【摘要】 目的调查南昌市医务人员艾滋病相关知识、歧视现状及影响因素,为开展艾滋病反歧视工作提供依据。方法采用方便抽样的方法抽取南昌市3家医院的医务人员,运用自行设计调查问卷对医务人员艾滋病知识、歧视及影响因素进行调查。结果共调查医务人员1 521人,医务人员艾滋病知识总知晓率为65.67%,艾滋病歧视率为41.81%。调查显示艾滋病知识知晓率高(OR=0.052,95%CI:0.037~0.073)、硕士及以上学历者(OR=0.053,95%CI:0.021~0.129)、家庭出生来自城市(OR=0.527,95%CI:0.395~0.702)、工作满意程度高(OR=0.714,95%CI:0.539~0.945)、对PLWHA持同情态度者(OR=0.286,95%CI:0.211~0.387)艾滋病歧视率较低;暴露危险性高者(OR=4.712,95%CI:3.271~6.788)艾滋病歧视率较高;不同科室岗位医务人员艾滋病歧视程度不同,临床医生及药师艾滋病歧视率较低,护士、医技、后勤行政岗艾滋病歧视率较高。结论南昌市医务人员艾滋病相关知识掌握情况有待进一步提高,应针对医务人员的不同特点有针对性地开展艾滋病专业知识培训,努力消除HIV/AIDS歧视心理。更多还原

【Abstract】 Objective To investigate HIV/AIDS-related knowledge,discrimination and influencing factors of healthcare workers in Nanchang City,and to provide evidence for HIV/AIDS anti-discrimination work. Methods We used the convenient sampling method to investigate the HIV/AIDS-related knowledge,discrimination and influencing factors of healthcare workers who came from 3 hospitals in Nanchang based on a self-designed questionnaire. Results Among the 1 521 participating healthcare workers,the rate of adequate knowledge of AIDS was 65. 67%. About 41. 81% of healthcare workers had high levels of stigmatizing attitudes. The survey showed that the healthcare workers with high awareness rate( OR = 0. 052,95% CI: 0. 037 ~ 0. 073),master’s degree or above( OR = 0. 053,95% CI: 0. 021 ~ 0. 129),born from the city( OR = 0. 527,95% CI: 0. 395 ~ 0. 702),high job satisfaction( OR = 0. 714,95% CI: 0. 539 ~ 0. 945),sympathetic attitudes( OR = 0. 286,95%CI: 0. 211 ~ 0. 387) had a lower rate of HIV-related stigma. Those with higher risk exposure( OR = 4. 712,95% CI: 3. 271 ~ 6.788) had a higher rate of HIV-related stigma. The level of AIDS discrimination among healthcare workers was different among varied departments. For example,the discrimination rate of AIDS among clinicians and pharmacists was low,but in the nurses,medical technicians and rear service personnel was high. Conclusion AIDS-related knowledge among healthcare workers needs to be improved in Nanchang. In the further,we should carry out education for different characteristics of healthcare workers and work hard to eliminate HIV/AIDS discrimination.更多还原