Occupational exposure, attitude to HIV-positive patients and uptake of HIV counselling and testing among health care workers in a tertiary hospital in Nigeria
| Autor: | Modupe O. Onadeko, Mary O. Balogun, Olanrewaju Onigbogi, Folashade O. Omokhodion |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Adult Counseling Male medicine.medical_specialty Health Knowledge Attitudes Practice HIV counselling and testing Health (social science) Attitude of Health Personnel Health Personnel 030106 microbiology Human immunodeficiency virus (HIV) Quality care Nigeria Nursing Staff Hospital medicine.disease_cause Article health care workers Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) attitude to HIV patients Risk Factors Surveys and Questionnaires Health care HIV Seropositivity Immunology and Allergy Medicine Humans health care workers occupational exposure attitude to HIV patients HIV counselling and testing 030212 general & internal medicine business.industry lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Age Factors virus diseases lcsh:RA1-1270 Professional-Patient Relations Original Articles occupational exposure medicine.disease Infectious Diseases Blood Cross-Sectional Studies Emergency medicine Female Occupational exposure business |
| Zdroj: | SAHARA-J: Journal of Social Aspects of HIV/AIDS; Vol 14, No 1 (2017); 193-201 SAHARA-J, Vol 14, Iss 1, Pp 193-201 (2017) SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance |
| ISSN: | 1729-0376 1813-4424 |
| Popis: | Health care workers (HCWs) are at risk of occupational exposure to HIV. Their attitude to HIV-positive patients influences patients’ willingness and ability to access quality care. HIV counselling and testing (HCT) services are available to inform HCWs and patients about their status. There is little information about HCT uptake and attitude to HIV-positive patients among HCWs in tertiary health facilities in Nigeria. The aim of this study was to determine occupational exposure and attitude to HIV-positive patients and level of uptake of HCT services among HCWs in a tertiary hospital in Nigeria. A cross-sectional design was utilized. A total of 977 HCWs were surveyed using semi-structured, self-administered questionnaires. Nurses and doctors comprised 78.2% of the respondents. Their mean age was 35 + 8.4 years. Almost half, 47.0%, reported accidental exposure to blood and body fluids (BBFs) in the preceding year. The main predictor of accidental exposure to BBFs in the last year was working in a surgical department, OR = 1.7, 95% CI (1.1–2.6). HCWs aged 5 years, OR = 3.6, 95% CI (1.4–9.3) and who work in nursing department, OR = 6.8, 95% CI (1.7–27.1) were more likely to be exposed to BBFs. Almost half, 52.9%, had accessed HCT services. Predictors for HCT uptake were age 5 years OR = 1.5, 95% CI (1.03–2.2) and working in medical department OR = 1.7, 95% CI (1.1–2.8). Respondents in nursing departments were more likely to require routine HIV test for all patients, OR = 3.9, 95% CI (2.4–6.2). HCWs in the laboratory departments were more likely to believe that HIV patients should be on separate wards, OR = 3.6, 95% CI (1.9–7.0). HCWs should be protected and encouraged to access HCT services in order to be effective role models in the prevention of HIV/AIDS.Keywords: health care workers, occupational exposure, attitude to HIV patients, HIV counselling and testing |
| Databáze: | OpenAIRE |
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