山西省某市外来务工人员艾滋病自愿咨询检测意愿及其影响因素

目的研究山西省某市外来务工人员对艾滋病自愿咨询检测（VCT）的接受意愿及其影响因素。方法采用配额抽样的方法,在市场、饭店、宾馆等流动人口较为集中的6类工作场所里招募外来务工人员1280名,进行匿名问卷调查。结果VCT的知晓率低,56．6%的外来务工人员听说过VCT。当调查对象被告知有开展免费的艾滋病咨询检测的单位后,64．5%愿意接受VCT,愿意接受VCT的地点或方式主要有：疾病预防控制中心（48．7%）、医院门诊（27．0%）、上门服务（18．5%）。logistic回归分析显示,与接受VCT有关的因素为曾经做过HIV检测、较高HIV知识水平、不歧视HIV感染者和有较高的艾滋病意识。结论有必要在流动人口聚集的社区开展旨在普及艾滋病防治知识、推动VCT和消除对HIV感染者歧视的健康教育。

Correlates of and willingness to participate in HIV voluntary counseling and testing among migrants in a city of Shanxi province

Objective To determine the correlates of and willingness to participate(WTP) in HIV voluntary counseling and testing (VCT) among migrants in Shanxi province.Methods Through quota sampling,a total of 1280 migrants were recruited from 6 different venues where migrants were most likely employed to administer a face-to-face anonymous interview.Results Knowledge of VCT among migrants was low.Only 56.6 % of migrants had heard of HIV voluntary counseling and testing.64.5% reported willingness to accept VCT after participants were informed that HIV counseling and testing was offered free of charge Centers for Disease Prevention and Control(48.7%),hospital(27.0%) and home(18.5%) were most preferred places for VCT service.Logistic regression analysis indicated that the willingness was associated with having a history of HIV test,having better knowledge of HIV,no discrimination against people with HIV,and high HIV/AIDS perception.Conclusion Community-based health education programs for improving HIV/AIDS knowledge,promoting acceptance of VCT and eliminating discrimination to HIV-infected persons were called for.