Stigmatization of people living with HIV among obstetricians and gynecologists: a pilot study
- Authors: Suturina L.V.1, Kuzmin M.Y.1, Markova D.P.1, Atalyan A.V.1, Maryanian A.Y.1, Protopopova N.V.1,2, Dudakova V.N.2, Sharifulin E.M.1,2, Vygovsky E.L.3, Slautina T.I.3, Kokunova E.G.4, Tokunova O.V.5, Dudik E.A.5, Ionushene S.V.5, Semyonova G.I.6, Molchanova I.A.6
 - 
							Affiliations: 
							
- Research Center for Family Health and Human Reproduction
 - Irkutsk Order of the Badge of Honor Regional Clinical Hospital
 - Irkutsk Aviation Production Association Hospital
 - Irkutsk City Clinical Hospital No. 8
 - Irkutsk City Perinatal Center
 - Bratsk Perinatal Center
 
 - Issue: Vol 70, No 5 (2021)
 - Pages: 83-94
 - Section: Original study articles
 - URL: https://bakhtiniada.ru/jowd/article/view/61704
 - DOI: https://doi.org/10.17816/JOWD61704
 - ID: 61704
 
Cite item
Abstract
BACKGROUND: The stigma of people living with HIV (PLHIV) remains an urgent problem of modern science. Meanwhile, it can be stated that there is a lack of methods used to study stigmatization.
AIM: The aim of this study was to evaluate the stigmatization of PLHIV among healthcare workers of the obstetric and gynecological service.
MATERIALS AND METHODS: The study included 232 doctors and nurses of the obstetric and gynecological service and was conducted from April to November 2018. We adapted the Questionnaire for Doctors and Nurses’ Views on People Living with HIV/AIDS and the Comprehensive Health Staff Questionnaire (for sentinel surveillance) for this study.
RESULTS: We have studied the current level of awareness of healthcare workers of the obstetric and gynecological service regarding the ways of HIV transmission and methods of treatment. The contradictory attitudes of medical workers towards PLHIV were considered. On the one hand, medical professionals believe that, regardless of their status, the patient deserves qualified assistance. On the other hand, they find it difficult to assess the moral aspect of HIV infection. Dependences of the level of awareness and the peculiarities of attitudes towards PLHIV on sociodemographic characteristics were established.
CONCLUSIONS: This article analyzes the results of the pilot study of stigmatization of PLHIV among healthcare workers of the obstetric and gynecological service. We compared our own results with the data obtained by domestic and foreign authors and discussed the similarities and differences in the conclusions. The limitations of this pilot study were analyzed, with the probable ways of further work proposed and outlined.
Full Text
##article.viewOnOriginalSite##About the authors
Larisa V. Suturina
Research Center for Family Health and Human Reproduction
														Email: lsuturina@mail.ru
				                	ORCID iD: 0000-0002-6271-7803
				                	SPIN-code: 9419-0244
							Scopus Author ID: 55370574000
							ResearcherId: P-4719-2015
				                								
MD, Dr. Sci. (Med.), Professor
Russian Federation, IrkutskMikhail Yu. Kuzmin
Research Center for Family Health and Human Reproduction
							Author for correspondence.
							Email: mirroy@mail.ru
				                	ORCID iD: 0000-0002-7538-8375
				                	SPIN-code: 6392-0180
							Scopus Author ID: 57192268883
											                								
Cand. Sci. (Psychol.), Assistant Professor
Russian Federation, IrkutskDarya P. Markova
Research Center for Family Health and Human Reproduction
														Email: markova-darya@inbox.ru
				                	ORCID iD: 0000-0002-7926-5241
				                	SPIN-code: 4893-3509
							Scopus Author ID: 1044123
											                												                	Russian Federation, 							Irkutsk						
Alina V. Atalyan
Research Center for Family Health and Human Reproduction
														Email: atalyan@sbamsr.irk.ru
				                	ORCID iD: 0000-0002-3407-9365
				                	SPIN-code: 3975-8304
							Scopus Author ID: 57194327703
											                								
