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T Ishimaru, K Wada, S Arphorn, D R Smith, Willingness to care for blood-borne virus-infected patients in Thailand, Occupational Medicine, Volume 68, Issue 3, April 2018, Pages 192–198, https://doi.org/10.1093/occmed/kqy040
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Abstract
Although stigma and discrimination by nurses against patients infected with human immunodeficiency virus (HIV) or hepatitis C virus (HCV) have been reported, potential determinants of nurses’ willingness to care for these patients have not been well studied in Thailand.
To identify factors associated with Thai nurses’ willingness to care for patients infected with HIV or HCV.
Multivariable logistic regression analysis of data from a questionnaire completed by nurses at a large hospital in Bangkok, Thailand.
Of 626 nurses, 546 (87%) nurses participated. Eleven per cent (59) and 6% (34) had previously experienced HIV- or HCV-infected blood contamination incidents, respectively. Forty-four per cent (240) and 38% (208) reported unwillingness to care for HIV- or HCV-infected patients, respectively. Willingness to care was less common [adjusted odds ratios 0.51 (0.34–0.74) for HIV and 0.62 (0.42–0.89) for HCV] in nurses aged ≥ 40 years and in those who feared HCV [0.63 (0.37–0.99)], but not HIV [0.84 (0.5–1.26)] transmission. Nurses who had confidence in protecting themselves against infection with HIV [1.84 (1.52–2.04)] and HCV [1.87 (1.45–2.18)], and accepting attitudes towards HIV-infected co-workers [1.39 (1.08–1.66)] but not HCV-infected co-workers [1.16 (0.83–1.5)], were more willing to care for HIV- and HCV-infected patients.
Around 4 in 10 Thai nurses in our sample were unwilling to care for HIV- or HCV-infected patients. Minimizing the risk of nosocomial transmission and improving the public perception of infected individuals may help improve nurses’ willingness to care for such patients, in Thailand or elsewhere.
