某乡镇卫生院离诊病人艾滋病/性病KAP调查

A SURVEY OF HIV/STI-RELATED KAP AMONG OUTPATIENTS OF TOWNSHIP HEALTH CENTERS IN ANHUI,CHINA.

目的:了解安徽省艾滋病/性病(HIV/STI)高发区乡镇卫生院门诊病人离诊时的艾滋病/性病相关知识、态度和行为现状,为乡镇卫生医生开展HIV/STI相关行为干预提供线索.方法:采用分层整群抽样的方法抽取了242名18～45岁的病人,由调查员在其结束就诊即将离开卫生院时进行问卷调查.结果:病人对艾滋病3种传播途径的知晓率较高,分别为83.9%,86.0%和94.2%;对非传播途径问题的应答正确率为45%～80%;对安全套使用方法知晓率为25%～90%,最低的1项仅为26.4%,且存在性别差异(P＜0.05);39.7%的被调查者认为HIV感染者应该受到指责;62%的被调查者在过去半年从不使用安全套;57.4%的被调查者曾经出现STI的疑似症状,其中有37%未就诊.结论:安徽省HIV/STI高发区乡镇卫生院的离诊病人对HIV/STI相关知识的掌握程度还很不够,并存在助长感染的高危态度和行为,因此很有必要促进临床行为干预.

Objective： To study the status of HIV/STI - related knowledge, attitude and practice （NAP） among the outpatients of township health centers in areas hardest hit in Anhui, China, so as to direct the physicians of townships to perform clinical intervention against HIV/STI. Methods： With stratified- cluster sampling, 242 outpatients aged 18 - 45 were interviewed using a structured questionnaire. Results： The patients were relatively well acknowledged about the 3 trmlsmission routes of HIV, i. e. by sexual behaviors （83.9 % ）, by blood transmission （94.2 % ） and by MTCT （86.0 % ）, however, their knowledge about the non - transmission mutes was lower （45% - 80% ）, and 25% - 90% of their answers to the questions about how to use condoms were correct, the lowest was 26.4%, with gender differences （P〈0.05）. 39.7% of the interviewees thought HIV positives should be blamed, 62% d the responders, never used condoms in the past half year, and 57.4%, had some symptoms susceptible for STI, of whom, but 37% didn＇t seek health care. Conclusion： The outpatients lack adequate knowledge about HIV/STI, they hold unfavorable attitudes and engage in risk behaviors. Therefore, clinical intervention should be stress performed.