Day J H, Miyamura K, Grant A D, Leeuw A, Munsamy J, Baggaley R, Churchyard G J
Aurun Health Research, Welkom, South Africa.
AIDS Care. 2003 Oct;15(5):665-72. doi: 10.1080/0954012030001595140.
We conducted a study to identify attitudes that influence uptake of HIV voluntary counselling and testing (VCT) amongst gold mine workers in South Africa; 105 healthy men were interviewed. The level of basic knowledge of HIV was high, but reported awareness of the extent of HIV infection in the workforce and perceived personal risk of HIV infection was low. Health issues were considered the most important indication for HIV testing and one-third had been tested. Fear of testing positive for HIV and the potential consequences, particularly stigmatization, disease and death, were the major identified barriers to VCT. Half of the participants felt workplace education programmes needed to be improved to promote VCT access. Twenty-six per cent became more favourably inclined towards HIV testing in response to information on improvements that have been made to the confidentiality and convenience of the company's VCT service. Only 14% then indicated that they would be more likely to access VCT if antiretroviral therapy became available. A vigorous community education programme is essential if the introduction of ART is to be effective in promoting uptake of VCT.
我们开展了一项研究，以确定影响南非金矿工人接受艾滋病毒自愿咨询和检测（VCT）的态度；对105名健康男性进行了访谈。他们对艾滋病毒的基本知识水平较高，但对劳动力中艾滋病毒感染程度的知晓率以及对个人感染艾滋病毒风险的认知较低。健康问题被认为是进行艾滋病毒检测的最重要指标，三分之一的人已经接受过检测。对艾滋病毒检测呈阳性的恐惧以及潜在后果，尤其是污名化、疾病和死亡，是确定的接受VCT的主要障碍。一半的参与者认为需要改进职场教育计划以促进VCT的普及。26%的参与者在得知公司VCT服务的保密性和便利性有所改善后，对艾滋病毒检测的态度变得更加积极。只有14%的人表示，如果有抗逆转录病毒疗法，他们更有可能接受VCT。如果要使抗逆转录病毒疗法的引入有效促进VCT的普及，积极的社区教育计划至关重要。
