乡村医生对采供血传播HIV的知情调查及干预研究

目的 了解乡村医生对艾滋病(AIDS)基本知识和非法采供血传播艾滋病病毒(HIV)事件的知晓情况，探索农村AIDS防治工作的可行干预措施。方法 选择采、供血传播HIV疫情较为严重的某乡全体乡村医生为调查对象，应用定性和定量研究相结合的调查方法收集资料。结果 有效调查33人(100％)，95％以上调查对象对AIDS的性传播、血液传播和传染性等问题有正确认识；50％对母婴传播和唾液、汗液、蚊虫叮咬、共用浴缸坐便等不传播HIV途径缺乏认识；80％以上了解本村血液组织者的目的、村民卖血高峰时间、血液传播疾病的危害和反对卖血行为；27．3％的调查对象偶尔使用一次性注射器和15．2％调查对象将使用过的一次性注射器丢弃或卖掉。结论 农村地区存在较为严重的医源性交叉感染的隐患，乡村医生迫切需要AIDS防治知识的正规培训，而且有望成为农村AIDS防治工作的核心力量。

Survey and intervention into rural doctors' knowledge on the spread of HIV via blood collection and supply

Objective To find out about rural doctors' knowledge on the basic facts about AIDS and the spread of HIV via illegal blood collection and supply and explore viable intervention methods in AIDS prevention and treatment in rural areas. Methods All the rural doctors in a certain township where the epidemic of HTV being spread via blood collection and supply was pretty serious were selected for the survey and data were collected by combining qualitative and quantitative studies. Results The survey of 33 doctors was effective( 100% ) ; above 95% had a correct understanding of the spread of AIDS through sex and blood as well as its contagiousness; 50% did not possess the knowledge that HIV could be spread to the baby by the mother but could not be spread through saliva, sweat, mosquito bites or sharing of bathtubs or toilets; above 80% knew about the objective of the blood organizers in their villages, the peak time of blood selling by the villagers, and the risks of diseases being spread via blood, and were opposed to blood selling; 27.3% once in a while used disposable syringes, and 15.2% discarded or sold used disposable syringes. Conclusion There are severe lurking perils of iatrogenic cross infection in rural areas. Rural doctors are in dire need of formal training in AIDS prevention and treatment knowledge and could be expected to become the key force in AIDS prevention and treatment in rural areas.