HIV-knowledge and Attitudes in Swedish Nursing Homes : A collective case study of three nursing homes in Stockholm
Abstract: Background: Due to the effective antiretrovirals are people living with HIV expected live up to 70 years of age. Approximately half of the people living with HIV in Sweden are above 50 years old and estimated to become enrolled into the Swedish elderly care system. Concern about the Swedish elderly care preparedness for greeting people living with HIV is growing, based on previous experiences of stigma in the general society, many are feeling anxious that they will become victims of stigmatization and discrimination in the Swedish elderly care system. Method: A collective case study was conducted of three nursing homes with different organizational background in Nacka municipality, Stockholm. Interviews with superintendents from each nursing home was performed and 95 health care workers at the nursing homes completed a questionnaire. Collected data was entered to Excel for descriptive analysis and all statistical analysis was performed in R: The R project for statistical computing. Pearson´s Chi-squared test was used to analyze categorial data, e.g., to find potential statistical significance between the variables and Pearson’s correlation coefficient was used to examine if the variables fluctuate together. Result: The general knowledge about HIV was not more than average among the participating health care workers and many stated concern towards HIV, which might impact on their attitudes and their practical performance when attending a person living with HIV. One of the nursing homes had experience of attending a person living with HIV and showed less feelings of concern compared to the other participating nursing homes. This support the idea that experience of attending a person living with HIV minimizes feelings of concern and negative attitudes to HIV. Like previous studies, this study highlights the relationship between higher degree of education and less negative attitudes towards HIV. However, none of the mentioned results showed a statistically significance outcome possibly due to the small sample size. To reduce risk of HIV stigma and feelings of concern among health care workers must HIV be discussed and prioritized in the Swedish elderly care system, as well as in municipalities.
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