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Regional differences in HIV prevalence and individual attitudes among service providers in China


  • Li, Li
  • Lin, Chunqing
  • Wu, Zunyou
  • Scott Comulada, W.
  • Ding, Yingying


We examined the relationships between a region's HIV prevalence and HIV-related knowledge, perceived risk of HIV infection, perceived institutional support for HIV care, and avoidance attitude toward persons living with HIV (PLH) among service providers in China. Data were collected from 40 county-level hospitals in two provinces, including 1760 service providers. Multi-sample standardization and decomposition analysis was performed for HIV knowledge, perceived risk, institutional support, and avoidance attitude toward PLH. After adjusting for potential confounders, service providers from the province with higher HIV prevalence perceived a higher risk of contracting HIV at work, recognized more institutional support for HIV care, and reported a lower level of avoidance attitude toward PLH compared to those from the province with lower HIV prevalence. After confounding factors were standardized across provinces, occupational exposure experience was determined to be the strongest influence on the discrepancy of avoidance attitudes in the two provinces. Regional contextual factors could shape individual providers' attitudes and beliefs and impact the quality of care. Stigma reduction interventions need to be culturally tailored and region-specific.

Suggested Citation

  • Li, Li & Lin, Chunqing & Wu, Zunyou & Scott Comulada, W. & Ding, Yingying, 2012. "Regional differences in HIV prevalence and individual attitudes among service providers in China," Social Science & Medicine, Elsevier, vol. 75(2), pages 283-287.
  • Handle: RePEc:eee:socmed:v:75:y:2012:i:2:p:283-287
    DOI: 10.1016/j.socscimed.2012.02.054

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    References listed on IDEAS

    1. repec:aph:ajpbhl:10.2105/ajph.2003.028563_6 is not listed on IDEAS
    2. Yiu, Jessie W. & Mak, Winnie W.S. & Ho, Winnie S. & Chui, Ying Yu, 2010. "Effectiveness of a knowledge-contact program in improving nursing students' attitudes and emotional competence in serving people living with HIV/AIDS," Social Science & Medicine, Elsevier, vol. 71(1), pages 38-44, July.
    3. Parker, Richard & Aggleton, Peter, 2003. "HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action," Social Science & Medicine, Elsevier, vol. 57(1), pages 13-24, July.
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    6. Smith, Daniel Jordan & Mbakwem, Benjamin C., 2010. "Antiretroviral therapy and reproductive life projects: Mitigating the stigma of AIDS in Nigeria," Social Science & Medicine, Elsevier, vol. 71(2), pages 345-352, July.
    7. Genberg, Becky L. & Hlavka, Zdenek & Konda, Kelika A. & Maman, Suzanne & Chariyalertsak, Suwat & Chingono, Alfred & Mbwambo, Jessie & Modiba, Precious & Van Rooyen, Heidi & Celentano, David D., 2009. "A comparison of HIV/AIDS-related stigma in four countries: Negative attitudes and perceived acts of discrimination towards people living with HIV/AIDS," Social Science & Medicine, Elsevier, vol. 68(12), pages 2279-2287, June.
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