Knowledge, attitude, and practice of HIV/AIDS‑related stigma and discrimination reduction among nursing students in southwest Nigeria
Abstract
Background: One of the reported obstacles to the achievement of universal access to Human Immunodeficiency Virus (HIV) prevention, treatment, care, and support programs includes stigma and discrimination from health workers, particularly nurses. Since nursing students would become future practising nurses and are most likely exposed to caring for people living with HIV/AIDS (PL WHA) during their training, it is of great importance to assess the knowledge, attitude, and practice of student nurses toward the reduction of HIV/AIDS‑related stigma and discrimination.
Materials and Methods: A descriptive survey research design was used. A total of 150 nursing students were selected using the simple random sampling technique of fish bowl method with replacement. Data were obtained using a self‑administered (33‑item) validated questionnaire to assess the knowledge, attitude, and practice of student nurses with regard to HIV/AIDS‑related stigma and discrimination reduction strategies. Reliability of the tool was tested using Cronbach alpha (R) yielding a reliability value of 0.72. Data collected were analyzed with descriptive statistics of frequencies and percentages.
Results: Majority (76.0%) of the respondents were females and 82.7% were married. Respondents were found to have high knowledge (94.0%) of strategies for reducing HIV/AIDS‑related stigma and discrimination. Also, 64% had moderate discriminatory attitude, 74% engaged in low discriminatory practice, while 26% engaged in high discriminatory practice.
Conclusions: Student nurses had adequate knowledge about strategies for reducing HIV/AIDS‑related stigma and discrimination; negative discriminatory attitude toward PLWHA and some form of discriminatory practices exist in participants’ training schools. It is, therefore, recommended that an educational package on reduction of HIV/AIDS‑related stigma and discrimination be developed and implemented for the participants.
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UNAIDS: Joint United Nations Programme on HIV/AIDS. 2014.
Parker R, Aggleton P, Attawell K, Pulerwitz J, Brown L. HIV/ AIDS‑Related Stigma and Discrimination: A Conceptual Framework and Agenda for Action: Horizons Programme.
Washington, DC: Population Council; 2002. p. 22
Herek GM, Mitnick L, Buris S, Chesney M, Devine P, Fullilove MT, et al. Workshop report. AIDS and stigma: A conceptual framework and research agenda. AIDS Public Policy J 1998;13:36‑47.
UNAIDS. HIV and AIDS‑Related Stigmatization, Discrimination and Denial: Forms, Contexts and Determinants. Research Studies from Uganda and India (Prepared for UNAIDS by Peter
Aggleton). Geneva, Switzerland: UNAIDS; 2000. p. 4‑11
Andrewin A, Chien LY. Stigmatization of patients with HIV/ AIDS among doctors and nurses in Belize. AIDS Patients Care STDS 2008;22:897‑906.
World Health Organisation. Global Programme on AIDS: Report of a WHO Consultation in the Prevention of HIV and Hepatitis B Virus Transmission in the Health Care Setting. Geneva: World
Health Organisation; 1991. p. 3.
Centers for Disease Control (CDC). Update: Acquired immunodeficiency syndrome and human immunodeficiencyvirus infection amonghealth‑care workers. MMWR Morb Mortal Wkly Rep 1988;37:229‑34, 239.
Federal Ministry of Health and Social Services Nigerian Association Guidelines. In: FMOH/NMA, editors. Handbook on HIV Infection and AIDS for Health Workers. Lagos: Gabumo
Press; 1992. p. 44‑62.
Olowokere A. Ethical Issues on HIV/AIDS with Emphasis on Integrating the Care of People Affected by AIDS (PABA) into Reproductive Health Programme. Being a Paper Presented at
the 2006 Conference of Heads of Schools of Nursing, Psychiatry and Midwifery at General Abdul Salami Youth Centre Minna, Niger State, Nigeria. 2006.
Aisen AO, Shobowale MO. Health care workers’ knowledge on HIV/AIDS: Universal precautions and attitude towards PLWHA in Benin‑City, Nigeria. Niger J Clin Pract 2005;8:74‑82.
Lehmann U, Zulu J. How nurses in Cape Town clinics experience the HIV epidemic. AIDS Bulletin 2005;14:1.
