监管场所发现的HIV感染者/AIDS病人失访原因和对策  

Reasons behind the drop out of follow up among HIV/AIDS patients identified in detention institutions and policy responses

作　　者：王海英[1] 虞永杭[1] 王昵[1] 杨其法[1] 

机构地区：[1]浙江省杭州市余杭区疾病预防控制中心,杭州311100

出　　处：《中国艾滋病性病》2012年第5期303-305,共3页Chinese Journal of Aids & STD

摘　　要：目的了解监管场所发现的艾滋病病毒感染者/艾滋病病人(HIV/AIDS病人)失访的原因,提出减少失访的策略。方法对监管场所羁押的HIV/AIDS病人的失访原因进行个案访谈;采用系统抽样的方法对监管场所羁押人员的艾滋病随访知识和培训情况进行问卷调查;对1998-2007年杭州市余杭区监管场所报告的HIV/AIDS病人出场所后随访管理资料进行分析。结果 20名入场所后发现的HIV/AIDS病人认为,不接受随访的主要原因是害怕受到歧视,害怕泄露隐私,对治疗效果没信心和对健康不关心。213名监管场所羁押人员中,仅9.4%(20/213)的人了解随访管理的意义,10.8%(23/213)的人知道在哪里获得相关服务,2.8%(6/213)的人接受过相关培训;既往报告的120名HIV/AIDS病人中,33.3%(40/120)的人因地址信息错误或不详而没有找到,40.8%(49/120)的人因现住址未及时更新而没有获得医务人员主动提供的医学随访服务。结论应通过开展降低艾滋病歧视干预、完善和落实艾滋病信息保密制度、开展监管场所健康教育和出所前告知、加强地址信息的管理等,来提高监管场所发现的HIV/AIDS病人出所后的随访管理率。Objective To analyze the reason behind the drop out of follow-up among HIV/AIDS patients identified in detention institutions,and to recommend policy responses. Method The detained HIV/AIDS patients were interviewed to find out why they were dropped out of follow-up, and they were surveyed randomly with questionnaires about their knowledge of HIV/AIDS related follow-up and education; meanwhile, data on follow up of the HIV/AIDS patients reported by the detention institutions in 1998-2007 after their release were statistically analyzed. Result Twenty HIV/AIDS patients identified after they entered the detention institution thought that they were unwilling to be followed up because of possible discrimination, personal confidentiality, doubt about effectiveness of the treatment and indifference to their own health. Among the 213 detained persons, only 9.4 % （20/213） understood the significance of follow-up, 10.8% （23/213） knew how to reach related service and 2.8% （6/213） received related education. Of the reported HIV/AIDS patients 33.3 %（40/120） were lost because of wrong or unclear addresses and 40.8%（49/120） failed to access follow-up service because of changed address. Conclusion Followup rates should be increased among detained HIV/AIDS patients after their release by decreasing discrimination against AIDS, improving confidentiality, reinforcing health education and address information and notification management,

关 键 词：监管场所 艾滋病病人 随访 失访 管理 

分 类 号：R512.91[医药卫生—内科学]