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目的了解中国三城市青少年艾滋病检测咨询服务(HTC)的开展现状,为相关工作的改进和完善提供指导依据。方法以北京、天津和西安三城市为调查点,对10名HTC服务提供者和12名曾接受过HTC的青少年进行个人深入访谈。结果青少年HTC流程与成年人基本相同,尚无针对青少年人群的特殊服务内容。多数服务提供者认为,当前HTC流程可行但不完善,如缺少对16岁以下人群的服务指导方案,工作中面临着自身业务水平参差不齐、资金和人力资源保障不足、艾滋病健康宣教难开展等问题。多数青少年认为,当前HTC服务模式很好,但可及性不够,如不了解服务机构的信息,距离机构太远,时间上不方便,流程上等待时间长,需要居住证等;希望能提供心理咨询和专人辅导,有相应的费用报销体制,保护隐私减少歧视,协助解决学习、生活、工作及婚姻等方面的问题。结论青少年HTC服务基本可接受,但未满足青少年人群的特殊需求,应进一步完善HTC服务指南,加强工作宣传,加大政策和资源保障力度,提高服务机构开展相关服务的能力。
Objective To understand the status quo of HIV / AIDS counseling services (HTC) in three cities in China and provide guidance for the improvement and improvement of related work. Methods Taking Beijing, Tianjin and three cities in Xi’an as the investigation points, 10 in-depth interviews were conducted with 10 HTC service providers and 12 young people who had received HTC. Results Youth HTC process and adults are basically the same, there is no special services for young people. Most service providers believe that the current HTC process is feasible but imperfect. For example, it lacks services guidance programs for people under the age of 16, faces uneven levels of professional services, insufficient funds and human resources, and is hard to carry out AIDS health education. problem. Most young people think that the current HTC service model is good, but accessibility is not enough, such as lack of information on service providers, too far away from the organization, time inconvenient, long process waiting time, need a residence permit, etc .; hope to provide psychological Counseling and counseling, there is a corresponding fee reimbursement system, privacy protection to reduce discrimination, to help solve the problems of study, life, work and marriage. Conclusions Young people’s HTC service is basically acceptable but does not meet the special needs of young people. HTC’s service guidelines should be further improved, work promotion should be strengthened, policies and resources support should be strengthened, and service providers should be able to carry out related services.