Address correspondence to Li Li, Ph.D., Center for Community Health, Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles, 10920 Wilshire Blvd. Suite 350, Los Angeles, CA 90024; e-mail: firstname.lastname@example.org. Chunqing Lin, Ph.D., is with the Center for Community Health, Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles, Los Angeles, CA. Zunyou Wu, Ph.D., and Zhihua Yan, M.S., are with the National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Jihui Guan, M.D., is with the Fujian Provincial Center for Disease Control and Prevention, Fuzhou, China. Manhong Jia, M.D., is with the Yunnan Provincial Center for Disease Control and Prevention, Kunming, China.
HIV-Related Avoidance and Universal Precaution in Medical Settings: Opportunities to Intervene
Version of Record online: 28 OCT 2010
© Health Research and Educational Trust
Health Services Research
Volume 46, Issue 2, pages 617–631, April 2011
How to Cite
Li, L., Lin, C., Wu, Z., Guan, J., Jia, M. and Yan, Z. (2011), HIV-Related Avoidance and Universal Precaution in Medical Settings: Opportunities to Intervene. Health Services Research, 46: 617–631. doi: 10.1111/j.1475-6773.2010.01195.x
- Issue online: 3 MAR 2011
- Version of Record online: 28 OCT 2010
- universal precaution;
- service provider;
Objective. To determine the association between adherence to universal precaution (UP) and avoidance attitudes toward patients living with HIV/AIDS (PLH) among service providers.
Data Sources/Setting. A total of 1,760 health service providers were randomly selected from 40 county hospitals in two provinces of China.
Study Design. A self-administered questionnaire was used to collect demographic characteristics, UP knowledge and training, UP adherence, availability of UP supplies at work, and avoidance attitudes toward PLH in a cross-sectional survey.
Data Analysis. A series of regression models were used to examine associations among the UP-related factors and their relationship to avoidance attitudes toward PLH.
Principal Findings. UP training was associated with better knowledge of and adherence to UP and perceived availability of UP supplies in hospitals. UP training, knowledge, and adherence were significantly associated with avoidance attitudes toward PLH in medical practice. Being a nurse was also related to HIV-related avoidance.
Conclusion. UP promotion campaigns, including in-service training and reinforcement of UP adherence, could play an important role in the battle against HIV-related avoidance in medical settings. Intervention programs should focus on not only individual providers' attitudes and behaviors but also on structural support for norms shifts in the medical community.