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柬埔寨结核病患者寻求HIV自愿咨询检测的影响因素

Influencing factors for seeking HIV voluntary counseling and testing among tuberculosis patients in Cambodia.

作者信息

Yi Siyan, Poudel Krishna C, Yasuoka Junko, Ichikawa Masao, Tan Vutha, Jimba Masamine

机构信息

Department of International Community Health, School of International Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

出版信息

AIDS Care. 2009 Apr;21(4):529-34. doi: 10.1080/09540120802270268.

Abstract

We explored the factors influencing voluntary counseling and testing (VCT) utilization among tuberculosis patients attending two referral hospitals in Cambodia. We conducted face-to-face interviews using a structured questionnaire. We compared HIV/AIDS knowledge, HIV testing attitudes, risks for exposure to HIV, and AIDS stigma between VCT users and non-users. Compared to VCT non-users, VCT users had significantly higher risks for HIV and were more likely to have used condoms. Regarding stigma, VCT non-users demonstrated significantly greater AIDS stigmatizing beliefs compared to VCT users. To increase VCT utilization among TB patients, we need effective strategies to reduce AIDS stigma among them. Moreover, initiation of routine HIV testing in TB facilities might be another effective solution.

摘要

我们探究了柬埔寨两家转诊医院中结核病患者接受自愿咨询检测(VCT)的影响因素。我们使用结构化问卷进行面对面访谈。我们比较了VCT使用者和非使用者之间的艾滋病毒/艾滋病知识、艾滋病毒检测态度、艾滋病毒暴露风险以及艾滋病污名化情况。与VCT非使用者相比,VCT使用者感染艾滋病毒的风险显著更高,且更有可能使用过避孕套。在污名化方面,与VCT使用者相比,VCT非使用者表现出对艾滋病的污名化观念显著更强。为提高结核病患者中VCT的利用率,我们需要有效的策略来减少他们对艾滋病的污名化。此外,在结核病防治机构开展常规艾滋病毒检测可能是另一个有效的解决办法。

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