Attitudes to HIV and HIV testing in high prevalence areas of China: informing the introduction of voluntary counselling and testing programmes
Attitudes to HIV and HIV testing in high prevalence areas of China: informing the introduction of voluntary counselling and testing programmes
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DOI：
10.1136/sti.2004.009704
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发表时间：
2005-04-01
影响因子：
3.6
通讯作者：
Tomkins, AM
中科院分区：
文献类型：
--
作者：
Hesketh, T;Duo, L;Tomkins, AM
目的：为了评估知识和态度，艾滋病病毒及其检测孕妇和卫生专业人员在云南省，中国西南部，通知引进自愿咨询和检测（VCT）programmes.Methods：本研究设计是一个横断面调查，采用自我完成问卷。在云南省4个高发区的12家医院进行了调查。在检查条件下由卫生专业人员完成问卷，并在常规产前检查的孕妇。结果：完成问卷，从840名孕妇和780名卫生专业人员。卫生专业人员对艾滋病毒及其传播方式的认识良好，但孕妇的认识参差不齐。这两个群体最薄弱的领域是对母婴传播的了解。人们强烈支持在怀孕期间和婚前检查时进行强制性检测。但对艾滋病毒/艾滋病的态度是消极的：23%的卫生专业人员和45%的孕妇认为艾滋病毒是一种“低级和非法”的人的疾病，48%的卫生专业人员和59%的孕妇认为艾滋病毒阳性者不应该被允许结婚，30%的卫生专业人员不愿意治疗艾滋病毒阳性者。知识水平更高，态度更积极，在年轻的卫生专业人员和受过良好教育的孕妇。结论：社区教育计划和卫生工作者的强化培训，必须之前或陪同自愿咨询检测计划。它们必须特别处理对艾滋病毒感染者的消极态度。目前正在研究的两个地区开展自愿咨询和检验试点方案。
Objectives: To assess knowledge and attitudes towards HIV and its testing among pregnant women and health professionals in Yunnan Province, south west China, to inform the introduction of voluntary counselling and testing (VCT) programmes.Methods: The study design was a cross sectional survey using self completion questionnaires. It was carried out in 12 hospitals in four high prevalence areas of Yunnan Province. Questionnaires were completed under examination conditions by health professionals, and at the routine antenatal examination by pregnant women.Results: Completed questionnaires were obtained from 840 pregnant women and 780 health professionals. Knowledge of HIV and its modes of transmission were good in health professionals but patchy in pregnant women. The weakest area in both groups was knowledge of maternal to child transmission. There was strong support for compulsory testing in pregnancy and at the premarital examination. But attitudes towards HIV/AIDS were negative: 23% of health professionals and 45% of pregnant women thought HIV was a disease of "low class and illegal'' people, 48% of health professionals and 59% of pregnant women thought that HIV positive individuals should not be allowed to get married, and 30% of the health professionals were not willing to treat an HIV positive individual. Levels of knowledge were higher and attitudes more positive in younger health professionals and better educated pregnant women.Conclusions: Community education programmes and intensive training of health workers must precede or accompany VCT programmes. They must particularly address negative attitudes towards people with HIV. Pilot VCT programmes are now under way in two of the areas studied.