Sun Yan, Wang Qi-xing, Liu Peng, Ma Ying, Deng Hong-xia, Jike Shi-dan, Liu Zhong-fu
National Center for STD/AIDS Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2012 Feb;33(2):177-80.
To understand the acceptability and relevant impact factors of provider initiated testing counseling (abbreviated as PITC) in Liangshan Yi autonomous prefecture, so as to promote strategies for the sustainable development of PITC in AIDS epidemic areas.
Four medical institutions were selected with rates of acceptance counted. Multi-factors logistic regression was used to analyze the impact factors from the completed questionnaires.
Among the 413 respondents, 197 patients accepted the PITC, with an acceptance rate as 47.7% (95%CI: 42.9% - 52.3%). Factors as being female (OR = 7.283, 95%CI: 3.933 - 13.465), acceptance of publicity (OR = 1.855, 95%CI: 1.013 - 3.395), worried about being infected of HIV/AIDS (OR = 2.699, 95%CI: 1.616 - 4.506) etc. were protect factors of PITC, while those who previously received HIV testing (OR = 0.226, 95%CI: 0.124 - 0.409), afraid of taking blood test (OR = 0.052, 95%CI: 0.024 - 0.106), knowing more AIDS related knowledge (OR = 0.446, 95%CI: 0.258 - 0.773) would significantly reduce the rate of acceptance.
Nearly half of the outpatients from medical institutions were willing to accept PITC in Liangshan Yi prefecture, thus provided important chance for HIV screening. Ways as strengthening related counseling before and after HIV test, launching effective HIV/AIDS-related publicity and advocating correct knowledge on blood testing, etc. need to be promoted, in order to improve the acceptability of PITC.
了解凉山彝族自治州医务人员主动提供检测咨询服务(PITC)的可接受性及相关影响因素,以推动艾滋病流行地区PITC可持续发展策略。
选取四家医疗机构统计接受率,采用多因素logistic回归分析完成问卷中的影响因素。
413名受访者中,197例患者接受PITC,接受率为47.7%(95%CI:42.9% - 52.3%)。女性(OR = 7.283,95%CI:3.933 - 13.465)、接受宣传(OR = 1.855,95%CI:1.013 - 3.395)、担心感染艾滋病毒/艾滋病(OR = 2.699,95%CI:1.616 - 4.506)等为PITC的保护因素,而既往接受过艾滋病毒检测(OR = 0.226,95%CI:0.124 - 0.409)、害怕采血检测(OR = 0.052,95%CI:0.024 - 0.106)、知晓更多艾滋病相关知识(OR = 0.446,95%CI:0.258 - 0.773)会显著降低接受率。
凉山彝族自治州医疗机构近半数门诊患者愿意接受PITC,为艾滋病毒筛查提供了重要契机。需推广加强艾滋病毒检测前后相关咨询、开展有效的艾滋病相关宣传及倡导正确采血检测知识等方式,以提高PITC的可接受性。