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尼日利亚家庭医生对人类免疫缺陷病毒暴露后预防的认知与了解

Awareness and knowledge of human immunodeficiency virus post exposure prophylaxis among Nigerian Family Physicians.

作者信息

Agaba Patricia A, Agaba Emmanuel I, Ocheke Amaka N, Daniyam Comfort A, Akanbi Maxwell O, Okeke Edith N

机构信息

Department of Family Medicine, University of Jos, Jos, Nigeria ; Department of Family Medicine, AIDS Prevention Initiative Nigeria Plus, Jos University Teaching Hospital, Jos, Nigeria.

出版信息

Niger Med J. 2012 Jul;53(3):155-60. doi: 10.4103/0300-1652.104386.

Abstract

BACKGROUND

To determine the level of awareness and knowledge of HIV postexposure prophylaxis (HIV PEP) and determinants of adequate knowledge among Family Physicians in Nigeria.

MATERIALS AND METHODS

This was a cross-sectional questionnaire-based survey conducted among 175 Family Physicians at two national conferences.

RESULTS

Majority (97.7%) of the respondents was aware of the concept of HIV PEP and 99.4% believed it was effective in preventing HIV transmission. Over two third of our respondents had been exposed to NSI; however, less than 25% of those exposed received PEP. There was high level of knowledge of the various high-risk body fluids as well as types of high-risk exposures. 93.9% of our respondents knew that HIV PEP should commence within 1 h of exposure, 83.3% knew the correct duration of HIV PEP, but only 57.0% knew the ideal PEP regimen for high-risk exposures. The total mean score for our respondents was 17.8±2.9 with 79.4% having an adequate score. Being a junior doctor and male sex were associated with adequate knowledge.

CONCLUSION

This study shows that despite high levels of awareness and knowledge of HIV PEP, access to its use among family physicians in Nigeria is still sub-optimal.

摘要

背景

确定尼日利亚家庭医生对艾滋病病毒暴露后预防(HIV PEP)的知晓水平和知识掌握情况以及充分知识的决定因素。

材料与方法

这是一项在两次全国会议上对175名家庭医生进行的基于问卷调查的横断面研究。

结果

大多数(97.7%)受访者知晓HIV PEP的概念,99.4%的受访者认为其在预防HIV传播方面有效。超过三分之二的受访者曾接触过非职业性暴露;然而,接触者中接受PEP的不到25%。对各种高风险体液以及高风险暴露类型的知晓程度较高。93.9%的受访者知道HIV PEP应在暴露后1小时内开始,83.3%的受访者知道HIV PEP的正确疗程,但只有57.0%的受访者知道高风险暴露的理想PEP方案。受访者的总平均分为17.8±2.9,79.4%的人得分合格。作为初级医生和男性与充分的知识相关。

结论

本研究表明,尽管对HIV PEP的知晓水平和知识掌握程度较高,但尼日利亚家庭医生使用该方法的情况仍不理想。

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