Acceptance of and barriers to voluntary HIV counselling and testing among adults in Guizhou province, China
Acceptance of and barriers to voluntary HIV counselling and testing among adults in Guizhou province, China
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DOI：
10.1097/01.aids.0000304708.64294.3f
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发表时间：
2007-12-01
期刊：
影响因子：
3.8
通讯作者：
Liu, Taiming
中科院分区：
文献类型：
--
作者：
Ma, Wei;Detels, Roger;Liu, Taiming
目的：了解和比较贵州省中国两县成人自愿咨询检测的接受程度和障碍程度。设计：采用纵向两阶段整群抽样设计。所有参与者都接受了采访，并在采访结束后获得了一张免费VCT优惠券。参与者在2个月内退还优惠券，无论是否测试，都会获得报酬。结果：两县成人HIV/AIDS知识水平和VCT可接受性均较低。虽然459人(43.5%)表示愿意使用自愿咨询服务，但只有193人(16.5%)实际去过自愿咨询服务机构，只有42人(3.7%)在面谈后2个月内实际接受了艾滋病毒检测。VCT的使用与职业、年龄、交通困难、健康状况、种族和高危行为有关。HIV检测的主要障碍包括认为自己风险低，害怕主动披露，害怕因检测而导致的耻辱和歧视。结论：关于艾滋病毒/艾滋病和VCT的教育需要改进，减少耻辱和歧视的程度，以加强VCT服务的接受，这是开始治疗的关键步骤。(C)2007年沃尔特斯·克鲁沃健康--利平科特·威廉姆斯和威尔金斯。
Objectives: To find and compare the levels of acceptance of and barriers to voluntary counselling and testing (VCT) among adults in two different counties of Guizhou province, China, one in which the China CARES project was operating and the other in which it was not.Design: A longitudinal design with two-stage cluster sampling was employed.Methods: A total of 1012 participants were recruited in the two counties. All participants were interviewed, then given a coupon for free VCT after the interview. Participants were paid for returning the coupon within 2 months, whether tested or not. The uptake of VCT was measured within 2 months after the interview.Results: The study found that the levels of HIV/AIDS knowledge and acceptability of VCT among the adults in both counties were low. Although 459 participants (43.5%) expressed an intent to use the VCT services, only 193 (16.5%) actually visited the VCT facilities, and only 42 (3.7%) actually took an HIV test within 2 months after the interview. The use of VCT was related to occupation, age, transportation difficulties, health status, ethnicity, and high-risk behaviors. The main barriers to HIV testing included perceiving oneself as low risk, fear of unsolicited disclosure, and fear of stigma and discrimination that would result from taking the test.Conclusion: Education about HIV/AIDS and VCT needs to be improved, and levels of stigma and discrimination reduced, in order to enhance the uptake of VCT services, an essential step for the initiation of treatment. (c) 2007 Wolters Kluwer Health-Lippincott Williams & Wilkins.