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目的了解社区卫生服务机构艾滋病防治对象对艾滋病病毒(HIV)检测的接受意愿及影响因素。方法采用自行设计的调查问卷,在北京、上海等8个城市的社区卫生服务机构,对重点科室(妇产科、皮肤科等)的就诊人员、男男性行为人群(MSM)和娱乐场所女性工作人员进行调查。调查内容包括一般社会人口学信息、艾滋病相关知识、HIV防治服务接受意愿及利用情况等。结果共调查了755人,其中29人HIV阳性。在726名HIV阴性人员中,555人(76.4%)表示愿意接受社区卫生服务机构免费提供的HIV检测服务。多因素Logistic回归分析显示,平均月收入较高(1 000~1 999元、2 000~2 999元)、知晓艾滋病知识和以前接受过HIV检测的服务对象,更愿意接受HIV检测,其比值比(OR)和95%可信区间(CI)分别为2.51(1.18~5.37)、2.35(1.28~4.32)、2.07(1.14~3.77)、1.85(1.25~2.75)。结论调查对象对社区卫生服务机构开展的HIV检测服务有较高的接受意愿,但也存在诸如担心歧视、个人隐私暴露和业务能力不高以及自身艾滋病知识欠缺等因素的影响,因此在社区卫生服务机构开展HIV检测需要加强受检者隐私保护,同时要扩大HIV防治宣传和提高社区医生的HIV咨询检测知识和技能水平。
Objective To understand the willingness and influence factors of AIDS prevention and control of community health service providers on HIV testing. Methods A self-designed questionnaire was used to survey community health service agencies in eight cities such as Beijing and Shanghai, and to visit MSM and entertainment women in key departments (obstetrics and gynecology and dermatology), MSM and entertainment venues Personnel to investigate. The survey includes general socio-demographic information, HIV / AIDS related knowledge, willingness to accept HIV prevention and treatment, and utilization. Results A total of 755 people were investigated, of whom 29 were HIV positive. Of the 726 HIV-negative persons, 555 (76.4%) indicated their willingness to receive HIV testing services free of charge from community health services. Multivariate Logistic regression analysis showed that the average monthly income was higher (1,000-1,999 yuan, 2,000-2,999 yuan), knowledge of AIDS and HIV-positive subjects who were previously tested for HIV were more likely to be tested for HIV, with odds ratios OR and 95% confidence interval (CI) were 2.51 (1.18-5.37), 2.35 (1.28-4.32), 2.07 (1.14-3.77) and 1.85 (1.25-2.75), respectively. Conclusions The survey respondents are willing to accept HIV testing services provided by community health service agencies. However, such factors as fear of discrimination, exposure of personal privacy and poor business capability, as well as their lack of knowledge of HIV / AIDS and other factors may influence the community health service Institutional HIV testing needs to enhance the privacy protection of subjects, while expanding HIV prevention and treatment advocacy and raising the level of HIV counseling and testing knowledge and skills of community doctors.