CAJ | 학술논문

[目的]了解徐汇区艾滋病防治医务人员对艾滋病毒感染者/患者（ PLWHA）的歧视状况，分析影响医务人员歧视态度和行为意愿的因素。[方法]自行设计调查问卷，对徐汇区31家医疗机构133名艾滋病防治医务人员开展问卷调查。[结果]在对待PLWHA态度方面，歧视得分最高项和最低项分别为“艾滋病感染者应该到传染病医院就诊”、“应该尊重艾滋病感染者的隐私”，分值分别为1．59分、0．03分；在对待PLWHA行为意愿方面，歧视得分最高项和最低项分别为“不会去艾滋病感染者处买东西”、“愿意继续和感染了艾滋病的熟人交往”，分值分别为1．05分、0．48分。歧视得分女性＞男性，临床岗位＞检验岗位＞防保岗位。[结论]性别、从事岗位类别为影响歧视得分的主要因素；对待PLWHA存在态度与行为意愿不一致的现象。应切实贯彻实施《艾滋病防治条例》、加强医务人员职业道德培训、强化职业防护政策保障和培训，减少对PLWHA的歧视。
[목적]료해서회구애자병방치의무인원대애자병독감염자/환자（ PLWHA）적기시상황，분석영향의무인원기시태도화행위의원적인소。[방법]자행설계조사문권，대서회구31가의료궤구133명애자병방치의무인원개전문권조사。[결과]재대대PLWHA태도방면，기시득분최고항화최저항분별위“애자병감염자응해도전염병의원취진”、“응해존중애자병감염자적은사”，분치분별위1．59분、0．03분；재대대PLWHA행위의원방면，기시득분최고항화최저항분별위“불회거애자병감염자처매동서”、“원의계속화감염료애자병적숙인교왕”，분치분별위1．05분、0．48분。기시득분녀성＞남성，림상강위＞검험강위＞방보강위。[결론]성별、종사강위유별위영향기시득분적주요인소；대대PLWHA존재태도여행위의원불일치적현상。응절실관철실시《애자병방치조례》、가강의무인원직업도덕배훈、강화직업방호정책보장화배훈，감소대PLWHA적기시。
[Objective] To investigate the discrimination status among AIDS medical staff towards HIV/AIDS patients in XuHui district and analyze the factors influencing the discriminary attitude and be -havior will of medical staff . [ Methods] A total of 133 AIDS medical staff from 31 medical institutions were investigated by means of a self -designed questionnaire in Xuhui District . [ Results] In the atti-tude to PLWHA, the terms in the questionnaire with the highest and the lowest discrimination score were“people living with HIV should be sent to infection hospital” and “the privacy of people living with HIV should be respected”, whose scores were 1.59 and 0.03 points.In the behavior will to PLWHA, the terms with the highest and the lowest discrimination score were “not to shop from people living with HIV” and“willing to communicate with acquaintances infected with HIV”, whose scores were 1.05 and 0.48 points. The difference in discrimination score was female >male and clinical post >test post >healthcare post . [ Conclusion] Gender and occupation are the main factors affecting discrimination scores .The attitude and behavior will to PLWHA are inconsistent in some places .Measures should be taken to reduce PLWHA discrimination , such as effectively implementing the “AIDS prevention and control regulation”, strengthe-ning the occupation moral training of medical staff , and enhancing the occupation protection policy and training.