PMID- 17711384 OWN - NLM STAT- MEDLINE DCOM- 20071023 LR - 20070822 IS - 1087-2914 (Print) IS - 1087-2914 (Linking) VI - 21 IP - 8 DP - 2007 Aug TI - Inequality and unwillingness to care for people living with HIV/AIDS: a survey of medical professionals in Southeast China. PG - 593-601 AB - This study was aimed at assessing physicians' and physician assistants' knowledge and attitudes toward HIV/AIDS and identifying determinants of willingness to care for infected individuals in Southeast China. From May to June 2004, 454 physicians and physician assistants from 5 different medical facility levels in Fujian Province, China, undertook a survey on knowledge, attitude, behavior, and practice (KABP). Only 40.4% (95% confidence intervals: 35.9, 44.9) were willing to provide healthcare services for people living with HIV/AIDS (PLWHAs). Knowledge (p < 0.001) and attitude scores (p = 0.01) as well as the proportion of those willing to provide care (p < 0.001) significantly differed by facility level. Multivariate analysis identified supportive attitudes toward PLWHAs (p < 0.001), self-confidence in providing care (p < 0.001), and facility level as significant predictors of willingness to care for infected individuals. Village medical stations showed the most unfavorable outcomes. Enhanced education as well as specific programs promoting supportive attitudes and willingness to care is therefore required, especially among those working at lower facility levels in remote areas. FAU - Cai, Guoxi AU - Cai G AD - Research Center for Tropical Infectious Diseases, Nagasaki University Institute of Tropical Medicine, Nagasaki, Japan., Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. FAU - Moji, Kazuhiko AU - Moji K FAU - Honda, Sumihisa AU - Honda S FAU - Wu, Xiaonan AU - Wu X FAU - Zhang, Konglai AU - Zhang K LA - eng PT - Journal Article PL - United States TA - AIDS Patient Care STDS JT - AIDS patient care and STDs JID - 9607225 SB - IM MH - Adult MH - Ambulatory Care Facilities MH - *Attitude of Health Personnel MH - China MH - Confidence Intervals MH - Female MH - HIV Infections/*therapy MH - *Health Care Surveys MH - *Health Knowledge, Attitudes, Practice MH - Hospitals MH - Humans MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Physician Assistants/*psychology MH - Physicians/*psychology EDAT- 2007/08/23 09:00 MHDA- 2007/10/24 09:00 CRDT- 2007/08/23 09:00 PHST- 2007/08/23 09:00 [pubmed] PHST- 2007/10/24 09:00 [medline] PHST- 2007/08/23 09:00 [entrez] AID - 10.1089/apc.2006.0162 [doi] PST - ppublish SO - AIDS Patient Care STDS. 2007 Aug;21(8):593-601. doi: 10.1089/apc.2006.0162.