凉山州对HIV感染者及吸毒者办农场实行集中管理模式的探讨  

Evaluation of a centralized management of HIV-infected persons and drug users in Liangshan prefecture

作　　者：杨小艺[1] 王启兴[2] 李平[1] 秦光明[3] 梁姝[3] 杨文[3] 阮玉华[4] 邵一鸣 

机构地区：[1]广西医科大学公共卫生学院,南宁530021 [2]四川省凉山州疾病预防控制中心,四川西昌615000 [3]四川省疾病预防控制中心,成都610041 [4]传染病预防控制国家重点实验室,北京102206

出　　处：《中国艾滋病性病》2015年第5期400-403,共4页Chinese Journal of Aids & STD

基　　金：加拿大国际发展署(104519-010)~~

摘　　要：目的了解办农场实行集中管理的模式,在四川省凉山州艾滋病病毒(HIV)感染者及吸毒者中的接受意愿,为探索一种新的艾滋病综合防治策略提供科学数据。方法在凉山州的西昌市、布拖县、金阳县招募HIV感染者和吸毒者,对由政府开办农场,提供工作和工资、治疗和干预、技能培训,实行集中管理的模式,进行接受意愿的问卷调查。结果 410名HIV感染者、406名吸毒者共816人接受了调查,其中329名HIV感染者(80.2%)、306名吸毒者(75.4%)共635人(77.8%)表示愿意参加农场集中管理。HIV感染者(410名)和吸毒者(406名)分别有80.2%(329名)和75.4%(306名)愿意参加集中管理模式。HIV感染者中,不同调查点和职业者间接受率比较差异有统计学意义(P<0.05);吸毒者中,不同性别、年龄和职业者间接受率比较,差异有统计学意义(P<0.05)。参加农场集中管理模式的动机分别为稳定收入(54.3%)、自食其力(18.9%)、医疗救助(16.2%)、提供吃住(8.5%)。希望的平均月收入集中在1000元,并希望得到一些实用技能培训。意愿者中77.6%的人希望农场离家较近,66.9%的人表示除了个人愿意参与农场劳动外,还希望并愿意其全家迁入。结论以农场劳动为基础的集中管理模式,受到凉山州HIV感染者和吸毒者的广泛支持。Objective To investigate the willingness to accept a centralized management among HIV-infected persons and drug users in Liangshan prefecture,Sichuan province,providing scientific data for a new strategy for prevention and control of HIV/AIDS.Methods HIV-infected persons and drug users in Xichang,Butuo and Jinyang,Liangshan prefecture,were recruited to complete questionnaires about the willingness to accept centralized management.Results A total of 816 HIV-infected persons and drug users were included,77.8%（635/816）of them were willing to participate in centralized management.There was 80.2%（329/410）HIV-infected persons and75.4%（306/406）drug users,respectively.For the HIV-infected persons,the acceptance rate between different sites and different occupations were statistically significant（P〈0.05）.For the drug users,the acceptance rate between different sexes,different ages and different occupations were statistically significant（P〈0.05）.The motivations of participating in centralized management were stable income（54.3%）,support oneself（18.9%）,medical assistance（16.2%）and providing eating and accommodation（8.5%）,respectively.They hoped to have income about 1000 yuan every month and get some practical skills training.77.6% of the volunteers hoped that the farm was close to home and 66.9% of them hoped that not only themselves but also their families could move to the farm together.Conclusion The centralized management based of farm labour was widely supported by HIV-infected persons and drug users in Liangshan prefecture.

关 键 词：艾滋病病毒感染者 吸毒者 集中管理 接受意愿 

分 类 号：R512.91[医药卫生—内科学]