Attitudes to HIV voluntary counselling and testing among mineworkers in South Africa: will availability of antiretroviral therapy encourage testing?

Attitudes to HIV voluntary counselling and testing among mineworkers in South Africa: will availability of antiretroviral therapy encourage testing?
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DOI:
10.1080/0954012030001595140
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发表时间:
2003-10-01
影响因子:
1.7
通讯作者:
Churchyard, GJ
Churchyard, GJ
中科院分区:
医学4区
文献类型:
--
作者:
Day, JH;Miyamura, K;Churchyard, GJ

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我们进行了一项研究,旨在确定影响南非金矿工人接受艾滋病毒自愿咨询和检测 (VCT) 的态度; 105 名健康男性接受了采访。艾滋病毒基础知识水平较高,但对工作人员艾滋病毒感染程度和个人感染艾滋病毒风险的认识较低。健康问题被认为是艾滋病毒检测的最重要指标,三分之一的人已经接受了检测。对艾滋病毒检测呈阳性的恐惧及其潜在后果,特别是污名化、疾病和死亡,是 VCT 的主要障碍 一半的参与者认为需要改进工作场所教育计划,以促进 VCT 的普及。在得知公司 VCT 服务的保密性和便利性有所改进的信息后,26% 的人更加倾向于艾滋病毒检测。只有 14% 的人表示,如果抗逆转录病毒治疗可用,他们将更有可能接受 VCT。如果要引入 ART 才能有效促进 VCT 的采用,强有力的社区教育计划至关重要。
We conducted a study to identify attitudes that influence uptake of HIV voluntary counselling and testing (VCT) amongst gold mineworkers in South Africa; 105 healthy men were interviewed. The level of basic knowledge of HIV was high, but reported awareness of the extent of HIV infection in the workforce and perceived personal risk of HIV infection was low. Health issues were considered the most important indication for HIV testing and one-third had been tested. Fear of testing positive for HIV and the potential consequences, particularly stigmatization, disease and death, were the major identified barriers to VCT Half of the participants felt workplace education programmes needed to be improved to promote VCT access. Twenty-six per cent became more favourably inclined towards HIV testing in response to information on improvements that have been made to the confidentiality and convenience of the company's VCT service. Only 14% then indicated that they would be more likely to access VCT if antiretroviral therapy became available. A vigorous community education programme is essential if the introduction of ART is to be effective in promoting uptake of VCT.