Perceived stigma of HIV patients receiving task-shifted primary care service and its relation to satisfaction with health service
Introduction: HIV stigma is the remaining challenge to end the global epidemics of HIV. Whether stigma may form a barrier to the provision of ART within the community-based, primary care setting was not studied yet. Therefore, this study intended (1) to compare the levels of ‘perceived stigma’ in P...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Journal of Infection in Developing Countries
2017-09-01
|
| Series: | Journal of Infection in Developing Countries |
| Subjects: | |
| Online Access: | https://jidc.org/index.php/journal/article/view/9461 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850193372388524032 |
|---|---|
| author | Myo Nyein Aung Saiyud Moolphate Tsutomu Kitajima Yaowaluk Siriwarothai Piyaporn Takamtha Chitima Katanyoo Hiroshi Okamura Malcom Field Osamu Noyama Jitladda Deerojanawong Virat Klinbuayaem |
| author_facet | Myo Nyein Aung Saiyud Moolphate Tsutomu Kitajima Yaowaluk Siriwarothai Piyaporn Takamtha Chitima Katanyoo Hiroshi Okamura Malcom Field Osamu Noyama Jitladda Deerojanawong Virat Klinbuayaem |
| author_sort | Myo Nyein Aung |
| collection | DOAJ |
| description |
Introduction: HIV stigma is the remaining challenge to end the global epidemics of HIV. Whether stigma may form a barrier to the provision of ART within the community-based, primary care setting was not studied yet. Therefore, this study intended (1) to compare the levels of ‘perceived stigma’ in PLHIV attending district hospital and primary care units (PCUs), and (2) to measure the relation between HIV stigma and the satisfaction of patients with their health service.
Methodology: In this cross-sectional study, two matched PLHIV attending district hospitals were recruited for every PLHIV attending a PCU, within a pilot project, until the end of 2014. 198 informed and consented participants were recruited. We used validated Thai version instruments to measure the levels of ‘perceived stigma’ and ‘internal shame’ and the Patient Satisfaction Questionnaire 18 (PSQ18) to measure patients’ satisfaction with the health service. Analysis applied MANOVA and multivariate robust regression.
Results: The level of ‘perceived stigma’ and ‘internal shame’ levels were not significantly different between district hospitals attendants and PCU attendants (P>0.05 MANOVA). Moreover, the more patients were satisfied with the health service, the less likely to have ‘perceived stigma’ (β -5.9, 95% confidence interval -7.7 to -4.1) and ‘internal shame’ (β -5.7, 95% CI -8.3 to -3.2), P<0.001).
Conclusions: HIV associated stigma would be minimized through the attempt to promote PLHIV’s satisfaction with ART service. There is ample role of health professional education and training to improve patients’ satisfaction. It may contribute to the aim of zero discrimination.
|
| format | Article |
| id | doaj-art-a691fbf92b4c4b9fa8c20b62c4f1ac0b |
| institution | OA Journals |
| issn | 1972-2680 |
| language | English |
| publishDate | 2017-09-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-a691fbf92b4c4b9fa8c20b62c4f1ac0b2025-08-20T02:14:17ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802017-09-01110910.3855/jidc.9461Perceived stigma of HIV patients receiving task-shifted primary care service and its relation to satisfaction with health serviceMyo Nyein Aung0Saiyud Moolphate1Tsutomu Kitajima2Yaowaluk Siriwarothai3Piyaporn Takamtha4Chitima Katanyoo5Hiroshi Okamura6Malcom Field7Osamu Noyama8Jitladda Deerojanawong9Virat Klinbuayaem10Chulalongkorn University, Bangkok, ThailandFaculty of Science and Technology, Chiang Mai Rajabhat University, ThailandFaculty of Social Sciences, Kyorin University, JapanSanpatong Hospital, Chiang Mai, ThailandSanpatong Hospital, Chiang Mai, ThailandFaculty of Science and Technology, Chiang Mai Rajabhat University, ThailandFaculty of Social Sciences, Kyorin University, JapanFaculty of Social Sciences, Kyorin University, JapanTokyo Kasei University, Tokyo, JapanFaculty of Medicine, Chulalongkorn University, Bangkok, ThailandSanpatong Hospital, Chiang Mai, Thailand Introduction: HIV stigma is the remaining challenge to end the global epidemics of HIV. Whether stigma may form a barrier to the provision of ART within the community-based, primary care setting was not studied yet. Therefore, this study intended (1) to compare the levels of ‘perceived stigma’ in PLHIV attending district hospital and primary care units (PCUs), and (2) to measure the relation between HIV stigma and the satisfaction of patients with their health service. Methodology: In this cross-sectional study, two matched PLHIV attending district hospitals were recruited for every PLHIV attending a PCU, within a pilot project, until the end of 2014. 