基层医疗环境中对艾滋病毒检测的种族/族裔态度。
Racial/ethnic attitudes towards HIV testing in the primary care setting.
作者信息
Simmons Emma M, Rogers Michelle L, Frierson Georita M, Beckwith Curt G, Flanigan Timothy P
机构信息
Center for Primary Care and Prevention, Medical Hospital of RI, Pawtucket, RI 02860, USA.
出版信息
J Natl Med Assoc. 2005 Jan;97(1):46-52.
PURPOSE
To determine attitudes of patients towards routine HIV testing in the primary care setting.
METHODS
Cross-sectional survey on the risk factors, beliefs, attitudes and knowledge of HIV/AIDS administered to 101 individuals present in urban primary care clinics in Providence, RI.
RESULTS
Previous HIV testing was done most frequently for those respondents requiring prenatal services and for those who were curious about their HIV status. Patients' perceptions of their personal risk for HIV infection and their self-identified risk factors were frequently discordant. Patients wanted to be tested routinely for HIV by their primary care providers, even when they did not feel that they were at high risk for HIV acquisition.
CONCLUSIONS
Patients in this study clearly indicated their desire to be tested for HIV routinely by their primary care providers. Routine HIV testing is a reasonable option to identify HIV infections in the primary care setting, as it is nondiscriminatory, allows increased awareness of actual risk for infection, and provides an opportunity for earlier detection of HIV.
目的
确定患者对基层医疗环境中常规HIV检测的态度。
方法
对罗德岛州普罗维登斯市城市基层医疗诊所的101名患者进行了关于HIV/AIDS危险因素、信念、态度和知识的横断面调查。
结果
以前接受HIV检测的受访者中，最常见的是那些需要产前服务的人和那些对自己的HIV状况感到好奇的人。患者对自身感染HIV的个人风险认知与他们自我认定的风险因素常常不一致。患者希望由基层医疗服务提供者为其进行常规HIV检测，即使他们不认为自己感染HIV的风险很高。
结论
本研究中的患者明确表示希望由基层医疗服务提供者为其进行常规HIV检测。常规HIV检测是在基层医疗环境中识别HIV感染的合理选择，因为它不具歧视性，能提高对实际感染风险的认识，并提供早期检测HIV的机会。
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