Introduction: Healthcare workers in Mogadishu, Somalia face significant occupational injury risks, particularly needle stick injuries, with 61.1% reporting incidents. This poses a serious threat to their health, leadi...Introduction: Healthcare workers in Mogadishu, Somalia face significant occupational injury risks, particularly needle stick injuries, with 61.1% reporting incidents. This poses a serious threat to their health, leading to infections such as hepatitis B, hepatitis C, and HIV. Despite the high prevalence of injuries, awareness of Post-Exposure Prophylaxis (PEP) accessibility is relatively high, with 84.0% of respondents aware of it. However, there are gaps in knowledge and implementation, as evidenced by variations in availability of PEP. Improving workplace safety measures, providing comprehensive training on injury prevention and PEP protocols, and ensuring consistent availability of PEP in healthcare facilities are crucial steps to safeguard the well-being of healthcare workers in Mogadishu, Somalia. Methods: A cross-sectional study was conducted among hospital workers in Mogadishu, Somalia, focusing on professionals from various healthcare facilities. The study targeted nurses, doctors, laboratory personnel, and pharmacists. Purposive sampling was employed, resulting in a sample size of 383 calculated using Fisher’s sample size formula. Data were collected using coded questionnaires entered into Microsoft Excel 2019 and analyzed with SPSS software to generate frequencies and proportions, presented through frequency tables and pie figures. Results: The study in Mogadishu, Somalia, examined the prevalence of occupational injuries and knowledge of Post-Exposure Prophylaxis (PEP) accessibility among healthcare workers. Findings indicate a high prevalence of injuries, with 61.1% reporting incidents, predominantly needle stick injuries (60.6%). Despite the majority seeking prompt medical attention (72.0%), work-related illnesses affected 53.2% of respondents, notably work-related stress (59.5%). While most received training on injury and illness prevention (68.9%), gaps exist in PEP awareness, with 16.0% unaware of it. Nonetheless, 84.0% were aware, predominantly through health facilities (52.0%). Availability of PEP was reported by 71.3% in healthcare facilities, with variations in shift availability. The majority reported guidelines for PEP use (55.7%). Efforts are needed to bolster PEP awareness and ensure consistent availability in healthcare facilities to safeguard worker health. Conclusion: High prevalence of occupational injuries among healthcare workers, with needle stick injuries being the most common (60.6%). Despite this, 84.0% of respondents were aware of Post-Exposure Prophylaxis (PEP), primarily learning about it from health facilities (52.0%). While 71.3% reported the availability of PEP in their facility, 28.7% noted its unavailability. These results emphasize the need for improved education and accessibility of PEP to mitigate occupational injury risks.展开更多
目的了解重庆地区艾滋病病毒(human immunodeficiency virus,HIV)阴性多性伴肛交(≥5人)男男性行为者(men who have sex with men,MSM)的人口学和性行为特征及其影响因素。方法从2018年6月至2019年6月,招募重庆地区319名HIV阴性MSM,收...目的了解重庆地区艾滋病病毒(human immunodeficiency virus,HIV)阴性多性伴肛交(≥5人)男男性行为者(men who have sex with men,MSM)的人口学和性行为特征及其影响因素。方法从2018年6月至2019年6月,招募重庆地区319名HIV阴性MSM,收集其人口学特征、近半年内安全套使用率、是否感染性病、性角色、药物滥用史、是否服用过暴露后预防(post-exposure prophylaxis,PEP)药物、是否关注HIV知识和是否服用过暴露前预防(pre-exposure prophylaxis,PrEP)药物等信息。采用单因素和多因素Logistic回归分析模型分析MSM人群多性伴肛交的影响因素。结果 319名HIV阴性MSM中,34.5%(110/319)近6个月内性伴人数≥5人;110名多性伴MSM中,63.6%(70/110)年龄≤28岁,75.4%(83/110)学历为大学本科或大专;50名报告情感状况的MSM中,72.0%(36/50)为单身。多因素Logistic回归分析模型分析显示,服用过PEP药物和经常关注HIV知识是MSM多性伴肛交的主要影响因素。结论重庆地区HIV阴性MSM人群普遍存在多性伴肛交现象。应加大对MSM人群,尤其是低龄MSM人群,HIV防治知识的宣教力度。在推广PrEP和PEP在MSM人群中的使用时,应警惕其相关风险补偿。展开更多
