某地区农村基层医务人员艾滋病知识、态度及相关行为研究

AIDS Knowledge, Attitude and Sexual Behavior among Rural Health Workers

目的 了解基层医务人员艾滋病基本知识、态度和个人性行为。方法 对某地五个县(市)的县、乡两级医疗卫生单位医务人员进行分层随机抽样,用匿名调查表收集有关个人背景、艾滋病知识、态度和个人性行为资料。计算县、乡两级医务人员各项艾滋病知识正确率和不同态度的分布情况及危险性行为。结果 共调查296名医务人员。三条传播途径知识为44.44％～97.24％,非传播途径知识为62.28％～86.85％,两条预防方法知识为59.3％～63.76％,非预防方法知识为68.51％～85.07％。24.41％的人知道“普遍性防护原则”。65.52％的人认为开展艾滋病抗体检查有助于预防艾滋病传播。认为应该公开感染者身份和允许感染者继续工作的人分别占33.79％和42.76％。多数知识和态度问题县、乡两级间无明显差别。未婚者与至少2个人发生过性行为者占14.29％,已婚者过去6个月发生婚外性行为者为3.88％。结论 基层医务人员艾滋病基本知识比较低,要加强艾滋病预防专项培训工作,特别是“普遍性防护原则”的培训及具体实施,以减少艾滋病医源性传播。

To understand AIDS knowledge, attitude and sexual behavior among rural health workers. Methods Stratified random sampling method was used to sample the health workers at county and township health institutes. Anonymous self - administrated questionnaire was used to collect the information as to personal background, knowledge, attitude and sexual behavior. The correct answers and attitude and percent of risky sexual behavior of them were calculated. Results Two hundred and ninty - six health workers were interviewed. The correct answer rate to three HIV transmission routes was 44.44 % - 97.24 %, non - transmission routes 62.28 % - 86.85 % ; two prevention measures of AIDS transmission were 59.3%-63.76% and non - prevention measures 68.51 % - 85.07 % . 24.41 % of them knew " universal precautions", 65.52 % believed that HIV testing was a prevention strategy, 33.79 % considered that HIV infected persons should be publicized and 42.76% agreed that HIV infected persons should continue their jobs. No significant difference was observed in most of knowledge and attitude questions. 14.29% of the single health workers had had sex with more than two sexual partners and 3.88% of the married health workers had had extra - marital sex over past 6 months. Conclusion The basic AIDS knowledge is poor among rural health workers, particularly "universal precautions". The specific training on AIDS is urgent need for rural health workers.