<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">jsms</journal-id><journal-title-group><journal-title xml:lang="ru">Journal of Siberian Medical Sciences</journal-title><trans-title-group xml:lang="en"><trans-title>Journal of Siberian Medical Sciences</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2542-1174</issn><publisher><publisher-name>Federal state budgetary educational institution of higher education "Novosibirsk state medical university" of  Ministry of Health of the Russian Federation (FSBEI HE NSMU MOH Russia)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31549/2542-1174-2019-1-78-87</article-id><article-id custom-type="elpub" pub-id-type="custom">jsms-560</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Стигма и дискриминация в отношении людей, живущих с ВИЧ: взгляд студентов-медиков</article-title><trans-title-group xml:lang="en"><trans-title>Stigma and discrimination against people living with HIV: the view of medical students</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хрянин</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Khryanin</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хрянин Алексей Алексеевич — доктор медицинских наук, профессор кафедры дерматовенерологии и косметологии НГМУ; вице-президент РОО «Ассоциация акушеров-гинекологов и дерматовенерологов».</p><p>630091, Новосибирск, Красный просп., 52.</p></bio><bio xml:lang="en"><p>Khryanin Aleksey Alekseevich — Dr. Sci. (Med.), Professor of the Department of Dermatovenereology and Cosmetology, Novosibirsk State Medical University; Vice-President of the Association of Obstetricians-Gynecologists and Dermatovenereologists.</p><p>52, Krasny Prospect, Novosibirsk, 630091.</p></bio><email xlink:type="simple">khryanin@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Решетников</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Reshetnikov</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Решетников Олег Вадимович — доктор медицинских наук, ведущий научный сотрудник.</p><p>Новосибирск.</p></bio><bio xml:lang="en"><p>Reshetnikov Oleg Vadimovich — Dr. Sci. (Med.), Leading Researcher, Research Institute of Internal and Preventive Medicine.</p><p>Novosibirsk.</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бочарова</surname><given-names>В. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Bocharova</surname><given-names>V. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бочарова Валентина Константиновна — студентка 5-го курса педиатрического факультета.</p><p>630091, Новосибирск, Красный просп., 52.</p></bio><bio xml:lang="en"><p>Bocharova Valentina Konstantinovna — Student, 5th course of the Pediatric Faculty, Novosibirsk State Medical University.</p><p>52, Krasny Prospect, Novosibirsk, 630091.</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шпикс</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shpiks</surname><given-names>Т. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шпикс Татьяна Александровна — кандидат медицинских наук, доцент кафедры педагогики и психологии.</p><p>630091, Новосибирск, Красный просп., 52.</p></bio><bio xml:lang="en"><p>Shpiks Tatyana Aleksandrovna — Cand. Sci. (Med.), Associate Professor of the Department of Pedagogy and Psychology, Novosibirsk State Medical University.</p><p>52, Krasny Prospect, Novosibirsk, 630091.</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Русских</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Russkikh</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Русских Мария Викторовна — аспирант кафедры дерматовенерологии  и  косметологии.</p><p>630091, Новосибирск, Красный просп., 52.</p></bio><bio xml:lang="en"><p>Russkich Marya Victorovna — Post-graduate Student of the Department of Dermatovenereology and Cosmetology, Novosibirsk State Medical University.</p><p>52, Krasny Prospect, Novosibirsk, 630091.</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Евстропов</surname><given-names>A. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Evstropov</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Евстропов Александр Николаевич — доктор медицинских наук, профессор, заведующий кафедрой микробиологии, вирусологии и иммунологии.