discriminate against PLWHA among medical and dental students, the future healthcare providers of Malaysia. MethodsAn online, cross-sectional survey of 1296 medical and dental students was conducted in 2012 at seven Malaysian universities; 1165 (89.9%) completed the survey and were analysed. Socio-demographic characteristics, stigma-related constructs and intentions to discriminate against PLWHA were measured. Linear mixed models were conducted, controlling for clustering by university. ResultsThe final multivariate model demonstrated that students who intended to discriminate more against PLWHA were female, less advanced in their training, and studying dentistry. They further endorsed more negative attitudes towards PLWHA, internalised greater HIV-related shame, reported more HIV-related fear and disagreed more strongly that PLWHA deserve good care. The final model accounted for 38% of the variance in discrimination intent, with 10% accounted for by socio-demographic characteristics and 28% accounted for by stigma-related constructs. ConclusionsIt is critical to reduce stigma among medical and dental students to eliminate intentions to discriminate and achieve equitable care for Malaysian PLWHA. Stigma-reduction interventions should be multipronged, addressing attitudes, internalised shame, fear and perceptions of deservingness of care.
format Article
author Earnshaw, V.A.
Jin, H.
Wickersham, J.
Kamarulzaman, Adeeba
John, J.
Altice, F.L.
author_facet Earnshaw, V.A.
Jin, H.
Wickersham, J.
Kamarulzaman, Adeeba
John, J.
Altice, F.L.
author_sort Earnshaw, V.A.
title Exploring intentions to discriminate against patients living with HIV/AIDS among future healthcare providers in Malaysia
title_short Exploring intentions to discriminate against patients living with HIV/AIDS among future healthcare providers in Malaysia
title_full Exploring intentions to discriminate against patients living with HIV/AIDS among future healthcare providers in Malaysia
title_fullStr Exploring intentions to discriminate against patients living with HIV/AIDS among future healthcare providers in Malaysia
title_full_unstemmed Exploring intentions to discriminate against patients living with HIV/AIDS among future healthcare providers in Malaysia
title_sort exploring intentions to discriminate against patients living with hiv/aids among future healthcare providers in malaysia
publisher Wiley
publishDate 2014
url http://eprints.um.edu.my/10640/1/Exploring_intentions_to_discriminate_against_patients_living_with_HIVAIDS_among_future_healthcare_providers_in_Malaysia.pdf
http://eprints.um.edu.my/10640/
http://onlinelibrary.wiley.com/doi/10.1111/tmi.12306/pdf
http://dx.doi.org/10.1111/tmi.12306
_version_ 1643688852412432384
score 13.211869

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