社区卫生服务机构艾滋病防治相关人员工作支持度研究  

Research on Supportability of Workers Related to HIV /AIDS Prevention Practice in Community Health Service Centers

作　　者：马福昌[1] 徐鹏[1] 蒋慧惠[1] 张大鹏[1] 孟思宁[1] 曾刚[1] 何慧婧[1] 辛倩倩[1] 吕繁[1] 

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京100050

出　　处：《医学与社会》2013年第9期5-7,共3页Medicine and Society

基　　金：中国卫生部-盖茨基金会艾滋病防治合作项目成果;编号为OPP49277

摘　　要：目的:了解社区卫生服务机构艾滋病防治相关人员对艾滋病防治工作的支持情况及影响因素。方法:采用自填式调查问卷,对8个城市40家社区卫生服务机构361名工作人员进行调查。调查内容包括工作人员的一般情况、参与社区艾滋病防治情况及态度、意愿等。结果:68.1%的人表示愿意从事并且支持社区卫生服务机构的艾滋病防治工作。多因素Logistic回归分析显示,每周从事较长时间HIV防治工作和愿意同等对待HIV感染者/病人的工作人员更愿意支持在社区卫生服务机构开展的HIV防治工作,OR(95%CI)分别为8.06(2.07,31.42)、12.12(1.53,96.07)、11.04(5.76,21,16)。结论:社区卫生服务机构工作人员对艾滋病防治服务有较高的支持度,但也存在歧视、担心职业暴露和待遇低等阻碍因素,当地卫生行政部门和疾控机构需要加强社区医生的艾滋病防治知识、技能和职业暴露预防培训,同时要提高其工作待遇,稳定基层艾滋病防治队伍。Objective： To explore the supportability and influencing factors of workers related to HIV Prevention practice in Community Health Service Centers. Methods： A self- managed questionnaire survey was conducted among 361 HIV/AIDS prevention related workers from 40 Community Health Service Centers in 8 cities, and demographic characteristics, participation and willingness to participate in AIDS prevention and their attitudes were collected. Results： 68.1% of the workers indicated that they were willing to be engaged in and support the HIV/AIDS prevention work in Community Health Service Centers. Multivariate logistic regression analysis showed that people with more service time per week and who held a non - discriminatory attitude towards people suffered from HIV/AIDS were more likely to support HIV prevention work in Commu- r, ity Health Service Center, with OR （95% CI） 8.06（2.07, 31.42） ,12.12（ 1.53, 96.07）, 11.04（5.76, 21,16） respectively. Conclusions： There was a higher proportion of supportability towards HIV/AIDS prevention work among workers in Community Health Service Center, but discrimination, fear of occupational exposure and low income remain key barriers to HIV/AIDS prevention. Local health administrative authorities and CDCs should improve HIV/AIDs prevention knowledge, skill and occupational exposure prevention of community doctors, meanwhile their income should be increased to stabilize the HIV/AIDS prevention team.

关 键 词：社区卫生服务机构 艾滋病 支持度 

分 类 号：R192.5[医药卫生—卫生事业管理]