Cand. Sci. (Biol.)
Russian Federation, IrkutskAnait Yu. Maryanian
Research Center for Family Health and Human Reproduction
														Email: anait_24@mail.ru
				                	ORCID iD: 0000-0002-9544-2172
				                	SPIN-code: 2584-6861
							Scopus Author ID: 727616
											                								
MD, Dr. Sci. (Med.), Assistant Professor
Russian Federation, IrkutskNatalya V. Protopopova
Research Center for Family Health and Human Reproduction; Irkutsk Order of the Badge of Honor Regional Clinical Hospital
														Email: doc_protopopova@mail.ru
				                	ORCID iD: 0000-0002-1740-228X
				                	SPIN-code: 7622-3480
							Scopus Author ID: 154499
											                								
MD, Dr. Sci. (Med.), Professor
Russian Federation, IrkutskVictoria N. Dudakova
Irkutsk Order of the Badge of Honor Regional Clinical Hospital
														Email: vidun@mail.ru
				                	ORCID iD: 0000-0003-2916-5688
				                	SPIN-code: 1069-0443
							Scopus Author ID: 315513
											                								
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, IrkutskEldar M. Sharifulin
Research Center for Family Health and Human Reproduction; Irkutsk Order of the Badge of Honor Regional Clinical Hospital
														Email: sharifulja@mail.ru
				                	ORCID iD: 0000-0002-7245-9289
				                	SPIN-code: 5923-7182
							Scopus Author ID: 1044965
											                								
MD
Russian Federation, IrkutskEvgeny L. Vygovsky
Irkutsk Aviation Production Association Hospital
														Email: msh@msh38.ru
				                					                																			                								
MD
Russian Federation, IrkutskTatyana I. Slautina
Irkutsk Aviation Production Association Hospital
														Email: britova72@mail.ru
				                					                																			                								
MD
Russian Federation, IrkutskElena G. Kokunova
Irkutsk City Clinical Hospital No. 8
														Email: kokunovagkb8@yandex.ru
				                					                																			                								
MD
Russian Federation, IrkutskOksana V. Tokunova
Irkutsk City Perinatal Center
														Email: oksana.tokunova.67@mail.ru
				                					                																			                								
MD
Russian Federation, IrkutskElena A. Dudik
Irkutsk City Perinatal Center
														Email: jk@irgpc.ru
				                					                																			                								
MD
Russian Federation, 16, Surikov street, Irkutsk, Russia, 664025Svetlana V. Ionushene
Irkutsk City Perinatal Center
														Email: ionouche@mail.ru
				                	ORCID iD: 0000-0002-7660-2695
				                	SPIN-code: 2053-7925
							Scopus Author ID: 550125
											                								
MD, Cand. Sci. (Med.)
Russian Federation, IrkutskGalina I. Semyonova
Bratsk Perinatal Center
														Email: semengi26@gmail.com
				                					                																			                								
