Health facility stigma impedes HIV care and treatment. Worry of contracting HIV while caring for people living with HIV is a key driver of health facility stigma, however evidence for this relationship is largely cross-sectional. This study evaluates this relationship longitudinally amongst nursing students and ward staff in India. Worry of contracting HIV and other known predictors of intent to discriminate were collected at baseline and 6 months in 916 nursing students and 747 ward staff. Using fixed effects regression models, we assessed the effect of key predictors on intent to discriminate over a 6-month period. Worry of contracting HIV predicted intent to discriminate for nursing students and ward staff in care situations with low and high-risk for bodily fluid exposure, confirming prior cross-sectional study results and underscoring the importance of addressing worry of contracting HIV as part of health facility HIV stigma-reduction interventions.

医疗机构的耻辱阻碍了艾滋病毒护理和治疗。担心在照顾艾滋病毒感染者时感染艾滋病毒是医疗机构耻辱的一个关键驱动因素，但这种关系的证据主要是横截面的。这项研究纵向评估了印度护理学生和病房工作人员之间的这种关系。研究人员在基线和 6 个月内收集了 916 名护生和 747 名病房工作人员对感染艾滋病毒的担忧以及其他已知的歧视意图预测因素。使用固定效应回归模型，我们评估了 6 个月内关键预测因素对歧视意图的影响。对感染艾滋病毒的担忧预示着在体液暴露风险低和高的护理环境中歧视护生和病房工作人员的意图，证实了之前的横断面研究结果，并强调了作为医疗机构一部分解决感染艾滋病毒担忧的重要性减少艾滋病毒耻辱的干预措施。