Knowledge and Attitude of Nursing and Medical Undergraduate Students of a Public University in Malaysia Towards People Living With Human Immunodeficiency Virus

Main Article Content

Aslina Mohamed Yasin
Noor Wahidah Mohd Nasri
Shi Cui Chia
Rennie Phan
Norsyafiqah Hidayah Saifol Bahri
Kok-Yong Chin

Abstract

Introduction: People living with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) (PLHIV) often encounter stigma and discrimination, even within healthcare settings, including from healthcare providers. This study assesses the knowledge and attitudes of medical and nursing undergraduates towards PLHIV at a Malaysian university. Materials and methods: This cross-sectional study surveyed 222 medical and nursing undergraduates recruited using a stratified random sampling method. Knowledge was assessed using the HIV/AIDS Knowledge Scale, and attitudes were measured with the AIDS Attitude Scale. Results: Overall, 70.3% of students had moderate HIV/AIDS knowledge, and 85.1% displayed positive attitudes towards PLHIV. A significant inverse relationship was found between knowledge levels and attitudes (r=-0.373, p>0.001). Malay students and nursing students were more likely to hold negative attitudes (p<0.05). Conclusion: The medical and nursing undergraduates in this study exhibited moderate knowledge about HIV/AIDS and positive attitudes towards PLHIV. These findings underscore the critical need for targeted educational interventions in medical and nursing curricula. By deepening students' understanding and sensitivity towards HIV/AIDS-related health issues, a more inclusive and empathetic healthcare environment for PLHIV could be fostered in the future. 

Downloads

Download data is not yet available.

Article Details

How to Cite
Mohamed Yasin, A., Mohd Nasri, N. W., Chia, S. C., Phan, R., Saifol Bahri, N. H., & Chin, K.-Y. (2025). Knowledge and Attitude of Nursing and Medical Undergraduate Students of a Public University in Malaysia Towards People Living With Human Immunodeficiency Virus. Malaysian Journal of Medicine and Health Sciences, 21(3), 203–209. https://doi.org/10.47836/mjmhs.21.3.24
Section
Original Articles

References

German Advisory Committee Blood SAoPTbB. Human Immunodeficiency Virus (HIV). Transfus Med Hemother. 2016;43(3):203-22. doi:10.1159/000445852

World Health Organisation. HIV: World Health Organisation; 2023 [Available from: https://www.who.int/data/gho/data/themes/hiv-aids.

Ministry of Health Malaysia. 2022 Global AIDS Monitoring - Country Progress Report - Malaysia. Putrajaya: Ministry of Health Malaysia; 2022.

Liamputtong P, Rice ZS. Stigma, Discrimination, and Social Exclusion. In: Liamputtong P, editor. Handbook of Social Inclusion. Cham: Springer International Publishing; 2021. p. 1-17.

Stangl AL, Earnshaw VA, Logie CH, van Brakel W, L CS, Barre I, et al. The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas. BMC Med. 2019;17(1):31. doi:10.1186/s12916-019-1271-3

Iwoi DMW, Nde PF, Yuh E, Kwenti ET, Tshimwanga EK, Achiri DT, et al. Assessment of the Level of Knowledge, Attitude, and Practice with Regard to Care of People Living with HIV/AIDS among Nursing and Midwifery Students in Fako, Cameroon. World Journal of AIDS. 2017;07(01):1-15. doi:10.4236/wja.2017.71001

Kok G, Guvenc G, Kaplan Z. Nursing Students' Knowledge, Attitudes, and Willingness to Care Toward People with HIV/AIDS. International Journal of Caring Sciences. 2018;11(3):1697–706. Available from: https://www.internationaljournalofcaringsciences.org/docs/41_koc_original_11_3.pdf

Suominen T, Koponen N, Mockiene V, Raid U, Istomina N, Vanska ML, et al. Nurses' knowledge and attitudes to HIV/AIDS--an international comparison between Finland, Estonia and Lithuania. Int J Nurs Pract. 2010;16(2):138-47. doi:10.1111/j.1440-172X.2010.01822.x

Ouzouni C, Nakakis K. HIV / AIDS knowledge, attitudes and behaviours of student nurses. Health Science Journal. 2012;6(1):129-50. Available from: https://www.itmedicalteam.pl/articles/hiv-aids-knowledge-attitudes-and-behaviours-of-student-nurses-105795.html

