上海市徐汇区艾滋病防治人员艾滋病歧视状况调查

AIDS discrimination survey among AIDS medical staff in Xuhui district in Shanghai

[目的]了解徐汇区艾滋病防治医务人员对艾滋病毒感染者/患者(PLWHA)的歧视状况,分析影响医务人员歧视态度和行为意愿的因素。[方法]自行设计调查问卷,对徐汇区31家医疗机构133名艾滋病防治医务人员开展问卷调查。[结果]在对待PLWHA态度方面,歧视得分最高项和最低项分别为"艾滋病感染者应该到传染病医院就诊"、"应该尊重艾滋病感染者的隐私",分值分别为1.59分、0.03分;在对待PLWHA行为意愿方面,歧视得分最高项和最低项分别为"不会去艾滋病感染者处买东西"、"愿意继续和感染了艾滋病的熟人交往",分值分别为1.05分、0.48分。歧视得分女性>男性,临床岗位>检验岗位>防保岗位。[结论]性别、从事岗位类别为影响歧视得分的主要因素;对待PLWHA存在态度与行为意愿不一致的现象。应切实贯彻实施《艾滋病防治条例》、加强医务人员职业道德培训、强化职业防护政策保障和培训,减少对PLWHA的歧视。

[ Objective ] To investigate the discrimination status among AIDS medical staff towards HIV/AIDS patients in XuHui district and analyze the factors influencing the discriminary attitude and behavior will of medical staff. [ Methods] A total of 133 AIDS medical staff from 31 medical institutions were investigated by means of a self - designed questionnaire in Xuhui District. [ Results ] In the attitude to PLWHA, the terms in the questionnaire with the highest and the lowest discrimination score were ＂people living with HIV should be sent to infection hospital＂ and ＂the privacy of people living with HIV should be respected＂, whose scores were 1.59 and 0.03 points. In the behavior will to PLWHA, the terms with the highest and the lowest discrimination score were ＂not to shop from people living with HIV＂ and ＂willing to communicate with acquaintances infected with HIV＂, whose scores were 1.05 and 0.48 points. The difference in discrimination score was female 〉 male and clinical post 〉 test post 〉 healthcare post. [ Conclusion] Gender and occupation are the main factors affecting discrimination scores. The attitude and behavior will to PLWHA are inconsistent in some places. Measures should be taken to reduce PLWHA discrimination, such as effectively implementing the ＂AIDS prevention and control regulation＂, strengthe- ning the occupation moral training of medical staff, and enhancing the occupation protection policy and training.