武汉市流动人口基层卫生服务机构HIV检测使用意愿调查

Investigation on the willingness of migrant population to undergo HIV testing services in primary health service institutions in Wuhan

目的了解武汉市流动人口在社区卫生服务中心、乡镇卫生院(简称“基层卫生服务机构”,primary health service institutions,PHSIs)进行HIV检测的意愿及影响因素。方法2020年5—9月采用分层随机抽样的方法从武汉市14个行政区抽取30家基层卫生服务机构。采用方便抽样方法对PHSIs每辖区内约10名15~65岁的流动人口进行问卷调查,共调查308名流动人口。采用χ^(2)检验和非条件logistic多因素回归分析方法进行影响因素分析。结果回收有效问卷295份,有效率为95.8%。男性119名(40.3%),女性176名(59.7%);平均年龄(37.73±11.02)岁。65.4%的流动人口愿意在PHSIs进行HIV检测。婚姻状况已婚或同居(OR=2.893,95%CI:1.421~5.892)、职业为建筑工人(OR=5.217,95%CI:1.702~15.991)和接受过基层卫生服务机构开展的艾滋病防治宣传教育(OR=2.264,95%CI:1.320~3.885),对流动人口在PHSIs接受HIV检测意愿的影响差异有统计学意义(P<0.05)。结论大部分流动人口愿意接受PHSIs的HIV检测服务,有针对性地开展艾滋病防治服务工作,宣传HIV检测服务,有助于提高流动人口对PHSIs的HIV检测服务利用率。

Objective To learn about the willingness and influencing factors of the migrant population to undergo Human immunodeficiency virus(HIV)testing at community health centers and township health centers(referred to as"primary health service institutions",PHSIs)in Wuhan.Methods From May to September,2020,thirty PHSIs were selected from 14 districts of Wuhan using a stratified random sampling method.Convenient sampling was employed to survey approximately 10 migrant individuals aged 15-65 years in each PHSIs′jurisdiction using questionnaire survey,and a total of 308 migrant individuals were surveyed.The Chi-square test and unconditional logistic multivariate regression analysis were utilized to analyze the influencing factors.Results A total of 295 valid questionnaires were collected,yielding an efficiency rate of 95.8%.Among the respondents,119 were male(40.3%)and 176 were female(59.7%),with an average age of(37.73±11.02)years.Of these,65.4%of the migrant population willing to undergo HIV testing in PHSIs.Factors such as marital status(married or cohabiting)(OR=2.893,95%CI:1.421-5.892),occupation as construction workers(OR=5.217,95%CI:1.702-15.991),and prior exposure to AIDS prevention education provided by PHSIs(OR=2.264,95%CI:1.320-3.885)had a statistically significant influence on the difference in the effect of willingness to undergo HIV testing in PHSIs of the mobile population(P<0.05).Conclusion The majority of the migrant population demonstrate a willingness to undergo HIV testing services at PHSIs.Tailored AIDS prevention and control services,coupled with promotion of HIV testing services,can help enhance the utilization rate of such services among the migrant population in PHSIs.