随访门诊HIV暴露后预防就诊者艾滋病知信行调查及影响因素分析  

Investigation of AIDS knowledge,belief and practice and analysis of infl uencing factors among post-exposure HIV prevention patients in follow-up outpatient department

作　　者：何娟 龙海 唐燕 宋稣 徐磊 吴茗芳 杨惠雯 HE Juan;Long Hai;TANG Yan;SONG Su;XU Lei;WU Mingfang;YANG Huiwen(Department of Infection,Guiyang Public Health Treatment Center,Guiyang Guizhou 550004)

机构地区：[1]贵阳市公共卫生救治中心感染科,贵州贵阳550004

出　　处：《当代医药论丛》2023年第11期1-4,共4页

基　　金：贵阳市科技计划项目(编号:[2019]9-12-8)。

摘　　要：目的:了解贵阳市人类免疫缺陷病毒(HIV)暴露后预防门诊就诊者艾滋病的知信行(KAP)现状,并探讨其影响因素,为艾滋病随访门诊开展相关健康教育工作提供基础数据。方法:选择2019年6月至2020年6月在贵阳市公共卫生救治中心艾滋病随访门诊寻求HIV暴露后预防的就诊者1000例作为研究对象,对暴露后就诊者的人口学特征和艾滋病相关知识、信念(态度)、行为两部分内容以及获得相关艾滋病知识的途径进行调查。结果:1000例研究对象对艾滋病知识的总体知晓率为91.5%;不同年龄、文化程度、暴露途径及婚姻状况人群对艾滋病知识的知晓率对比差异有统计学意义(P<0.05),不同性别、职业、月收入及民族人群对艾滋病知识的知晓率对比差异无统计学意义(P>0.05)。研究对象艾滋病知识的获取途径包括互联网、电视、宣传材料和医务人员、咨询服务等。1000例就诊者艾滋病相关积极态度总体持有率为70.2%,艾滋病相关健康行为总体形成率为67.1%;通过多因素logistic回归分析,结果显示就诊者年龄、文化程度是其知识、信念(态度)、行为的主要影响因素(P<0.05)。结论:需加大随访门诊HIV暴露后预防就诊者艾滋病健康教育宣教力度,促进高危人群持有积极的信念(态度),采取健康的生活方式,减少HIV的传播,从而对艾滋病进行有效防控。Objective:To understand the status quo of HIV knowledge and practice(KAP)among patients in human immunodeficiency virus(HIV)post-exposure prophylaxis outpatient clinic in Guiyang City,and to explore its influencing factors,so as to provide basic data for HIV follow-up outpatient clinic to carry out related health education.Method:A total of 1000 patients seeking post-exposure prophylaxis for HIV in the AIDS Follow-up Clinic of Guiyang Public Health Treatment Center from June 2019 to June 2020 were selected as the research objects.Demographic characteristics,AIDS knowledge,belief(attitude)and behavior of the exposed patients were investigated,as well as the way to acquire AIDS knowledge.Results:The overall awareness rate of AIDS knowledge among 1000 subjects was 91.5%;There were statistically significant differences in the awareness rate of HIV/AIDS among different age,educational level,exposure channels and marital status(P<0.05),while there were no statistically significant differences in the awareness rate among different gender,occupation,monthly income and ethnic groups(P>0.05).Access to HIV/AIDS knowledge included the Internet,television,information materials and medical personnel and counselling services.Among 1000 patients,the overall holding rate of HIV-related positive attitude was 70.2%,and the overall formation rate of HIV-related health behaviors was 67.1%.Multiple logistic regression analysis showed that age and education were the main influencing factors of knowledge,belief(attitude)and behavior(P<0.05).Conclusion:It is necessary to strengthen the health education and education of patients with post-exposure HIV prevention in the follow-up clinic,promote the high-risk population to hold a po sitive belief(attitude),adopt a healthy lifestyle,reduce the spread of HIV,so as to effectively prevent and control AIDS.

关 键 词：暴露后预防 艾滋病 就诊者 知信行 影响因素 

分 类 号：R512.91[医药卫生—内科学]