凉山彝族地区由医务人员主动提供艾滋病检测与咨询的可接受性及其影响因素调查

孙研; 王启兴; 刘鹏; 马英; 邓红霞; 吉克石丹; 刘中夫

Abstract

孙研,王启兴,刘鹏,马英,邓红霞,吉克石丹,刘中夫.凉山彝族地区由医务人员主动提供艾滋病检测与咨询的可接受性及其影响因素调查[J].Chinese journal of Epidemiology,2012,33(2):177-180

凉山彝族地区由医务人员主动提供艾滋病检测与咨询的可接受性及其影响因素调查

Acceptability and relevant impact factors of provider initiated testing counseling in Liangshan Yi autonomous prefecture of Sichuan province

Received:August 07, 2011

DOI：

KeyWord: 艾滋病门诊就诊者可接受性影响因素

English Key Word: Acquired immunodeficiency syndrome Outpatient Acceptability Influencing factors

FundProject:中国-默沙东艾滋病合作项目(640701)

Author Name	Affiliation	E-mail
SUN Yan	National Center for STD/AIDS Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing 102206, China
WANG Qi-xing	Liangshan Prefectureal Center for Disease Control and Prevention
Liu Peng	National Project Office of China-MSD HIV/AIDS Partnership
MA Ying	Liangshan Prefectureal Center for Disease Control and Prevention
DENG Hong-xia	布拖县卫生局艾滋病工作委员会
JIKE Shi-dan	Meigu County Center for Disease Control and Prevention
LIU Zhong-fu	National Center for STD/AIDS Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing 102206, China	zhongfuliu@163.com

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Abstract:

目的了解凉山彝族地区医疗机构医务人员主动提供艾滋病检测咨询(PITC)的可接受性及其影响因素。方法按照疫情轻重选取凉山州2个县4所医疗机构为研究现场, 为当日门诊全部就诊者提供艾滋病检测与咨询服务和问卷调查, 计算PITC的接受率, 使用多因素logistic回归分析与接受检测相关的因素。结果在413名调査对象中, 197名接受检测, 总接受率为47.7%(95%C/：42.9%~52.3%)。男性(OR=7.283, 95%C/:3.933~13.465)、既往接受过艾滋病相关宣传教育(0尺=1.855, 95%C/:1.013~3.395)、担心自己得艾滋病(Ofi=2.699, 95%C7:1.616~4.506)为接受检测的有利因素’既往接受过艾滋病检测(0fi=0.226, 95%C7：0.124~0.409)、害怕抽血检测(0i?=0.052, 95%c/:0.024~0.106)、知晓艾滋病知识(0/?=0.446, 95%C/:0.258~0.773)的研究对象, 接受率显著低。结论在艾滋病疫情中重度地区, 近半数医疗机构门诊就诊者愿意接受PITC。可通过强化艾滋病检测前后相关咨询, 进行有效的艾滋病宣传教育, 倡导正确的血液认知观念等来提高PITC的可接受性。

English Abstract:

Objective To understand the acceptability and relevant impact factors of provider initiated testing counseling(abbreviated as PITC) in Liangshan Yi autonomous prefecture, so as to promote strategies for the sustainable development of PITC in AIDS epidemic areas. Methods Four medical institutions were selected with rates of acceptance counted. Multi-factors logistic regression was used to analyze the impact factors from the completed questionnaires. Results Among the 413 respondents, 197 patients accepted the PITC, with an acceptance rate as 47.7%(95% Cl:42.9%- 52.3%). Factors as being female(0/?=7.283, 95%CI:3.933-13.465), acceptance of publicity(OR=1.855, 95% Cl:1.013-3.395), worried about being infected of HIV/AIDS(OR=2.699f 95% Cl：1.616-4.506) etc. were protect factors of PITC, while those who previously received HIV testing(O/?=0.226, 95%C/:0.124-0.409), afraid of taking blood test(Oi?=0.052, 95%C/：0.024-0.106), knowing more AIDS related knowledge(0/?=0.446, 95% Cl:0.258-0.773) would significantly reduce the rate of acceptance. Conclusion Nearly half of the outpatients from medical institutions were willing to accept PITC in Liangshan Yi prefecture, thus provided important chance for HIV screening. Ways as strengthening related counseling before and after HIV test, launching effective HIV/AIDS-related publicity and advocating correct knowledge on blood testing, etc. need to be promoted, in order to improve the acceptability of PITC.

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