</p><p>630091, Новосибирск, Красный просп., 52.</p></bio><bio xml:lang="en"><p>Evstropov Aleksandr Nikolaevich — Dr. Sci. (Med.), Professor, Head of the Department of Microbiology, Virology and Immunology, Novosibirsk State Medical University.</p><p>52, Krasny Prospect, Novosibirsk, 630091.</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маринкин</surname><given-names>И. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Marinkin</surname><given-names>I. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Маринкин Игорь Олегович — доктор медицинских наук, профессор, заведующий кафедрой акушерства и гинекологии, ректор.</p><p>630091, Новосибирск, Красный просп., 52.</p></bio><bio xml:lang="en"><p>Marinkin Igor Olegovich — Dr. Sci. (Med.), Professor, Head of the Department of Obstetrics and Gynecology, Rector, Novosibirsk State Medical University.</p><p>52, Krasny Prospect, Novosibirsk, 630091.</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Новосибирский государственный медицинский университет Минздрава России; Ассоциация акушеров-гинекологов и дерматовенерологов</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Novosibirsk State Medical University; Regional Public Organization “Association of Obstetricians-gynecologists and Dermatovenereologists”</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>НИИ терапии и профилактической медицины — филиал ФГБНУ «Федеральный исследовательский центр Институт цитологии и генетики СО РАН»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Internal and Preventive Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Новосибирский государственный медицинский университет Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Novosibirsk State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>25</day><month>07</month><year>2019</year></pub-date><volume>0</volume><issue>1</issue><fpage>78</fpage><lpage>87</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Хрянин А.А., Решетников О.В., Бочарова В.К., Шпикс Т.А., Русских М.В., Евстропов A.Н., Маринкин И.О., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Хрянин А.А., Решетников О.В., Бочарова В.К., Шпикс Т.А., Русских М.В., Евстропов A.Н., Маринкин И.О.</copyright-holder><copyright-holder xml:lang="en">Khryanin A.A., Reshetnikov O.V., Bocharova V.K., Shpiks Т.A., Russkikh M.V., Evstropov A.N., Marinkin I.O.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://jsms.elpub.ru/jour/article/view/560">https://jsms.elpub.ru/jour/article/view/560</self-uri><abstract><p>Западная Сибирь является одним  из основных регионов с большим количеством ВИЧ-инфицированных лиц. Участковые терапевты — ключевое звено, которое осуществляет первый контакт с ВИЧ-инфицированными. Однако пока не ясно, насколько врачи общей практики готовы к работе с ВИЧ-инфицированными лицами. В свою очередь, эффективное взаимодействие врача с пациентом может оказаться решающим в формировании позитивного отношения пациента к лечению и в значительной степени повлиять на эффективность будущих лечебных мероприятий. Исследование, результаты которого представлены в статье, было проведено в 2017 г. путем анонимного анкетирования. В исследовании приняло участие 334 студента 4-го курса лечебного и педиатрического факультетов Новосибирского государственного медицинского университета. Для опроса была использована адаптированная анкета, созданная на основе типового опросника ЮНЭЙДС (UNAIDS — Joint United Programme on HIV/AIDS). Обнаружено, что студенты-медики не осуждают ВИЧ-инфицированных людей. Они не считают, что люди с положительным ВИЧ-статусом обязательно ведут себя безнравственно и поэтому заслуживают это заболевание. Они готовы помогать этим пациентам, хотя сами при этом испытывают страх заражения во время лечебных манипуляций.</p><p>Установлено незнание ряда правовых вопросов, касающихся ВИЧ-инфицированных пациентов.