Sasaki Yuri, Arifin Andryansyah, Ali Moazzam, Kakimoto Kazuhiro
School of International Health, Graduate School of Medicine, The University of Tokyo, Japan.
AIDS Care. 2011 Oct;23(10):1305-13. doi: 10.1080/09540121.2011.555745. Epub 2011 May 24.
The objective of this study is to investigate workers' perceptions of HIV testing in the workplace in Indonesia. In a cross-sectional study, we used a self-administered questionnaire in Surabaya, Indonesia. A convenient sample of 536 workers was chosen from two factories with similar sample characteristics from March through June 2008. Of these workers, 433 (response rate: 80.8%) answered questions about their willingness to undergo HIV testing. More than 40% of workers were willing to undergo HIV testing. Not knowing where to get tested (adjusted odds ratio [AOR] = 0.40, confidence interval [CI] = 0.18-0.89) and not feeling the need to be tested for HIV (AOR = 0.02, CI = 0.01-0.04) were negatively associated with willingness to undergo HIV testing. HIV prevention in the workplace needs to reach out to individuals who are not willing to undergo HIV testing - workers unaware of where to get tested for HIV and not feeling the need to get tested - through education, information, and communication in the workplace in light of the stigma and discrimination associated with HIV. High-impact voluntary counseling and testing (VCT) strategies need to be quickly developed to improve HIV prevention and access to care in the workplace.
本研究的目的是调查印度尼西亚工人对工作场所艾滋病毒检测的看法。在一项横断面研究中，我们在印度尼西亚泗水使用了自填式问卷。2008年3月至6月，从两家具有相似样本特征的工厂中选取了536名工人作为方便样本。在这些工人中，433人（回复率：80.8%）回答了关于他们接受艾滋病毒检测意愿的问题。超过40%的工人愿意接受艾滋病毒检测。不知道在哪里进行检测（调整后的优势比[AOR]=0.40，置信区间[CI]=0.18 - 0.89）以及不觉得有必要进行艾滋病毒检测（AOR = 0.02，CI = 0.01 - 0.04）与接受艾滋病毒检测的意愿呈负相关。鉴于与艾滋病毒相关的耻辱和歧视，工作场所的艾滋病毒预防需要通过工作场所的教育、信息和沟通，接触那些不愿意接受艾滋病毒检测的人——不知道在哪里进行艾滋病毒检测以及不觉得有必要进行检测的工人。需要迅速制定高影响力的自愿咨询和检测（VCT）策略，以改善工作场所的艾滋病毒预防和获得护理的机会。
