提高社区诊所为集贸市场商贩性病卫生服务满意度研究

A study of health seeking behaviors among stallholders in country fairs and practice of local private clinics providing STD/AIDS services for them

目的鼓励有可疑性病症状的集贸市场商贩及时就诊,避免性病的传播。方法采用描述性分析、χ2检验、Logistic回归等分析方法,对集贸市场商贩具有的高危性态度和性行为,开展以提高疑似性病患者满意度为主要内容的卫生服务研究。结果具有疑似性病症状的集贸市场商贩的就诊意识得到加强,出现症状后的就诊率干预前为43.7%,干预后提高到57.9%(P<0.05);在诊所中开展的性病卫生服务营销方式,使患者的满意度由干预前的84.8%提高到干预后的93.0%(P<0.05)。结论提高社区诊所性病卫生服务满意度是集贸市场内进行性病防治的可行方法,对在相似人群中的性病预防控制工作有重要的参考价值。

Objective To study practice of private clinics in providing STD/AIDS health services and health seeking behaviors among stallholders suspected with STD/AIDS in country fairs and to encourage them to timely seek medical care so as to avoid further spread of these infections. Methods Health seeking behaviors among stallholders in country fairs were investigated,and practice of health service promotion in private clinics, targeting at stallholders＇ high-risk sex attitudes and behaviors was surveyed, for the purpose of improving their health service seeking behaviors and the satisfaction rate of services received and encouring them to timely consult health care providers. Descriptive analysis,X^2 testing and logistic regression were performed. Results The rate of seeking health service in stallholders with suspected STD/AIDS symptoms increased from 43.7 % to 57.9 % （ P 〈 0.05）. Their satisfaction rate was increased from 85.0 % to 93.0 % （ P 〈 0.05 ）. Conclusion The promotion of STD/AIDS health services by private clinics for stallholders in country fairs was proved to be feasible, and the result of our study can be used as a valuable reference for the prevention and control of STDs/AIDS in similar population groups elsewhere.