【摘要】 目的了解大众艾滋病相关认知水平对于自愿咨询检测(VCT)的影响,为VCT的社区倡导提供依据。方法限定时段内对于自愿咨询检测门诊的求询者和整群抽取的社区居民进行包括人口学特征、艾滋病相关认知、VCT需求和行为的调查。采用描述性统计和Logistic回归对资料进行分析。结果VCT对传播途径的认知水平(Z=3.24314,P=0.0012)和公共卫生焦虑程度(Z=1.92708,P=0.0540)明显高于社区居民。对于存在感染风险者,主要影响其自愿咨询检测行为的是性别(OR=0.051,P=0.0001)、传播途径认知水平(OR=12.161,P=0.0264)、应对病毒的自我效能感(OR=3.252,P=0.0343)和流行现状焦虑(OR=1.576,P=0.0305)等。结论人口学特征对于合理检测行为的影响并非关键,在VCT社区倡导中要加强流行状况的介绍提高防治紧迫感,详细解释传播风险以提高风险自觉性,同时通过介绍HIV的防治方法以提高应对病毒的自我效能感也有助于促进自愿咨询检测。更多还原

【Abstract】 Objective To investigate the relationship between awareness of AIDS and the acceptance of voluntary counseling and testing (VCT) in general public, and to provide supportive information to the community for the promotion of VCT. Methods Investigation was carried out at both the VCT clinic and the central district by means of face-to-face interview. Information concerning demographic data, AIDS knowledge, and attitude to VCT was collected and analyzed by means of descriptive statistics and Logistic Regression Modeling. Results Patients attending VCT clinic had a higher degree of awareness of disease transmission(Z=3.24314, P=0.0012) and concern of public health (Z=1.92708, P=0.0540) than the general public. For the individuals with high-risk behavior for HIV,there are 4 predominant factors affecting the acceptance of VCT. These included the sex (OR=0.051,P=0.0001), knowledge on the disease transmission (OR=12.161, P=0.0264), self-efficacy on HIV (OR=3.252, P=0.0343) and consciousness of AIDS epidemic (OR=1.576,P=0.0305). Conclusion Highlighting the epidemic, clarifying the modes of transmission, and introduction of the solution for AIDS treatment and prevention are the key to the success in the promotion of VCT.更多还原