1.Stigmatizing attitudes toward people living with HIV/AIDS (PLWHA) among primary health care providers in Kinta District, Perak
Maliza binti Mawardi ; Chan Yuen Ching ; Adibah Hanim binti Ismail @Daud
Malaysian Family Physician 2021;16(1):31-38
Background: Stigmatizing attitudes expressed by health care providers prevent some members of
at-risk populations from accessing human immunodeficiency virus (HIV) screening and care.
This attitude contributes to the continuity of the infection dissemination within our community,
which gives an impact on the healthcare service and the curtailment of the global HIV/acquired
immunodeficiency syndrome (AIDS) pandemic.
Objective: This study was conducted to identify stigmatizing attitudes toward people living with
HIV/AIDS (PLWHA) and their determinants among primary health care providers in Kinta
District, Perak.
Methodology: A cross-sectional study was conducted in 36 primary care clinics in Kinta District,
Perak. Using stratified random sampling, 365 primary health care providers were recruited into
the study. A validated self-administered questionnaire was used to obtain sociodemographic data
as well as information on the healthcare experiences of healthcare providers, their knowledge of
HIV/AIDS, and attitudes toward PLWHA. Determinants were identified using multiple linear
regression.
Results: More than half of the respondents (54.1%) had never provided care to HIV/AIDS
patients. A minority (29.9%) had received training on HIV/AIDS. This study shows that doctors
(Coef.= -9.50, 95% CI: -18.93, -0.07, p= 0.048), respondents with HIV-positive relatives,
(Coef.= -5.61, 95% CI: -10.57, -0.65, p= 0.027), those who had provided care to HIV/AIDS
patients (Coef.= -2.38, 95% CI: -4.31, -0.45, p= 0.016), and those with a higher knowledge
score on HIV/AIDS (Coef.= -0.86, 95% CI: -1.59, -0.13, p= 0.021) were less likely to show
stigmatizing attitudes toward PLWHA.
Conclusion: The issue of stigmatizing attitudes toward PLWHA among primary health care
providers needs to be addressed. This study finds that knowledge, profession, experiences with
caring for PLWHA, gender, and having HIV-positive relatives are significant predictors of
stigmatizing attitudes toward PLWHA among primary health care providers in Kinta District,
Perak. Interventional programs to improve knowledge and awareness, as well as decrease stigma
toward PLWHA, should be implemented among all health care providers, especially those who
have no opportunity to provide direct care.
2.Bodyweight status misperception among reproductive-aged women in primary care settings
Lee Ping Yein ; Mohammad Faiz bin Sahiran ; Maliza Binti Mawardi ; Fatin Nur Shaheera Bte Mohd Azizi
Malaysian Family Physician 2020;15(3):62-73
Introduction: It is common, and many international and local studies confirm this, that women of
reproductive age misperceive their body-weight status. This phenomenon can lead to their being
less likely to adopt a healthy lifestyle which later exposes them to increased health problems and
risks including those of a gynecological and obstetric nature. Generally, there have been inconsistent
findings concerning the association between the self-perceived weight status and sociodemographic
factors, physical activities, and previous weight loss attempts of women of reproductive age in an Asian
population like Malaysia.
Objective: This study aimed to determine the factors associated with body weight status misperception
among reproductive-aged women at a primary care setting in Malaysia.
Methods: This is a cross-sectional study conducted at Klinik Kesihatan Durian Tunggal in 2016-2017.
The questionnaire included questions on the perception of weight status, sociodemographic factors,
smoking status, level of physical activity, and weight loss attempts. Logistic regressions were used for
statistical analysis to examine the association between body weight status misperception and related
factors.
Results: The study recruited 630 reproductive-aged women. The mean age and SD of the respondents
was 32.7 + 8.9 years, and 84% of the respondents were Malays. More than three-quarters of the
respondents (75.5%, n = 476) had received up to a secondary level of education. The majority of the
respondents were in the overweight/obese group (59.4%, n = 374). The mean BMI of the respondents
was 27.1 kg/m2 + 6.61. Approximately 65.4% (n = 412) of the respondents had an inactive lifestyle.
However, 60% (n = 378) of the respondents reported that they had attempted to reduce their weight in
the last year. A total of 141 respondents (22.4%) misperceived their weight status with 113 (80.1% ) of
them underestimating their weight status. Women with primary-level education (OR: 3.545, 95% CI:
1.530-8.215, p = 0.003) and secondary-level education (OR: 1.933, 95% CI: 1.065-3.510, p = 0.030)
had a greater likelihood of misperceiving their body weight status as compared to those who have a
tertiary level of education. Women with no weight loss attempts were also at risk of body weight status
misperception (OR: 1.850, 95% CI: 1.195, 2.865, p = 0.006).
Conclusion: Bodyweight status misperception among reproductive-aged women was associated with a
low level of education and with those who had made no weight loss attempts. Identifying women who
are at risk of misperceiving their weight status would enable early counseling on weight management.