湖南省40岁及以上女性艾滋病自愿咨询检测意愿及影响因素分析

Analysis of VCT willingness of HIV and influencing factors in women 40 years and older in Hunan province

目的分析湖南省40岁及以上女性艾滋病自愿咨询检测(voluntary counseling and testing,VCT)意愿的现状及相关影响因素。方法采用分层整群抽样方法,选择湖南省城乡958名40岁及以上女性,采用一般资料问卷、接受VCT服务意愿及相关知识问卷和HIV/AIDS相关知识、态度和行为问卷开展调查,采用单因素Logistic回归模型和多因素二项Logistic回归模型,分析40岁及以上女性愿意接受VCT服务的影响因素。结果958名调查对象中,52.4%(502人)的女性愿意接受VCT服务,VCT相关知识得分为(4.35±2.49)分,HIV/AIDS相关知识知晓率较低为51.7%;单因素分析显示,年龄(OR=0.926,95%CI:0.911~0.942)、居住地(OR=1.321,95%CI:1.025~1.704)、感知HIV感染风险(OR=2.483,95%CI:1.809~3.409)和HIV/AIDS相关知识(OR=1.136,95%CI:1.100~1.173)是影响女性接受VCT服务意愿的主要因素(P<0.05);多因素分析显示,年龄(OR=0.976,95%CI:0.954~0.999)、是否接受过VCT服务(OR=0.087,95%CI:0.042~0.177)、现在有无性生活(OR=1.697,95%CI:1.120~2.572)、感知HIV感染风险(OR=1.601,95%CI:1.114~2.302)、VCT相关知识得分(OR=1.102,95%CI:1.026~1.183)和HIV/AIDS相关知识得分(OR=1.095,95%CI:1.050~1.143)是女性愿意接受VCT服务的影响因素(P<0.05)。结论40岁及以上女性愿意接受VCT服务处于中等水平;应针对中老年女性人群普及VCT服务,提高其接受VCT服务的意愿,需要时能积极寻求VCT服务,预防艾滋病在此人群中进一步传播。

Objective To analyze the current situation of willingness to the voluntary counseling and testing(VCT)and relevant factors in the women aged 40 years and older in Hunan province.Methods There were 958 women aged 40 years and older enrolled as the objects with stratified cluster sampling method in Hunan province.The questionnaire survey was carried out for general information,willingness to the VCT service and related knowledge,HIV/AIDS related knowledge,attitude and practice.The willingness of acceptance of VCT service and the influencing factors in the women objects were analyzed with univariate and binary logistic regression model.Results Among 958 participants,there were 52.4%(502persons)of women expressed willingness to accept VCT services,the average score of VCT related knowledge was(4.35±2.49),and the awareness rate of HIV/AIDS related knowledge was 51.7%.The age(OR=0.926,95%CI:0.911-0.942),residence(OR=1.321,95%CI:1.025-1.704),risk perception of HIV infection(OR=2.483,95%CI:1.809-3.409),and HIV related knowledge(OR=1.136,95%CI:1.100-1.173)were the main influencing factors of the willingness to accept VCT services.The multivariable analysis showed the age(OR=0.976,95%CI:0.954-0.999),acceptance of VCT service(OR=0.087,95%CI:0.042-0.177),having sexual activity(OR=1.697,95%CI:1.120-2.572),risk perception of HIV infection(OR=1.601,95%CI:1.114-2.302),score of VCT related knowledge(OR=1.102,95%CI:1.026-1.183),and score of HIV/AIDS related knowledge(OR=1.095,95%CI:1.050-1.143)were the influencing factors of the willingness to accept the VCT services in the women aged 40 years and older(P<0.05).Conclusions The willingness to accept VCT services in the women aged 40 years and older is at the medium level.The popularization of VCT service should be strengthened for the middle-aged and old women to improving the acceptance willingness of VCT service,and could positively find VCT service if need to prevent more HIV transmission.