</p></abstract><trans-abstract xml:lang="en"><p>Western Siberia is one of the main regions with a large number of HIV-infected people. District therapists are the key link that makes the first contact with HIV-infected people. However, it is not yet clear how ready General practitioners are to work with HIV-infected persons. In turn, the effective interaction of the doctor with the patient can be decisive in the formation of a positive attitude of the patient to treatment and significantly affect the effectiveness of future therapeutic measures.</p><p>The study, the results of which are presented in the article, was conducted in 2017 using an anonymous survey. The study involved 334 students of the 4th year of medical and pediatric faculties of the Novosibirsk State Medical University. An adapted questionnaire based on the UNAIDS (Joint United Programme on HIV/AIDS) model questionnaire was used for the survey. It was found that medical students do not condemn HIV-infected people. They do not believe that peoplewith HIV-positive status necessarily behave immorally and therefore deserve the disease. They are ready to help these patients, although they themselves have a fear of infection during medical manipulations. Ignorance of a number of legal issues concerning HIV-infected patients is established.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ВИЧ-инфекция</kwd><kwd>студенты-медики</kwd><kwd>стигматизация</kwd></kwd-group><kwd-group xml:lang="en"><kwd>HIV-infection</kwd><kwd>medical students</kwd><kwd>stigmatization</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Авторы выражают благодарность за активное участие в проведении анкетирования следующим студентам: Коваленко Г.А., Литохиной М.А., Сухареву Ф.А., Толмашовой О.П., Хорунжий С.С., Сулеймановой Ж.И.</funding-statement><funding-statement xml:lang="en">The authors express their gratitude for active participation in questioning following students: Kovalenko G.A., Litohina M.A., Sukharev F.A., Tolmashova O.P., Horunzhiy S.S., Suleymanova J.I.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Stigma and discrimination against people living with HIV remains wide spred in Asia and the Pacific: report shows. URL: http://www.unaids.org/ru/resources/presscentre/featurestories/2011/august/20110829stigmaindex. Дата обращения: 08.11.2018.</mixed-citation><mixed-citation xml:lang="en">Stigma and discrimination against people living with HIV remains wide spread in Asia and the Pacific: report shows (2011). Retrieved November 8, 2018, from http://www.unaids.org/ru/resources/presscentre/featurestories/2011/august/20110829stigmaindex.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Елькина И.А. Зависимость эпидемической обстановки по туберкулезу от ситуации по ВИЧ-инфекции в г. Кемерово // Journal of Siberian Medical Sciences. 2018. № 1. С. 49–55.</mixed-citation><mixed-citation xml:lang="en">El’kina I.A. (2018). Dependence of tuberculosis epidemic situation on HIV-infection in Kemerovo. Journal of Siberian Medical Sciences, 1, 49–55.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Краснова Е.И., Хохлова Н.И., Проворова В.В., Ульянова Я.С., Филина Е.И. Анализ эпидемиологических данных по ВИЧ-инфекции на современном этапе // Journal of Siberian Medical Sciences. 2018. № 1. С. 84–95.</mixed-citation><mixed-citation xml:lang="en">Krasnova E.I., Khokhlova N.I., Provorova V.V., Ul’yanova Ya.S., Filina E.I. (2018). Analysis of presentday HIV-infection epidemiological data. Journal of Siberian Medical Sciences, 1, 84–95.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Здравоохранение в России 2017: Стат. сборник / Федеральная служба государственной статистики. М., 2017. С. 43. URL: gks.ru/free_doc/doc_2017/zdrav17.pdf. Дата обращения: 08.11.2018.</mixed-citation><mixed-citation xml:lang="en">Health Care in Russia 2017 (2017). Moscow: Federal State Statistics Service, 43. Retrieved November 8, 2018 from URL: gks.ru/free_doc/doc_2017/zdrav17.pdf.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">UNAIDS Global Report. UNAIDS Report on the global AIDS epidemic 2010. URL: http://www.unaids.org/globalreport/globalreport.htm. Дата обращения: 08.11.2018.</mixed-citation><mixed-citation xml:lang="en">UNAIDS Global Report. UNAIDS report on the global AIDS epidemic 2010 (2010). Retrieved November 8, 2018, from http://www.unaids.org/globalreport/globalreport.htm.