198 informed and consented participants were recruited. We used validated Thai version instruments to measure the levels of ‘perceived stigma’ and ‘internal shame’ and the Patient Satisfaction Questionnaire 18 (PSQ18) to measure patients’ satisfaction with the health service. Analysis applied MANOVA and multivariate robust regression. Results: The level of ‘perceived stigma’ and ‘internal shame’ levels were not significantly different between district hospitals attendants and PCU attendants (P>0.05 MANOVA). Moreover, the more patients were satisfied with the health service, the less likely to have ‘perceived stigma’ (β -5.9, 95% confidence interval -7.7 to -4.1) and ‘internal shame’ (β -5.7, 95% CI -8.3 to -3.2), P<0.001). Conclusions: HIV associated stigma would be minimized through the attempt to promote PLHIV’s satisfaction with ART service. There is ample role of health professional education and training to improve patients’ satisfaction. It may contribute to the aim of zero discrimination. https://jidc.org/index.php/journal/article/view/9461HIVThailandperceived stigmainternal shamehealth professions |
| spellingShingle | Myo Nyein Aung Saiyud Moolphate Tsutomu Kitajima Yaowaluk Siriwarothai Piyaporn Takamtha Chitima Katanyoo Hiroshi Okamura Malcom Field Osamu Noyama Jitladda Deerojanawong Virat Klinbuayaem Perceived stigma of HIV patients receiving task-shifted primary care service and its relation to satisfaction with health service Journal of Infection in Developing Countries HIV Thailand perceived stigma internal shame health professions |
| title | Perceived stigma of HIV patients receiving task-shifted primary care service and its relation to satisfaction with health service |
| title_full | Perceived stigma of HIV patients receiving task-shifted primary care service and its relation to satisfaction with health service |
| title_fullStr | Perceived stigma of HIV patients receiving task-shifted primary care service and its relation to satisfaction with health service |
| title_full_unstemmed | Perceived stigma of HIV patients receiving task-shifted primary care service and its relation to satisfaction with health service |
| title_short | Perceived stigma of HIV patients receiving task-shifted primary care service and its relation to satisfaction with health service |
| title_sort | perceived stigma of hiv patients receiving task shifted primary care service and its relation to satisfaction with health service |
| topic | HIV Thailand perceived stigma internal shame health professions |
| url | https://jidc.org/index.php/journal/article/view/9461 |
| work_keys_str_mv | AT myonyeinaung perceivedstigmaofhivpatientsreceivingtaskshiftedprimarycareserviceanditsrelationtosatisfactionwithhealthservice AT saiyudmoolphate perceivedstigmaofhivpatientsreceivingtaskshiftedprimarycareserviceanditsrelationtosatisfactionwithhealthservice AT tsutomukitajima perceivedstigmaofhivpatientsreceivingtaskshiftedprimarycareserviceanditsrelationtosatisfactionwithhealthservice AT yaowaluksiriwarothai perceivedstigmaofhivpatientsreceivingtaskshiftedprimarycareserviceanditsrelationtosatisfactionwithhealthservice AT piyaporntakamtha perceivedstigmaofhivpatientsreceivingtaskshiftedprimarycareserviceanditsrelationtosatisfactionwithhealthservice AT chitimakatanyoo perceivedstigmaofhivpatientsreceivingtaskshiftedprimarycareserviceanditsrelationtosatisfactionwithhealthservice AT hiroshiokamura perceivedstigmaofhivpatientsreceivingtaskshiftedprimarycareserviceanditsrelationtosatisfactionwithhealthservice AT malcomfield perceivedstigmaofhivpatientsreceivingtaskshiftedprimarycareserviceanditsrelationtosatisfactionwithhealthservice AT osamunoyama perceivedstigmaofhivpatientsreceivingtaskshiftedprimarycareserviceanditsrelationtosatisfactionwithhealthservice AT jitladdadeerojanawong perceivedstigmaofhivpatientsreceivingtaskshiftedprimarycareserviceanditsrelationtosatisfactionwithhealthservice AT viratklinbuayaem perceivedstigmaofhivpatientsreceivingtaskshiftedprimarycareserviceanditsrelationtosatisfactionwithhealthservice |