CAJ | 학술논문

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名调查对象中,197名接受检测,总接受率为47.7％(95％CI:42.9％～ 52.3％).男性(OR=7.283,95％CI:3.933 ～ 13.465)、既往接受过艾滋病相关宣传教育(OR=1.855,95％CI:1.013 ～ 3.395)、担心自己得艾滋病(OR=2.699,95％CI:1.616～4.506)为接受检测的有利因素,既往接受过艾滋病检测(OR=0.226,95％CI:0.124 ～ 0.409)、害怕抽血检测(OR=0.052,95％CI:0.024 ～ 0.106)、知晓艾滋病知识(OR=0.446,95％CI: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.
목적 료해량산이족지구의료궤구의무인원주동제공애자병검측자순(PITC)적가접수성급기영향인소.방법 안조역정경중선취량산주2개현4소의료궤구위연구현장,위당일문진전부취진자제공애자병검측여자순복무화문권조사,계산PITC적접수솔,사용다인소logistic 회귀분석여접수검측상관적인소.결과 재413명조사대상중,197명접수검측,총접수솔위47.7％(95％CI:42.9％～ 52.3％).남성(OR=7.283,95％CI:3.933 ～ 13.465)、기왕접수과애자병상관선전교육(OR=1.855,95％CI:1.013 ～ 3.395)、담심자기득애자병(OR=2.699,95％CI:1.616～4.506)위접수검측적유리인소,기왕접수과애자병검측(OR=0.226,95％CI:0.124 ～ 0.409)、해파추혈검측(OR=0.052,95％CI:0.024 ～ 0.106)、지효애자병지식(OR=0.446,95％CI:0.258～ 0.773)적연구대상,접수솔현저저.결론 재애자병역정중중도지구,근반수의료궤구문진취진자원의접수PITC.가통과강화애자병검측전후상관자순,진행유효적애자병선전교육,창도정학적혈액인지관념등래제고PITC적가접수성.
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 413respondents,197 patients accepted the PITC,with an acceptance rate as 47.7％ (95％ CI:42.9％-52.3％).Factors as being female (OR=7.283,95％CI:3.933-13.465),acceptance of publicity (OR=1.855,95％ CI:1.013-3.395),worried about being infected of HIV/AIDS (OR=2.699,95％ CI:1.616-4.506) etc.were protect factors of PITC,while those who previously received HIV testing (OR=0.226,95％CI:0.124-0.409),afraid of taking blood test (OR=0.052,95％CI:0.024-0.106),knowing more AIDS related knowledge (OR=0.446,95％ CI: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.