Willingness to care for blood-borne virus-infected patients in Thailand

Ishimaru, T., Wada, K., Arphorn, S., and Smith, D.R. (2018) Willingness to care for blood-borne virus-infected patients in Thailand. Occupational Medicine, 68 (3). pp. 192-198.

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Background: 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.

Aims: To identify factors associated with Thai nurses’ willingness to care for patients infected with HIV or HCV.

Methods: Multivariable logistic regression analysis of data from a questionnaire completed by nurses at a large hospital in Bangkok, Thailand.

Results: 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.

Conclusions: 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.

Item ID: 54011
Item Type: Article (Research - C1)
ISSN: 1471-8405
Keywords: attitude, hepatitis c virus, human immunodeficiency virus, nurses
Copyright Information: Copyright © The Author(s) 2018. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved.
Funders: National Center for Global Health and Medicine, Japan (NCGH)
Date Deposited: 13 Jun 2018 07:30
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420399 Health services and systems not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9299 Other Health > 929999 Health not elsewhere classified @ 100%
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