HIV-related stigma in health facilities has been suggested as a primary target for HIV-related stigma reduction. The objective of this study was to describe negative attitudes among Thai healthcare personnel (HCP) toward PLHIV. This nationwide probability sampled survey was conducted in 2019 in 12 provinces in Thailand and Bangkok, the capital. Participants were considered to have stigmatizing attitudes toward PLHIV if they had a stigmatizing view in response to at least one of the four questions. Eighty-two percent of the 3056 respondents had at least one stigmatizing attitude. Younger HCP, ages < 30 (AOR = 1.60; 95%CI: 1.18–2.18) and 30–39 (AOR = 1.60; 95%CI: 1.21–2.12) were more likely to have stigmatizing attitudes towards PLHIV compared to those aged 50 and older. Being support staff, support-clinical (AOR = 1.89; 95%CI: 1.44–2.49) and support-nonclinical (AOR = 1.71; 95%CI: 1.24–2.36) as opposed to professional staff also increased the likelihood of having stigmatizing attitudes. Stigma was also more likely to be present in HCPs who did not work at HIV-focused clinics (AOR = 1.97; 95%CI: 1.57–2.48). HCP who had more work experience, especially related to PLHIV care, were less likely to have stigmatizing attitudes. These personnel could be good peer educators or role models for a stigma reduction campaign within their healthcare facilities.

中文翻译：

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泰国医护人员对艾滋病毒感染者的污名化态度减少与工作经验增加有关

已建议将卫生设施中与 HIV 相关的污名作为减少 HIV 相关污名的主要目标。本研究的目的是描述泰国医护人员 (HCP) 对 PLHIV 的负面态度。这项全国概率抽样调查于 2019 年在泰国和首都曼谷的 12 个省进行。如果参与者在回答四个问题中的至少一个时持有污名化观点，则他们被认为对 PLHIV 持有污名化态度。在 3056 名受访者中，82% 的人至少有一种污名化态度。与 50 岁的人相比，年龄 < 30 岁（AOR = 1.60；95%CI：1.18-2.18）和 30-39 岁（AOR = 1.60；95%CI：1.21-2.12）的年轻 HCP 更有可能对 PLHIV 持有污名化态度而且年纪大了。作为支持人员，支持临床（AOR = 1.89；95% CI：1.44–2。49) 和支持非临床 (AOR = 1.71; 95% CI: 1.24–2.36) 与专业人员相比也增加了污名化态度的可能性。不在以 HIV 为重点的诊所工作的 HCP 也更有可能存在耻辱感（AOR = 1.97；95% CI：1.57–2.48）。有更多工作经验的 HCP，尤其是与 PLHIV 护理相关的工作经验，不太可能有污名化的态度。这些人员可能是良好的同伴教育者或在其医疗机构内开展减少污名化运动的榜样。不太可能有污名化的态度。这些人员可能是良好的同伴教育者或在其医疗机构内开展减少污名化运动的榜样。不太可能有污名化的态度。这些人员可能是良好的同伴教育者或在其医疗机构内开展减少污名化运动的榜样。