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IJE Advance Access published online on December 14, 2006
International Journal of Epidemiology, doi:10.1093/ije/dyl256
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2006; all rights reserved.

Using case vignettes to measure HIV-related stigma among health professionals in China

Li Li1,*, Zunyou Wu2, Yu Zhao1, Chunqing Lin2, Roger Detels3 and Sheng Wu1

1 UCLA-NPI Center for Community Health, University of California, Los Angeles, CA, USA.
2 Chinese Center for Disease Control and Prevention, Beijing, China.
3 UCLA School of Public Health, University of California, Los Angeles, USA.

* Corresponding author. Li Li, PhD, UCLA-NPI Center for Community Health, 10920 Wilshire Blvd., Suite #350, Los Angeles, CA 90024 USA. E-mail: lililili{at}ucla.edu


  Abstract

Background We examined Chinese health professionals’ attitudes towards patients with AIDS vs patients with hepatitis B.

Methods A representative sample of 1101 Chinese health professionals was used. Prejudicial attitudes and willingness to interact were measured based on two case vignettes.

Results Statistical analyses revealed that health professionals had negative biases against acquired immunodeficiency syndrome (AIDS) patients and reported much less willingness to interact with AIDS patients than hepatitis B patients. Perceived risk of infection at work was also negatively associated with willingness to interact with patients with human immunodeficiency virus (HIV)/AIDS, but relationships varied by profession.

Conclusions This study underscores the importance of developing and implementing stigma reduction interventions in health care settings to address attitudinal biases and discrimination in clinical practice.

Keywords HIV stigma, HIV/AIDS, health care, China, hepatitis B

Accepted 21 October 2006


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H. Deacon and A. Boulle
Commentary: Factors affecting HIV/AIDS-related stigma and discrimination by medical professionals
Int. J. Epidemiol., February 1, 2007; 36(1): 185 - 186.
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