廊坊市艾滋病自愿咨询检测服务对求询者高危人群知信行的影响

Influence of VCT service for AIDS to the KAP of high-risk population in Langfang City

目的了解求询者对廊坊市艾滋病自愿咨询检测（VCT）服务认知、态度和参与VCT服务的影响因素,为改善VCT服务提供依据。方法回顾近几年VCT服务实施过程和效果,采取问卷调查形式,收集2011—2013年廊坊市疾病预防控制中心艾滋病VCT个案登记及求询者参加人类免疫缺陷病毒（HIV）检测咨询前后高危行为的变化等资料,并对求询者进行HIV抗体检测。结果共收集了1 728名求询者的信息,其中男性占71.41%（1 234/1 728）,女性占28.59%（494/1 728）;年龄以20~39岁青壮年为主,占55.21%（954/1 728）;文化程度以高中或中专者较多,占41.20%（712/1 728）。求询者对艾滋病是＂不可治愈的传染病＂了解较多,占89.06%（1 539/1 728）;但对药物可控制的了解较少,仅占37.91%（655/1 728）。知道廊坊市疾病预防控制中心可以免费检测HIV抗体的人较少,仅占35.36%（611/1 728）;知道医院有VCT门诊的占17.88%（309/1 728）。通过VCT服务决定改变其健康行为的占63.51%。结论 VCT服务对高危人群知信行有促进作用。

[ Objective] To understand the influencing factors of knowledge, attitude and practice（KAP） of VCT clients in Langfang City, and provide evidence for improving VCT service.[ Methods] The VCT service process and effect of recent years were reviewed through questionnaire investigation. The VCT case registration data, the changes in high risk behavior due to VCT service in Langfang CDC from 2001-2013 were collected. The HIV antibody test was conducted on the VCT clients.[ Results] The information of 1 728 VCT clients was collected, including 71.41%（ 1 234/1 728） of male, 28.59%（ 494/1 728） of female. The major was young adults aged 20-39 years, occupying 55.21%（ 954/1 728）, 41.20%（712/1 728） graduated from high school or vocational high school.Most of them（ 89.06%,1 539/1 728） knew AIDS can not be cured, only a few（ 37.91%, 655/1 728） knew AIDS can be controlled by medication, 35.36%（ 611/1 728） knew HIV antibody test was free in Langfang CDC, and only 17.88%（ 309/1 728） knew hospital had VCT clinic. And 63.51% decided to change their health behavior via VCT service.[ Conclusion] VCT services have promoting effect on KAP of high risk groups.