中国部分地区性病相关门诊提供HIV检测现况的调查

Investigation of the status of HIV testing is available in sexually transmitted diseases related clinics in some areas in China

目的了解近年来中国部分地区性病相关门诊提供HIV检测的现况,为进一步提高HIV检测效率提供参考。方法采用目的抽样的方法,选取北京市、宁波市、柳州市、宜宾市、昆明市5个地区9家医疗卫生机构的性病相关门诊临床医生,采用个人深入访谈的方式进行HIV检测现况调查。结果共访谈性病相关门诊临床医生18人,学历以学士为主(77.78%),职称以副主任医师为主(55.56%);HIV检测比例和HIV阳性检出比例在不同地区,不同医疗卫生机构之间差异较大。性病相关门诊提供HIV检测时存在缺乏技术指南、临床医生意识薄弱、就诊者配合度低的问题。结论应尽快制定性病相关门诊HIV检测技术指南,规范检测工作的开展;同时加强培训,提高临床医生提供HIV检测的意识;加大宣传,提高就诊者对HIV检测必要性的认识及对检测的接受度。

Objective To understand the current status of HIV testing in sexually transmitted diseases(STD)related clinics in some Chinese areas in recent years,and to provide reference for improving the efficiency of HIV testing.Methods Purposive sampling method was used to investigate the outpatient clinicians of STD related clinics in 9 medical institutions in Beijing,Ningbo,Liuzhou,Yibin and Kunming.Personal in-depth interview was used to investigate the status of HIV testing.Results A total of 18 outpatient clinicians in STD related clinics were interviewed.Most of them had bachelor′s degree(77.78%).Most of their professional titles were deputy chief physicians(55.56%).The proportion of HIV testing and the proportion of HIV-positive rate varied greatly between different regions and different medical institutions.There were some problems in the provision of HIV testing in STD related clinics,such as the lack of technical guidance documents,the weak awareness of clinicians and the low cooperation of patients.Conclusions Technical guidance documents should be formulated to standardize the HIV testing as soon as possible.At the same time,training should be strengthened to improve the awareness of clinicians in providing HIV testing.We should strengthen the propaganda to raise awareness of the necessity of HIV testing and the acceptance of HIV testing in patients.