Tohoku J. Exp. Med., 2017 September, 243(1)

Medical Discrimination Affects the HIV/AIDS Epidemic Control: A Study of Self-Perceived Medical Discrimination on People Living with HIV or AIDS

MINHUI PANG,¹ LIN PENG,² SIHENG ZHANG,³ JIANWEI YANG,¹ JIAMING RAO,¹ HAIQING WANG,¹ JIAYI ZHANG,¹ XIONGFEI CHEN⁴ and XIAOMEI DONG¹

¹Department of Epidemiology and Health Statistics, Basic Medical College of Jinan University, Guangzhou, China
²Dongguan Center for Disease Control and Prevention, Guangdong Province, China
³Ningbo Center for Disease Control and Prevention, Zhejiang Province, China
⁴Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong, China

People living with HIV or AIDS (PLWHA) experienced severe medical discrimination which is seriously affecting their lives. However, few studies examined the epidemic characteristics of self-perceived medical discrimination from the discrimination objects such as PLWHA. Therefore, we aimed to investigate the epidemiological status and analyze the influential factors of the self-perceived medical discrimination on PLWHA in South China. The self-designed questionnaire was used to investigate the medical discrimination status of the 443 infected persons, who were randomly recruited from the representative AIDS designated hospitals in Guangdong Province in South China. The results showed that 49.0% of PLWHA experienced medical discrimination, and 55.3% received discriminatory treatment, 48.4% experienced refusal of treatment, 36.4% had private information leaked and 12.9% received mandatory test. However, 52.2% patients chose to endure discrimination in silence. Compared with the Asymptomatic HIV-infected patients, AIDS patients perceived more medical discrimination. The Logistic regression analysis indicated that PLWHA self-perceived medical discrimination status was influenced by 4 factors: the voluntary of first medical detection, the route of transmission, the stage of the disease and the familiarity with the HIV/AIDS-related law. Additionally, the two dimensions of the life quality scale were influenced by medical discrimination, namely, overall function and disclosure worry. Ultimately, our study provides a better understanding of the relationship between infection status, quality of life and the medical discrimination they experienced or perceived. It will help health professionals and policy makers to develop tailored behavioral and policy-oriented intervention strategies for PLWHA to tackle different types of medical discrimination in high-risk settings.

keywords —— epidemiology feature, medical discrimination, PLWHA, quality of life, South China

© 2017 Tohoku University Medical Press

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Tohoku J. Exp. Med., 2017, 243, 67-75

Correspondence: Xiongfei Chen, M.D., Guangzhou Center for Disease Control and Prevention, No.1 Qide Road of Baiyun District of Guangzhou, Guangdong 510440, China.

e-mail: 11742513@qq.com

Xiaomei Dong, Ph.D., Department of Epidemiology and Health Statistics, Basic Medical College of Jinan University, No.601 Huangpu Road West of Tianhe District of Guangzhou 510632, China.

e-mail: ntydxm@126.com