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M94A1940.TXT
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1994-10-24
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Document 1940
DOCN M94A1940
TI Discrimination against patients with HIV infection by health care
workers.
DT 9412
AU D'Andrea C; Vaccher E; Spina M; Errante D; Bernardi D; Simonelli C;
Nasti G; Tirelli U; Division of Medical Oncology and AIDS, Centro di
Riferimento; Oncologico, Aviano (PN), Italy.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):417 (abstract no. PD0277). Unique
Identifier : AIDSLINE ICA10/94370635
AB OBJECTIVES: to evaluate whether a discrimination exists against patients
with HIV infection by health care workers. METHODS: at the CRO, Aviano,
212 patients from every part of Italy, have been interviewed. Of these,
162 (76%) were males, the median age was 30 years. One-hundred-fourty
(66%) intravenous drug users, 32 (16%) heterosexuals, 23 (11%)
homosexuals, 2 bisexuals, 2 transfused, 13 without risk behaviour.
RESULTS: Seventy-six patients (36%) reported at least 1 case of
discrimination underwent within the health system, 13 patients reported
more than two cases. The most involved health categories are the
dentists with 44 cases (50%), the internists with 13 cases (15%), the
surgeons with 9 cases (10%), others (ginecologists, orthopedic surgeons,
etc.) with 19 cases (21%), general practitioners with 4 cases (4%). The
79% of the reported cases concern the refusal of the assistance (for
example refusal to practise a tooth extraction or dental care, but also
refusal to hospitalize or to make diagnostic examinations). The last
data obtained from the questionnaire is referred to the reporting of the
seropositivity status of the patients to the health care workers. One
hundred-seventy-six (83%) have spontaneously reported to the health care
workers their seropositivity status, the other 36 (17%) have not
reported. Analysing this last kind of choice, from 24 questionnaires we
found that 14 subjects did not report their seropositivity status
because they had previously suffered discrimination, 10 had never
reported their seropositivity status and they had never suffered
discrimination. Twenty-two persons have been victims of episodes of
discrimination, but they keep on reporting their status. DISCUSSION: the
results obtained in the study allow us to state that in Italy there is a
discriminatory behaviour by several health care workers against persons
with HIV infection. Such behaviour, besides being directly contrary to
the professional ethics of the health care workers, does not prevent
contacts with HIV+ patients.
DE Adult *Ethics, Professional Female *Health Personnel Human *HIV
Infections/THERAPY *HIV Seropositivity Interviews Italy Male
*Prejudice Questionnaires MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).