山西省侯马市外来女性务工人员艾滋病自愿咨询检测意愿及其影响因素

目的研究山西省侯马市外来女性流动人口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、宾馆等女性流动人口较为集中的工作场所里招募外来女性务工人员700名．进行匿名问卷调查。结果女性流动人口对HIV／AIDS和VCT的知晓率低，开展免费的VCT门诊点后，59．1％表示愿意接受艾滋病咨询检测：最希望接受VCT的地点或方式有：疾病预防控制中心（42．3％）、医院门诊（28.3％）、上门服务（20．8％）和计划生育门诊（8．7％）。Logistic回归分析显示，与接受艾滋病VCT意愿相关联的因素为：有较高的HIV／AIDS知识水平、不歧视HIV感染者和有过HIV检测史。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、提高VCT知晓率和推动VCT的开展以及消除对HIV感染者歧视的健康教育。

Willingness to Participate in Voluntary Counseling and Testing for HIV and Its Correlates Among Female Migrants in Houma City of Shanxi Province

OBJECTIVE To determine willingness to participate in voluntary counseling and testing （VCT） for HIV and its correlates among female migrants in Houma City of Shanxi Province. METHODS Using a quota-sampling method, a total of 700 female migrants were recruited from venues where migrants were often employed to be administered a face to face anonymous interview. RESULTS Knowledge of HIV/AIDS and VCT among female migrants was low. Only 58.9% of female migrants had heard of HIV and VCT. Married females had rarely used condoms for sex. Upon education about VCT and its availability, 59.1% of study participants reported to be willing to accept VCT. The most accepted VCT sites were local center for disease control and prevention（42.3%） , hospitals（28.3%）, bome（20.8%）and family planning clinics（8.7%）. Logistic regression analysis indicated that willingness to participate in VCT among female migrants was correlated with higher knowledge of HIV/AIDS, no discrimination against people living with HIV, and having a history of HIV testing. CONCLUSIONS Community-based health education programs for improving knowledge of HIV/AIDS and VCT, promoting acceptance of VCT for HIV and eliminating discrimination to HIV-infected persons are called for.