文摘Introduction: Healthcare workers in Mogadishu, Somalia face significant occupational injury risks, particularly needle stick injuries, with 61.1% reporting incidents. This poses a serious threat to their health, leading to infections such as hepatitis B, hepatitis C, and HIV. Despite the high prevalence of injuries, awareness of Post-Exposure Prophylaxis (PEP) accessibility is relatively high, with 84.0% of respondents aware of it. However, there are gaps in knowledge and implementation, as evidenced by variations in availability of PEP. Improving workplace safety measures, providing comprehensive training on injury prevention and PEP protocols, and ensuring consistent availability of PEP in healthcare facilities are crucial steps to safeguard the well-being of healthcare workers in Mogadishu, Somalia. Methods: A cross-sectional study was conducted among hospital workers in Mogadishu, Somalia, focusing on professionals from various healthcare facilities. The study targeted nurses, doctors, laboratory personnel, and pharmacists. Purposive sampling was employed, resulting in a sample size of 383 calculated using Fisher’s sample size formula. Data were collected using coded questionnaires entered into Microsoft Excel 2019 and analyzed with SPSS software to generate frequencies and proportions, presented through frequency tables and pie figures. Results: The study in Mogadishu, Somalia, examined the prevalence of occupational injuries and knowledge of Post-Exposure Prophylaxis (PEP) accessibility among healthcare workers. Findings indicate a high prevalence of injuries, with 61.1% reporting incidents, predominantly needle stick injuries (60.6%). Despite the majority seeking prompt medical attention (72.0%), work-related illnesses affected 53.2% of respondents, notably work-related stress (59.5%). While most received training on injury and illness prevention (68.9%), gaps exist in PEP awareness, with 16.0% unaware of it. Nonetheless, 84.0% were aware, predominantly through health facilities (52.0%). Availability of PEP was reported by 71.3% in healthcare facilities, with variations in shift availability. The majority reported guidelines for PEP use (55.7%). Efforts are needed to bolster PEP awareness and ensure consistent availability in healthcare facilities to safeguard worker health. Conclusion: High prevalence of occupational injuries among healthcare workers, with needle stick injuries being the most common (60.6%). Despite this, 84.0% of respondents were aware of Post-Exposure Prophylaxis (PEP), primarily learning about it from health facilities (52.0%). While 71.3% reported the availability of PEP in their facility, 28.7% noted its unavailability. These results emphasize the need for improved education and accessibility of PEP to mitigate occupational injury risks.
文摘目的了解重庆地区艾滋病病毒(human immunodeficiency virus,HIV)阴性多性伴肛交(≥5人)男男性行为者(men who have sex with men,MSM)的人口学和性行为特征及其影响因素。方法从2018年6月至2019年6月,招募重庆地区319名HIV阴性MSM,收集其人口学特征、近半年内安全套使用率、是否感染性病、性角色、药物滥用史、是否服用过暴露后预防(post-exposure prophylaxis,PEP)药物、是否关注HIV知识和是否服用过暴露前预防(pre-exposure prophylaxis,PrEP)药物等信息。采用单因素和多因素Logistic回归分析模型分析MSM人群多性伴肛交的影响因素。结果 319名HIV阴性MSM中,34.5%(110/319)近6个月内性伴人数≥5人;110名多性伴MSM中,63.6%(70/110)年龄≤28岁,75.4%(83/110)学历为大学本科或大专;50名报告情感状况的MSM中,72.0%(36/50)为单身。多因素Logistic回归分析模型分析显示,服用过PEP药物和经常关注HIV知识是MSM多性伴肛交的主要影响因素。结论重庆地区HIV阴性MSM人群普遍存在多性伴肛交现象。应加大对MSM人群,尤其是低龄MSM人群,HIV防治知识的宣教力度。在推广PrEP和PEP在MSM人群中的使用时,应警惕其相关风险补偿。
