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孟加拉国一个国际组织工作人员对艾滋病毒/艾滋病的了解及态度

Knowledge on, and attitude toward, HIV/AIDS among staff of an international organization in Bangladesh.

作者信息

Islam Mohammad Tajul, Mostafa Golam, Bhuiya Abbas Uddin, Hawkes Sarah, de Francisco Andres

机构信息

United Nations Children's Fund, Dhaka, Bangladesh.

出版信息

J Health Popul Nutr. 2002 Sep;20(3):271-8.

PMID:12430765
Abstract

Two hundred and ninety-three randomly-selected members of the staff of ICDDR,B: Centre for Health and Population Research were surveyed anonymously in June 1998, using a pre-tested and self-administered questionnaire, to assess their knowledge on, and attitude toward, human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS). All except 4 (1.4%) heard of AIDS. Main sources of information were radio and television (93%), newspapers and magazines (84.8%), posters and leaflets (70.2%), and friends (59.2%). About 94% of the respondents believed that HIV might spread in Bangladesh. Only 61.6% knew about the causative agent for AIDS. More than 96% had knowledge that HIV could be detected through blood test. The respondents were aware that unprotected sexual intercourse (92%), transfusion of blood and blood components (93.8%), sharing unsterile needles for injections (94.1%), and delivery of babies by infected mothers (82.7%) could transmit HIV. Similarly, the respondents had the knowledge that HIV infection could be prevented by using condom during sexual intercourse (85.5%), having sex only with an HIV-negative faithful partner (87.2%), avoiding transfusion of blood not screened for HIV (88.9%), and taking injections with sterile needles (86.5%). However, only 33.0% had the knowledge that HIV-infected persons can look healthy, and 56.4% were unaware of transmission through breastmilk. Most members of the staff, particularly at lower level, had misconceptions about transmission and prevention of HIV/AIDS. More than 40% of the respondents had the attitude that HIV-infected persons should not be allowed to work, while another 10% did not have any idea about it. The findings of the study suggest that the members of the Centre's staff have a satisfactory level of essential knowledge on HIV/AIDS, although half of them have poor attitudes toward persons with HIV/AIDS. Therefore, preventive strategy for the staff should be directed toward behaviour change communication.

摘要

1191998年6月,对国际腹泻疾病研究中心(孟加拉国)卫生与人口研究中心随机挑选的293名工作人员进行了匿名调查,采用预先测试的自填问卷,以评估他们对人类免疫缺陷病毒(HIV)/获得性免疫缺陷综合征(AIDS)的了解和态度。除4人(1.4%)外,所有人都听说过艾滋病。信息的主要来源是广播和电视(93%)、报纸和杂志(84.8%)、海报和传单(70.2%)以及朋友(59.2%)。约94%的受访者认为HIV可能在孟加拉国传播。只有61.6%的人知道艾滋病的病原体。超过96%的人知道可以通过血液检测来检测HIV。受访者意识到无保护的性行为(92%)、输血及血液成分(93.8%)、共用未消毒的注射针头(94.1%)以及感染母亲分娩(82.7%)会传播HIV。同样,受访者知道在性交时使用避孕套(85.5%)、只与HIV阴性且忠诚的伴侣发生性行为(87.2%)、避免输注未筛查HIV的血液(88.9%)以及使用消毒针头注射(86.5%)可以预防HIV感染。然而,只有33.0%的人知道HIV感染者可能看起来健康,56.4%的人不知道通过母乳传播。大多数工作人员,尤其是较低层级的人员,对HIV/AIDS的传播和预防存在误解。超过40%的受访者认为不应允许HIV感染者工作,另有10%的人对此一无所知。研究结果表明,该中心工作人员对HIV/AIDS的基本知识水平令人满意,尽管其中一半人对HIV/AIDS患者态度不佳。因此,针对工作人员的预防策略应侧重于行为改变沟通。

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