This study compared community health workers' (CHW) stigma towards people living with HIV (PLH) and people who use drugs (PWUD) and explored the relationship between stigma and CHWs' confidence level in providing HIV/drug-related services. Using two sets of identically worded questions, levels of stigma towards PWUD and PLH were measured among 120 CHW from 60 communes in Vietnam. The associations between CHWs' confidence in service provision and stigma towards PWUD and PLH were examined using a linear mixed-effects regression model. The majority of the CHW reported higher levels of stigma towards PWUD than towards PLH. Compared to the CHW reporting higher stigma towards PWUD, those with higher stigma towards PLH were significantly less confident in service provision. Social opprobrium attached to drug-using behaviors can be a major driver behind the overall HIV stigma. CHWs' fear of HIV infection should be tackled to boost their confidence in HIV/drug-related care provision.

中文翻译：

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越南社区卫生工作者中与艾滋病毒和毒品使用有关的污名和服务提供

这项研究比较了社区卫生工作者（CHW）对艾滋病毒感染者（PLH）和吸毒者（PWUD）的污名化，并探讨了污名化与CHWs在提供HIV /毒品相关服务方面的信心水平之间的关系。使用两组措辞相同的问题，对越南60个乡镇的120名CHW中的PWUD和PLH污名进行了测量。使用线性混合效应回归模型检查了CHW对服务提供的信心与对PWUD和PLH的污名之间的关联。大部分的CHW对PWUD的污名程度高于对PLH的污名。与CHW相比，他们对PWUD的污名化更高，而对PLH的污名化更高的人对服务提供的信心则大大降低。与毒品使用行为相关的社会op亵可能是导致整个艾滋病毒耻辱感的主要驱动力。应消除CHW对HIV感染的恐惧，以增强他们对与HIV /药物相关的医疗服务的信心。