Delobelle P, Rawlinson JL, Ntuli S, Malatsi I, Decock R, Depoorter AM. HIV/AIDS knowledge, attitudes, practices and perceptions of rural nurses in South Africa. J Adv Nurs 2009;65:1061‑73.
Saob AE, Fawole AO, Sadoh WE, Oladimeji AO, Sotiloye OS. Attitude of health‑care workers to HIV/AIDS. Afr J Reprod Health 2006;10:39‑46.
Stavropoulou A, Stroubouki T, Lionaki A, Lionaki S, Bakogiorga H, Zidianakis Z. Student Nurses’ perception on caring for people living with HIV. Health Sci J 2011;5:288‑96.
Shah SM, Heylen E, Srinivasan K, Perumpi S, Ekstrand ML. Reducing HIV Stigma among nursing students: A brief intervention. West J Nurs Res 2014;36:1323‑37.
Suominen T, Laakkonen L, Lioznov D, Polukova M, Nikolaenko S, Lipiäinen L, et al. Russian nursing students’ knowledge level and attitudes in the context of human immunodeficiency
virus (HIV)‑a descriptive study. BMC Nurs 2015;14:1.
Cao X, Sullivan SG, Xu J, Wu Z; China CIPRA Project 2 Team. Understanding HIV‑related stigma and discrimination on a “blameless” population. AIDS Educ Prev 2006;18:518‑28.
Webber GC. Chinese health care providers’ attitudes about HIV: A review. AIDS care (Other) 2007;19:685‑91.
Pickles D, King L, Belan I. Attitudes of nursing students towards caring for people living with HIV/AIDS: Thematic literature review. J Adv Nurs 2009;65:2262‑73.
Sengputa S, Banks B, Jonas D, Miles MS, Smith GC. HIV interventions to reduce HIV/AIDS Stigma: A systematic review. AIDS Behav 2011;15:1075‑87.
Tesić V, Kolarić B, Begovac J. Attitudes towards HIV/AIDS among final year medical students at the University of Zagreb Medical
School‑Better in 2002 than in 1993 but still unfavourable. Coll Antropol 2006;30(Suppl 2):89‑97.
Platten M, Pham HN, Nguyen HV, Nguyen NT, Le GM. Knowledge of HIV and factors associated with attitudes towards HIV among final‑year medical students at Hanoi Medical University in Vietnam. BMC Public Health 2014;14:265.
International Center for Research on Women (ICRW). HIVS/AIDS Stigma: Finding Solutions to Strengthen HIV/AIDS Programs. Washington DC: USA. International Center for Research on
Women (ICRW); 2006. Available from: http://www.icrw.org/ publications/hivaids‑stigma‑finding‑solutions‑strengthen‑hivaids‑programs. [Last accessed on 2014 Sep 13].
Nwozichi CU, Farotimi AA. Knowledge and acceptance of HIV counselling and testing (HCT) among non‑teaching staff of a private university in south‑west Nigeria: The case of Babcock
University. Asian J Nurs Educ Res 2014;4:352‑6.
Reis C, Heisler M, Amowitz LL, Moreland RS, Mafeni JO, Anyamele C, et al. Discriminatory attitudes and practices by health workers towards patients with HIV/AIDS in Nigeria. PLoS
Med 2005;2:e246.
Hentgen V, Jaureguiberry S, Ramiliarisoa A, Andrianantoandro V, Belec M. Knowledge, attitude and practices of health personnel with regard to HIV‑AIDS in Tamatave (Madagascar). Bull Soc Pathol Exot 2002;95:103‑8.
Le Pont F, Hatungimana V, Guiguet M, Ndayiragije A, Ndoricimpa J, Niyongabo T, et al. Assessment of occupational exposure to human immunodeficiency virus and hepatitis C
virus in a referral hospital in Burundi, Central Africa. Infect Control Hosp Epidemiol 2003;24:717‑8.
Shriyan A, Roche R, Annamma. Incidence of occupational exposures in a tertiary health care center. Indian J Sex Transm Dis 2012;33:91‑7.
Nwozichi CU. Extending HIV/AIDS policy abroad through international collaboration aimed at promoting positive sexual behaviours of African students schooling in foreign countries.”
Afr J AIDS Res 2015; 14: iii.
Shivalli S. Occupational exposure to HIV: Perceptions and preventive practices of Indian nursing students. Adv Prev Med 2014;2014:296148
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