江苏省医务人员艾滋病知识、态度和行为调查分析

目的调查江苏省医务人员艾滋病相关知识、态度和行为现状及影响因素，为开展艾滋病综合防治及职业防护提供依据。方法采用分层抽样的方式，对江苏省泰兴、张家港和丹阳的各级医疗卫生服务机构医务人员进行艾滋病相关知识、态度和行为状况调查，分析其影响因素。结果医务人员对AIDS的基本知识回答正确率为81．36％。Logistic回归分析发现，文化程度高（OR：3．466，95％CI：1．782～6．739）和在职培训（OR=1．353，95％CI：1．112—1．647）是医务人员艾滋病知晓率的影响因素；35．6％的医务人员面对（HIV＋／AIDS）会有恐惧心理，且年龄高（OR=0．456，95％CI：0．217～0．956）、经过培训（OR=0．763，95％CI：0．634～0．918）及知识知晓率高（OR=0．702，95％CI：0．573～0．859）能减少恐惧心理，在不同科室间医务人员的恐惧感不同；81．9％的医务人员在知道患者是HIV／AIDS时能继续为其治疗。医务人员对待AIDS的态度直接影响其为HIV感染者提供医疗服务。结论医务人员对AIDS知识的知晓率仍有待提高，应针对医务人员的不同特点有针对性地开展AIDS专业知识的培训，努力消除对HIV／AIDS的恐惧心理。

Analysis on knowledge,attitude and behaviors of AIDS among medical staff in Jiangsu Province

Objective To investigate the status of medical staff＇ s AIDS-related knowledge, attitude, behavior and influencing factors in Jiangsu Province, in order to support the basis for carrying out the AIDS integrated control and occupation prevention. Methods The stratified sampling method was applied, and the questionnaire surveys were carried out in the staff of all levels of medical health services in Taixing, Zhangjiagang and Danyang City in Jiangsu Province. The influencing factors were analyzed. Results Among the medical staff, the rate of the correct basic knowledge of AIDS was 81.36% , and the education degree（ OR = 3.466,95% CI： 1. 782-6. 739） and job training（ OR = 1. 353,95% CI： 1. 112- 1. 647 ） were influencing factors by Logistic regression analysis ; About 35.6% of the medical staff were still fear the AIDS patients and infected persons, and the age（ OR = 0. 456,95% CI：0. 217-0. 956）, job training（ OR = 0. 763,95% CI： 0. 634-0. 918） and knowledge rate（ OR =0. 702,95% CI：0. 573-0. 859） were associated with the fearing, the fearing was not the same in different sections; 81.9% of the staff were still willing to provide service for the AIDS patients and infected persons after they knew the results, The attitudes of medical staff to treat the AIDS directly affect their provision of medical services for HIV infection. Conclusions The AIDS-related knowledge should be improved in medical staff, and the medi- cal staff should receive further, the training on AIDS knowledge tO eliminate the fear of AIDS patients and infected persons.