Lui PSC, Sarangapany J, Begley K, Coote K, Kishore K. Medical and Nursing Students Perceived Knowledge, Attitudes, and Practices concerning Human Immunodeficiency Virus. ISRN Public Health. 2014;2014:1-9. doi:10.1155/2014/975875

Okpala PU, Uwak R, Nwaneri AC, Onyiapat J-l, Emesowum A, Osuala EO, et al. Nurses’ knowledge and attitude to the care of HIV/AIDS patients in South East, Nigeria. International Journal Of Community Medicine And Public Health. 2017;4(2):547. doi:10.18203/2394-6040.ijcmph20170289

Hassan ZM, Wahsheh MA. Knowledge and attitudes of Jordanian nurses towards patients with HIV/AIDS: findings from a nationwide survey. Issues Ment Health Nurs. 2011;32(12):774-84. doi:10.3109/01612840.2011.610562

Leyva-Moral JM, Dominguez-Cancino KA, Guevara-Vasquez GM, Edwards JE, Palmieri PA. Faculty Attitudes About Caring for People Living With HIV/AIDS: A Comparative Study. J Nurs Educ. 2019;58(12):712-7. doi:10.3928/01484834-20191120-06

Farotimi AA, Nwozichi CU, Ojediran TD. Knowledge, attitude, and practice of HIV/AIDS-related stigma and discrimination reduction among nursing students in southwest Nigeria. Iranian Journal of Nursing and Midwifery Research. 2015;20:705 - 11. doi:10.4103/1735-9066.170011

AlQumayzi A, Alsaab B, Maskati M, Alajlan A, Almudayfir F, Omair A, et al. Knowledge and attitudes toward HIV among medical and non-medical students in Riyadh, Saudi Arabia. International Journal of Medicine in Developing Countries. 2020;13(5):2120-30. doi:10.24911/ijmdc.51-1601393490

Rahnama R, Rampal L, Lye M-S, Abdul Rahman H. Factors Influencing Students' Attitude towards HIV/AIDS in a Public University, Malaysia. Global Journal of Health Science. 2011;3(1):128-34. doi:10.5539/gjhs.v3n1p128

Said N, Hamid MRA. University Students’ Knowledge, Attitude, And Perception of Risk related to HIV. Journal of ASIAN Behavioural Studies. 2018;3(11):34–48. doi:10.21834/jabs.v3i11.323

Elkalmi R, Al-Shami A, M. Alkoudmani R, Elsayed T, Al-lela OQB, Patel I. Knowledge, Attitudes and Risk Perceptions towards HIV/AIDS Among Health Sciences Students in a Public University, Malaysia. Journal of Pharmacy Practice and Community Medicine. 2015;1(1):24-9. doi:10.5530/jppcm.2015.1.6

Othman H, Ali NAM. A cross-sectional survey of knowledge and attitude towards HIV/AIDS patients among nursing students in teaching hospital. The Malaysian Journal of Nursing (MJN). 2017;8(3):27-34. Available from: https://ejournal.lucp.net/index.php/mjn/article/view/464

Choy KK, Rene TJ, Khan SA. Beliefs and attitudes of medical students from public and private universities in Malaysia towards individuals with HIV/AIDS. Scientific World Journal. 2013;2013:462826. doi:10.1155/2013/462826

Alomair N, Alageel S, Davies N, Bailey JV. Muslim women's perspectives on the barriers to sexually transmitted infections testing and diagnosis in Saudi Arabia. Front Public Health. 2023;11:1248695. doi:10.3389/fpubh.2023.1248695

Alomair N, Alageel S, Davies N, Bailey JV. Sexually transmitted infection knowledge and attitudes among Muslim women worldwide: a systematic review. Sex Reprod Health Matters. 2020;28(1):1731296. doi:10.1080/26410397.2020.1731296

Krejcie RV, Morgan DA. Determining sample size for research activities. Educational and Psychological Measurement. 1970;30(3):607–10. doi: 10.1177/001316447003000308

Delobelle P, Rawlinson JL, Ntuli S, Malatsi I, Decock R, Depoorter AM. HIV/AIDS knowledge, attitudes, practices and perceptions of rural nurses in South Africa. J Adv Nurs. 2009;65(5):1061-73. doi:10.1111/j.1365-2648.2009.04973.x

