Just over half of physicians at two of Malaysia’s leading medical universities expressed some intention to discriminate against patients with HIV in a survey. Dr Tee Ying Chew of the University of Malaya and colleagues published the results in AIDS and Behavior.

Around 90,000 people are living with HIV in Malaysia, with HIV concentrated among stigmatised groups, including men who have sex with men, people who inject drugs, transgender women and female sex workers. Only 28% of people with HIV receive HIV treatment, with stigma being seen as a barrier to further uptake.

All physicians, working in a range of medical specialities, who were employed at two medical universities were sent the survey, which was completed by 568 of the 1431 physicians. Participants had been practicing medicine for an average of ten years. Read more via AIDSmap

Evaluating Physicians’ Intention to Discriminate Against Patients Living with HIV in Malaysia

Tee, Y.C., Earnshaw, V.A., Altice, F.L. et al. AIDS Behav (2018). https://doi.org/10.1007/s10461-018-2362-4

Abstract

People with HIV (PWH) in Malaysia experience high levels of stigma, which may act as a barrier to accessing healthcare. Stigma against PWH in medical settings is understudied in Malaysia. In the present study, we examine factors associated with physicians’ intention to discriminate against PWH in Malaysia. A cross-sectional online survey was emailed to all 1431 physicians at two major university hospitals in Malaysia; 568 (39.6%) participants completed the survey and were included in this analysis. Measures included intention to discriminate against PWH, stigma-related constructs, and socio-demographic characteristics. Multivariate linear regression was used to identify factors associated with intention to discriminate against PWH. Participants were comprised of women (53.5%), Malays (43.1%), and Chinese (35.0%) with nearly 10 years of clinical experience. Most participants were from non-surgical specialties (77.6%). The final multivariate linear regression showed that physicians who expressed greater discriminatory intent against PWH also expressed more negative feelings toward PWH, more HIV-related shame, were more fearful of HIV, and believed that PWH do not deserve good care. Physicians from surgical-based specialties were also significantly more likely to endorse discriminatory intent toward PWH. Stigma and intentions to discriminate against a class of patients, including PWH, can undermine engagement in care, which is central to international HIV prevention and treatment strategies. Interventions that reduce stigma toward PWH among physicians are crucial to ensuring equitable and stigma-free healthcare.

Keywords

HIV Discrimination Stigma Malaysia Physicians Healthcare