title: Stigmatization and shame: consequences of caring for HIV/AIDS patients in China.
abstract: Using a representative sample of 478 doctors, nurses, and lab technicians working with people living with HIV/AIDS (PLWHA), a cross-sectional study was conducted to assess the impact of the AIDS epidemic on medical care systems and service providers in China. Correlation analyses showed significant association between internalized shame reported by service providers and their perception of being stigmatized due to working with PLWHA. Multivariate analyses revealed that the perceived level of institutional support for AIDS care was significantly related to the stigmatization and shame reported by the service providers. The study findings suggest that improved institutional support for AIDS care at the facility level and HIV-related stigma reduction intervention are crucial to maintain a high quality performance by the workforce in the health care system.
authors.affiliation: University of California, Los Angeles, CA 90024, USA. lililili@ucla.edu
authors.forename: L
authors.initials: L
authors.lastname: Li
authors.forename: C
authors.initials: C
authors.lastname: Lin
authors.forename: Z
authors.initials: Z
authors.lastname: Wu
authors.forename: S
authors.initials: S
authors.lastname: Wu
authors.forename: M J
authors.initials: MJ
authors.lastname: Rotheram-Borus
authors.forename: R
authors.initials: R
authors.lastname: Detels
authors.forename: M
authors.initials: M
authors.lastname: Jia
mesh_terms: D001291:Attitude of Health Personnel; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D008297:Male; D012752:Shame; D013240:Stereotyping