医疗卫生人员对HIV暴露前预防知晓与认知度调查

Investigation of awareness and cognition about HIV pre-exposure prophylaxis among medical and health staff

目的了解医疗卫生人员对HIV暴露前预防的知晓与认知度,为暴露前预防用药提供指导。方法 2018年7-10月,采用非概率抽样,对云南省从事艾滋病防治相关工作的医疗卫生人员进行问卷调查。统计分析采用χ2检验。结果医生和疾控中心工作人员PrEP知晓率分别为65.8%、78.5%;10项PrEP相关认知与态度调查中,医院医生和疾控中心工作人员分别有80.4%和73.4%赞同PrEP使用能降低服务对象所属社区的HIV新发感染率,45.9%和45.1%认为使用PrEP会产生不良影响,53.8%和58.2%认为会增加耐药性,62.0%和71.7%认为服药对象不能坚持每天服药,66.9%和70.1%认为会导致高危行为增多,65.7%和62.7%认为会导致更多性病感染,32.9%和35.2%认为使用安全套能预防HIV不必再开展PrEP,35.0%和36.9%认为推广PrEP和目前推广安全性行为来预防HIV是有冲突的。疾控中心工作人员赞同PrEP药费应该由服药对象全部承担的比例为43.0%,赞同治疗机构和MSM小组合作是最合适模式的比例为44.3%。结论医院医生和疾控中心工作人员是PrEP的具体实施者,需加强对PrEP认知度和实施能力的培训。

Objective To understand the awareness and cognition about HIV pre-exposure prophylaxis(PrEP)among medical and health staff,and to provide guidance for the development and promotion of pre-exposure prophylaxis with drugs in Yunnan Province.Methods From July to October,2018,non-probabilistic sampling was used to conduct a questionnaire survey on medical and health staff who engaged in HIV/AIDS prevention and control in the whole province.Single factor chi-square test was used for statistical analysis.Results The awareness rate of PrEP was 65.8%among hospital doctors and 78.5%among CDC staff;in the survey of 10 related cognition and attitude on PrEP among hospital doctors and CDC staff,about 80.4%of hospital doctors and 73.4%of CDC staff agreed that the use of PrEP could reduce the incidence of new HIV infection in the community of the service objects,about 45.9%of hospital doctors and 45.1%of CDC staff considered that the use of PrEP could result in side-effect,about 53.8%of hospital doctors and 58.2%of CDC staff believed that PrEP could increase antiviral therapy medicines resistant,about 62.0%of hospital doctors and 71.7%of CDC staff considered that drug users could not take medicine persistently,about 66.9%of hospital doctors and 70.1%of CDC staff thought that PrEP could increase high-risk behaviors,about 65.7%of hospital doctors and 62.7%of CDC staff considered that PrEP could increase sexual transmitted infective(STI),about 32.9%of hospital doctors and 35.2%of CDC staff regarded that the use of condom could prevent HIV/AIDS already and there was no need to provide PrEP,about 35.0%of hospital doctors and 36.9%of CDC staff thought that there was a conflict between the promotion of PrEP and current promotion of safe sex to prevent HIV.And 43.0%of CDC staff agreed that drug users should pay all the cost of PrEp and 44.3%agreed that the cooperation between treatment institutions and MSM groups was the most appropriate mode.Conclusion Hospital doctors and CDC staff are the specific implementers of PrEP,and it is necessary to strengthen the training of cognition and implementation ability on PrEP.