女性外来务工人员艾滋病相关知识、行为及自愿咨询检测现况调查

Investigation on Female Floating Workers’ Knowledge of AIDS, Health Behaviors and Willingness of Consulting and Testing

目的了解女性外来务工人员的艾滋病相关知识、行为及自愿咨询检测现况。方法采用自行设计的问卷,由经过统一培训的调查员进行面对面的询问调查,并采集血液进行检测。结果共调查外来务工人员400名,未检出HIV抗体阳性者,梅毒初筛阳性2例;83.5%在本地居住时间超过1年,艾滋病知识的知晓率为34.3%～96.0%;15.4%在最近一次性行为中使用安全套;44.8%听说过免费VCT服务,40.8%知道疾控中心可以提供免费VCT服务;98.8%认为自己不可能感染HIV。92.8%表示愿意接受检测咨询服务,他们最愿意接受检测的服务地点是大型综合性医院(52.3%),其次是疾控中心(33.3%)。不愿意接受免费VCT的调查对象中有79.3%认为自己是健康的。结论外来务工人员艾滋病自愿咨询检测的意识及知识水平较低,应加强艾滋病自愿咨询检测知识的宣传,不断扩大VCT服务的可及性。

Objectives To understand the knowledge, attitudes, and willingness of counseling and testing (VCT) for HIV/AIDS among female floating workers in Jiading district of Shanghai. Methods The face-to-face questionnaire investigation was conducted by the trained workers, and blood samples were adopted in order to make serum test. Results We investigated a total of 400 female floating workers, among whom no sample was found positive in HIV screening test, and 2 samples were found positive in syphilis RPR screening test. 83.5% had lived in Shanghai over one year. The knowledge rate of HIV-related knowledge varied from 34.3% to 96.0%. 15.4% used the condoms last time when having the sexual behavior. 44.8% heard of VCT, and 40.8% thought that the center of disease control (CDC) could provide VCT service. 98.8% thought they could not be infected. 92.8% were willing to receive VCT, and the first place to receive VCT is large-scale comprehensive hospitals, next is CDC. 79.3% were not willing to receive VCT as they thought they were healthy. Conclusion The awareness and knowledge related to VCT need to be improved among female floating workers. Knowledge communication of HIV/AIDS and VCT should be strengthened, so as to make VCT services more accessible.