Understanding fear of contagion among physicians who care for HIV patients

R. M. Epstein, M. Christie, Richard Frankel, S. Rousseau, C. Shields, A. L. Suchman

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Fear of contagion has been identified as a potential deterrent for primary care physicians who would otherwise care for HIV patients. This study examines physicians fears of occupational HIV transmission and the ways that they cope with those fears. Methods: Thirty community-based primary care physicians who were caring for HIV patients were interviewed about their experiences with HIV patients and the meanings they ascribe to those experiences. Qualitative content and narrative analysis were used. Results: Fear of contagion was common despite the relatively low reported self-assessment of risk by primary care physicians. Most physicians considered their level of risk acceptable, but for some it seemed to take a high emotional toll. Some physicians identified their fear as 'irrational.' Physicians reported tension between fear of contagion and ethical responsibility to care for HIV patients. Some physicians were overattentive to infection control measures, whereas others used universal precautions inconsistently. Physicians continued to care for HIV patients despite their fears. Some physicians' family members needed information and reassurance about transmission of HIV. Conclusions: Some physicians who care for HIV patients are poorly equipped to deal with their own fears. There is a need to examine in greater depth the relationship between fear of contagion and willingness to provide care, and to examine other factors that may be contributing to the expression of these fears.

Original languageEnglish (US)
Pages (from-to)264-268
Number of pages5
JournalFamily Medicine
Volume25
Issue number4
StatePublished - 1993
Externally publishedYes

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Patient Care
HIV
Physicians
Primary Care Physicians
Universal Precautions
Infection Control

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Epstein, R. M., Christie, M., Frankel, R., Rousseau, S., Shields, C., & Suchman, A. L. (1993). Understanding fear of contagion among physicians who care for HIV patients. Family Medicine, 25(4), 264-268.

Understanding fear of contagion among physicians who care for HIV patients. / Epstein, R. M.; Christie, M.; Frankel, Richard; Rousseau, S.; Shields, C.; Suchman, A. L.

In: Family Medicine, Vol. 25, No. 4, 1993, p. 264-268.

Research output: Contribution to journalArticle

Epstein, RM, Christie, M, Frankel, R, Rousseau, S, Shields, C & Suchman, AL 1993, 'Understanding fear of contagion among physicians who care for HIV patients', Family Medicine, vol. 25, no. 4, pp. 264-268.
Epstein RM, Christie M, Frankel R, Rousseau S, Shields C, Suchman AL. Understanding fear of contagion among physicians who care for HIV patients. Family Medicine. 1993;25(4):264-268.
Epstein, R. M. ; Christie, M. ; Frankel, Richard ; Rousseau, S. ; Shields, C. ; Suchman, A. L. / Understanding fear of contagion among physicians who care for HIV patients. In: Family Medicine. 1993 ; Vol. 25, No. 4. pp. 264-268.
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