A situational analysis of HIV/AIDS-related discrimination in Hanoi, Vietnam

Khoat, D. V.; Hong, Liang; An, Chasu; Ngu, Doan; Reidpath, Daniel D.

doi:10.1080/09540120500119940

Cited by 18 publications

(11 citation statements)

References 16 publications

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“…30,31 Based on the UNAIDS Protocol for the Identification of Discrimination against People Living with HIV, several studies from the Asia-Pacific region revealed that most instances of discrimination appeared in practice rather than in legislation or written policy. [32][33][34][35] Some studies have examined the linkage between discrimination and work environment in health care settings. In one study, a higher level of nurses' satisfaction with work and work environment was associated with fewer negative verbal mannerisms toward patients with AIDS.…”

Section: Introductionmentioning

confidence: 99%

HIV-Related Stigma in Health Care Settings: A Survey of Service Providers in China

Li¹,

Wu²,

Wu³

et al. 2007

AIDS Patient Care and STDs

140

141

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We examined how individual and institutional factors in health care settings affected discrimination toward persons with HIV/AIDS. A representative sample of 1101 Chinese service providers was recruited in 2005, including doctors, nurses, and laboratory technicians. Multiple regression models were used to describe associations among identified variables, the relationships with HIV-related personal prejudicial attitudes, and perceived institutional support and discrimination at work. Multivariate analyses revealed that respondents' general view of persons living with HIV/AIDS and their perceived levels of support from their institutions regarding protection procedures were both important predictors for discrimination intent. Perceived institutional support varied according to age, gender, ethnicity, and training background. A better understanding of HIV-related discrimination in health care settings requires consideration of both individual and institutional factors.

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Section: Introductionmentioning

confidence: 99%

HIV-Related Stigma in Health Care Settings: A Survey of Service Providers in China

Li¹,

Wu²,

Wu³

et al. 2007

AIDS Patient Care and STDs

140

141

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“…In Vietnam and China, drug users are severely marginalized and suffer discrimination from their own families and their communities (Khoshnood and Weber 2003, Hong et al 2004, Khoat et al 2005. Stigma and discrimination pose major challenges to interventions because many drug users are reluctant to contact and engage with prevention services for fear of being identified, arrested, or mistreated.…”

Section: Background: Status Of Hiv Epidemics Among Idus Worldwide Andmentioning

confidence: 98%

HIV prevention for injection drug users in China and Vietnam: Policy and research considerations

Hammett

Jarlais

Johnston

et al. 2007

Global Public Health

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A pattern of serious injection drug user (IDU) driven HIV epidemics in Asia, with emerging evidence of generalization through heterosexual transmission, indicates the need for interventions focusing on both drug- and sex-related risk reduction. In a cross-border HIV prevention project for IDUs in northern Vietnam and southern China, peer educators disseminated risk reduction information to IDUs in the community and provided 20,000-25,000 sterile needles/syringes and 4,000-6,000 condoms per month. Since implementation of these interventions, the frequency of both injecting and sexual risk behaviours fell significantly, HIV prevalence among IDUs declined or stabilized, and HIV incidence dropped. There is official support for harm reduction interventions in both countries but this appears precarious in view of persistently powerful political and financial support for a law enforcement approach. Moreover, the simultaneous pursuit of inconsistent policies can have negative effects on the implementation of interventions. A harmonized and consistent policy environment is needed. Most of the evidence for efficacy of community-based HIV prevention comes from the developed world, but well-designed evaluations of such interventions in Asia and elsewhere in the developing world would have a better chance to influence policy decisions there. A synergistic approach to research, policy development, and service delivery is best calculated to achieve positive results in the struggle against HIV/AIDS in developing countries.

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“…The official position of the Vietnam government on HIV stigma was, for instance, quite nuanced (130). Broadly, stigmatising PLWHA was not permitted.…”

Section: Stigmamentioning

confidence: 99%