Bliwise NG, Grade M, Irish TM, Ficarrotto TJ. Measuring medical and nursing students' attitudes toward AIDS. Health Psychol. 1991;10(4):289-95. doi:10.1037//0278-6133.10.4.289

Alawad M, Alturki A, Aldoghayyim A, Alrobaee A, Alsoghair M. Knowledge, Attitudes, and Beliefs about HIV/AIDS and People Living with HIV among Medical Students at Qassim University in Saudi Arabia. Int J Health Sci (Qassim). 2019;13(5):22-30. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6728128/

Boakye DS, Mavhandu-Mudzusi AH. Nurses knowledge, attitudes and practices towards patients with HIV and AIDS in Kumasi, Ghana. International Journal of Africa Nursing Sciences. 2019;11:100147. doi:10.1016/j.ijans.2019.05.001

Dharmalingam M, Poreddi V, Gandhi S, Chandra R. Under graduate nursing students- knowledge and attitude toward people living with human immunodeficiency virus/acquired immunodeficiency syndrome. International Journal of Advanced Medical and Health Research. 2015;2(1):22-7. doi:10.4103/2349-4220.159124

Ncama BP, Uys LR. Exploring the fear of contracting HIV/AIDS among trauma nurses in the province of Kwazulu-Natal. Curationis. 2003;26(2):11-8. doi:10.4102/curationis.v26i2.774

Masoud AT, Zaazouee MS, Elsayed SM, Ragab KM, Kamal EM, Alnasser YT, et al. KAP-COVID(GLOBAL): a multinational survey of the levels and determinants of public knowledge, attitudes and practices towards COVID-19. BMJ Open. 2021;11(2):e043971. doi:10.1136/bmjopen-2020-043971

Nazik E, Arslan S, Özdemir F, Apay S. Turkish Nursing Students’ Attitudes About Patients Living With HIV/AIDS. Sexuality and Disability. 2012;30(4):433-9. doi:10.1007/s11195-012-9281-5

Ozakgul AA, Sendir M, Atav AS, Kiziltan B. Attitudes towards HIV/AIDS patients and empathic tendencies: a study of Turkish undergraduate nursing students. Nurse Educ Today. 2014;34(6):929-33. doi:10.1016/j.nedt.2013.10.018

Asante KO, Boafo IM, Nyamekye M. Identifying Gender Differences in Ghanaian University Students’ Sexual Practices, Attitudes and Knowledge Regarding HIV. Journal of Psychology. 2017;5(1):9-18. doi:10.1080/09764224.2014.11885501

Jin H, Earnshaw VA, Wickersham JA, Kamarulzaman A, Desai MM, John J, et al. An assessment of health-care students' attitudes toward patients with or at high risk for HIV: implications for education and cultural competency. AIDS Care. 2014;26(10):1223-8. doi:10.1080/09540121.2014.894616

Shaw SA, Cornwell O, Lim SH, Saifi R, Ung LT, Kamarulzaman A. “Allah will decide my life and death”: Religion and spirituality among populations at risk for HIV in Malaysia. Journal of Religion & Spirituality in Social Work: Social Thought. 2018;37(2):128-45. doi:10.1080/15426432.2018.1447419

Alomair N, Alageel S, Davies N, Bailey JV. Muslim women's knowledge, views, and attitudes towards sexually transmitted infections in Saudi Arabia: A qualitative study. PLoS One. 2023;18(6):e0286822. doi:10.1371/journal.pone.0286822

Lim SH, Brown S-E, Shaw SA, Kamarulzaman A, Altice FL, Beyrer C. “You Have to Keep Yourself Hidden”: Perspectives From Malaysian Malay-Muslim Men Who Have Sex With Men on Policy, Network, Community, and Individual Influences on HIV Risk. Journal of Homosexuality. 2020;67(1):104-26. doi:10.1080/00918369.2018.1525946

Ward J, Cody J, Schaal M, Hojat M. The empathy enigma: an empirical study of decline in empathy among undergraduate nursing students. J Prof Nurs. 2012;28(1):34-40. doi:10.1016/j.profnurs.2011.10.007