Research Article
Medical and Nursing Students Perceived Knowledge, Attitudes,
and Practices concerning Human Immunodeficiency Virus
Paraniala S. C. Lui,
1,2
Jeganathan Sarangapany,
3
Kim Begley,
3
Katherine Coote,
3
and Kamal Kishore
2
1
School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, QLD 4059, Australia
2
School of Medicine, CMNHS, Fiji National University, Suva, Fiji
3
he Albion Centre, Directorate of Planning and Population Health SESLHD/WHO Collaborating Centre for Capacity Building and
Health Care Worker Training in HIV/AIDS Care, Treatment and Support, Sydney, NSW 2010, Australia
Correspondence should be addressed to Paraniala S. C. Lui; paranialasilascelebi.lui@student.qut.edu.au
Received 2 February 2014; Accepted 16 March 2014; Published 31 March 2014
Academic Editors: C. M. Buchalla, E. Kahan, J. Klewer, and J. Konde-Lule
Copyright © 2014 Paraniala S. C Lui et al. his is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Objective. To assess medical and nursing students’ knowledge, attitudes, and practices (KAP) regarding human immunodeiciency
virus (HIV) in Fiji. Methods. A cross-sectional study of 275 medical and 252 nursing students that participated in a questionnaire
survey on HIV KAP. Data was analysed according to their gender, program of study, and academic year. Results. he mean HIV
knowledge (HK) and attitude scores were 16.0 and 41.3, respectively. Mean HK score was signiicantly higher in males compared
to females. Signiicant positive correlations were found between HK and academic year for medical ( = 0.459) and nursing
( = 0.342) students and between HK and attitude scores ( = 0.196). he majority of students indicated fear in contracting HIV
through clinical practice and felt that health care workers have the right to know a patients HIV status for their own safety. he
majority would wear gloves to touch a patient if suspected of HIV. Conclusions. he study found a high level of HIV knowledge and
positive attitude towards HIV patients. However, respondents also displayed negative attitudes and unacceptable practices probably
due to fear. Training institutions need to ensure that students gain accurate knowledge on HIV especially on transmission routes
to allay the fear of caring for HIV-infected patients.
1. Introduction
Human immunodeiciency virus (HIV) and acquired
immunodeiciency syndrome (AIDS) are global public
health problems and are becoming a threat to the South
Paciic region because more than 97.0% of all infections are
occurring in the developing countries and increasing every
year [1]. Although the prevalence of HIV in most Paciic
islands was low, the incidence of HIV in most Paciic islands
continued to increase [2]. In Fiji, by the end of 2012, 482
conirmed HIV cases had been reported since the irst case
was diagnosed in January 1989. Adults aged 20–39 years
accounted for almost 77.0% of HIV cases and heterosexual
transmission reported for 91.0% of all cases [3].
he main goal of HIV and AIDS education in medical and
nursing training is to equip them with the right information
needed to provide efective and culturally appropriate care
to their patients and at the same protect themselves against
infection [4]. A number of studies have highlighted the
need to enhance and integrate HIV education into the core
curriculum in medical and nursing schools [4–12]. A study
among Turkish nursing students found high levels of negative
attitude and fear of contagion of HIV as a reason for being
unwilling to care for HIV-infected patients [5]. A study
among nursing students in Macedonia found that although
most students had high level of HIV knowledge, a majority
avoided people living with HIV (PLHIV) [6]. Another study
among nursing students in Greece found that more than a
third of the nursing students believe that mosquitoes can
transmit HIV virus [7]. In Turkey, a study among nursing stu-
dents revealed that most students still have misconceptions
about HIV and that their attitudes need improvement [8].
Hindawi Publishing Corporation
ISRN Public Health
Volume 2014, Article ID 975875, 9 pages
http://dx.doi.org/10.1155/2014/975875