MD
Russian Federation, BratskIrina A. Molchanova
Bratsk Perinatal Center
														Email: pozmei@yandex.ru
				                					                																			                												                	Russian Federation, 							Bratsk						
References
- Pokrovskiy VV, Ladnaya NN, Sokolova EV, Buravtsova EV. VICh-infektsiya. Informatsionnaya byulleten’ No. 45. Moscow; 2020. (In Russ.). [cited 24 Apr 2021]. Available from: http://www.hivrussia.info/wp-content/uploads/2020/12/Byulleten-45-VICH-infektsiya-2019-g..pdf
 - Markova DP, Suturina LV. The problem of stigmatization of HIV-infected patients by the medical workers: literature review. Acta Biomedica Scientifica (East Siberian Biomedical Journal). 2018;3(3):160−164. (In Russ.). doi: 10.29413/ABS.2018-3.3.25
 - Dahlui M, Azahar N, Bulgiba A, et al. HIV/AIDS Related stigma and discrimination against PLWHA in nigerian population. PLoS One. 2015;10(12):e0143749. doi: 10.1371/journal.pone.0143749
 - Xing H, Yu W, Li Y. Measuring and assessing HIV/AIDS stigma and discrimination among migrant workers in Zhejiang, China. BMC Public Health. 2016;16:845. doi: 10.1186/s12889-016-3518-7
 - Wouters E, Masquillier C, Sommerland N, et al. Measuring HIV- and TB-related stigma among health care workers in South Africa: a validation and reliability study. Int J Tuberc Lung Dis. 2017;21(11):19−25. doi: 10.5588/ijtld.16.0749
 - Wright K, Naar-King S, Lam P, et al. Stigma scale revised: reliability and validity of a brief measure of stigma for HIV+ youth. J Adolesc Health. 2007;40(1):96−98. doi: 10.1016/j.jadohealth.2006.08.001
 - Boyes ME, Mason SJ, Cluver LD. Validation of a brief stigma-by-association scale for use with HIV/AIDS-affected youth in South Africa. AIDS Care. 2012;25(2):215–222. doi: 10.1080/09540121.2012.699668
 - Jeyaseelan L, Kumar S, Mohanraj R, et al. Assessing HIV/AIDS stigma in South India: validation and abridgement of the berger HIV stigma scale. AIDS and Behavior. 2012;17(1):434–443. doi: 10.1007/s10461-011-0128-3
 - Neznanov NG, Khalezova NB, Kol’tsova OV, et al. O probleme stigmatizatsii bol’nykh s VICh-infektsiyey so storony meditsinskikh rabotnikov. Doktor Ru. 2016;4(121):49−54. (In Russ.)
 - Chernyavskaya OA, Loannidi EA. Evaluation of medical students’ willingness to perform their professional role in providing medical care to patients with HIV. Vestnik Volgogradskogo meditsinskogo universiteta. 2015;3(55):82−85. (In Russ.)
 - Lioznov DA, Nikolaenko SL, Zhigalov AA, et al. Stigma associated with hiv patients having opiate dependence. VICh-infektsiya i immunosupressii. 2012;4(3):52−56. (In Russ.)
 - Kolesnikova L, Darenskaya M, Grebenkina L, et al. Oxidative stress parameters in women with HIV and HIV/hepatitis B and/or with co-infection. Journal of AIDS and clinical research. 2014;5(11):5–11. doi: 10.4172/2155-6113.1000368
 - Kolesnikova L, Kolesnikov S, Darenskaya M, et al. Menstrual and reproductive function in women with HIV-infection and antioxidant vitamins deficiency. Journal of AIDS and clinical research. 2014;5(12):1−5. doi: 10.4172/2155-6113.1000382
 - Rogers SJ, Tureski K, Cushnie A, et al. Layered stigma among health-care and social service providers toward key affected populations in Jamaica and The Bahamas. AIDS Care. 2014;26(5):538−546. doi: 10.1080/09540121.2013.844762
 - Vorasane S, Jimba M, Kikuchi K, et al. An investigation of stigmatizing attitudes towards people living with HIV/AIDS by doctors and nurses in Vientiane, Lao PDR. BMC Health Serv Res. 2017;(17):125. doi: 10.1186/s12913-017-2068-8
 - Golenkov AV, Shcherbakov AA. Spheres of HIV-infected patients discrimination (based on results of medical workers querying. Vestnik Chuvashskogo universiteta. 2011;(3):327−334. (In Russ.)
 - Suturina LV, Kuz’min MYu, Markova DP, Atalyan AV. Adaptatsiya anket Questionnaire for doctors and nurses’ views on people living with HIV/AIDS i Comprehensive Health Staff Questionnaire (for sentinel surveillance) dlya russkoyazychnoy auditorii meditsinskikh rabotnikov. Sotsiologiya meditsiny. 2020;19(1):4−10. (In Russ.). doi: 10.17816/1728-2810-2020-19-1-4-10
 
Supplementary files
				
			
					
						
						
				