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Камалдинов Д.О., Касик Е.П., Уфимцев Д.Г. и др. Индекс стигмы людей, живущих с ВИЧ. Отчет по результатам социологического исследования. Новосибирск, 2014.</mixed-citation><mixed-citation xml:lang="en">Kamaldinov D.O., Kasik E.P., Ufimtsev D.G et al. (2014). Stigma Index of People Living with HIV. Report on the Results of Sociological Research. Novosibirsk. In Russ.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Parker R., Aggleton P., Attawell K., Pulerwitz J., Brown L. HIV/AIDS-related stigma and discrimination: A conceptual framework and an agenda for action. Population Council, Washington, DC, USA, 2002. 28 p.</mixed-citation><mixed-citation xml:lang="en">Parker R., Aggleton P., Attawell K., Pulerwitz J., Brown L. (2002). HIV/AIDS-related Stigma and Discrimination: A Conceptual Framework and an Agenda for Action. Washington: Population Council, 28 p.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Chan K.Y., Yang Y., Li Z.R., Stoove M.A., Reidpath D.D. Interrelationships between HIV/AIDS and risk behavior prejudice among medical students in Southern China // Curr. HIV Res. 2009. Vol. 7 (6). P. 606–611.</mixed-citation><mixed-citation xml:lang="en">Chan K.Y., Yang Y., Li Z.R., Stoove M.A., Reidpath D.D. (2009). Interrelationships between HIV/AIDS and risk behavior prejudice among medical students in Southern China. Curr. HIV Res., 7, 6, 606–611.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Tan X., Pan J., Zhou D., Wang C., Xie C. HIV/AIDS knowledge, attitudes and behaviors assessment to Chinese students: a questionnaire study // Int. J. Envir. Res. Publ. Health. 2007. Vol. 4 (3). P. 248–253.</mixed-citation><mixed-citation xml:lang="en">Tan X., Pan J., Zhou D., Wang C., Xie C. (2007). HIV/ AIDS knowledge, attitudes and behaviors assessment to Chinese students: a questionnaire study. Int. J. Envir. Res. Publ. Health, 4, 3, 248–253.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Choy K.K., Rene T.J., Khan S.A. Beliefs and attitudes of medical students from public and private universities in Malaysia towards individuals with HIV/AIDS // Sci. World J. 2013. Vol. 2013: 462826. doi: 10.1155/2013/462826.</mixed-citation><mixed-citation xml:lang="en">Choy K.K., Rene T.J., Khan S.A. (2013). Beliefs and attitudes of medical students from public and  private universities in  Malaysia  towards  individuals with HIV/AIDS. Sci. World J., 2013: 462826. doi: 10.1155/2013/462826.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Branson B.M., Handsfield H.H., Lampe M.A. et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings // Morbidity and Mortality Weekly Report. 2006. Vol. 55 (14). P. 1–17.</mixed-citation><mixed-citation xml:lang="en">Branson B.M., Handsfield H.H., Lampe M.A. et al. (2006). Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. Morbidity and Mortality Weekly Report, 55, 14, 1–17.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">О предупреждении распространения в Российской Федерации заболевания, вызываемого вирусом иммунодефицита человека (ВИЧ-инфекции): Федеральный закон от 30.03.1995 № 38–ФЗ (ред. от 23.05.2016.) URL: rulaws/laws/Federalny-zakon-ot30.03.1995-N-38-FZ. Дата обращения: 08.11.2018.</mixed-citation><mixed-citation xml:lang="en">About the prevention of spreading in the Russian Federation of the disease caused by the human immunodeficiency virus (HIV-infection): the Federal law of 30.03.1995 No. 38-FZ. Ed. of 23.05.2016. (n.d.). Retrieved November 8, 2018, from http://rulaws.ru/laws/Federalnyy-zakon-ot-30.03.1995-N-38-FZ/. In Russ.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Основы законодательства Российской Федерации об охране здоровья граждан: Федеральный закон от 22 июля 1993 г. N 5487-1, ст. 61. URL: https://rg.ru/1993/08/19/osnovy-zdorouya-dok.html.</mixed-citation><mixed-citation xml:lang="en">Bases of the legislation of the Russian Federation on protection of health of citizens: the Federal law of July 22, 1993 No. 5487-1, Art. 61. (n.d.). Retrieved November 8, 2018, from https://rg.ru/1993/08/19/osnovy-zdorovya-dok.html. In Russ.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
