Nutbeam D, Catford J C, Smail S A, Griffiths C
Public Health. 1989 May;103(3):205-11. doi: 10.1016/s0033-3506(89)80076-9.
Three independent cross-sectional surveys of public knowledge and attitudes about AIDS were conducted on a representative sample of people aged 15-54 resident in Wales. 1,303 were interviewed in their homes in February 1987, 683 in September 1987 and 676 in March 1988. The results show that most people knew that having sexual intercourse or sharing needles with people with AIDS represented a high risk of catching AIDS. However there appeared to be considerable misunderstanding about the nature of HIV infection such that one in three thought that a man and woman with a single heterosexual partner was at high or moderate risk of catching AIDS. The high level of concern coupled with considerable confusion appears to have contributed to both unnecessary anxiety and prejudice. One in four people thought that kissing or being spat on by a person with AIDS represented a high or moderate risk, and one in six thought that coughing, sneezing and sharing towels, soap, drinking utensils or lavatory seats were routes of transmission. More than 50% of men and 40% of women said that it was their own fault if homosexuals and drug addicts got AIDS and did not feel sorry for them. It is concluded that action to date to limit the spread of AIDS has informed but not yet adequately educated the public. If unwanted anxieties and prejudice are to be diminished, initiatives by government, health services and others must now concentrate on developing understanding about the nature of HIV infection and its spread through more personal education.(ABSTRACT TRUNCATED AT 250 WORDS)
针对威尔士15至54岁居民的具有代表性样本,开展了三项关于公众对艾滋病的认知与态度的独立横断面调查。1987年2月,1303人在家中接受了访谈;1987年9月,访谈了683人;1988年3月,访谈了676人。结果显示,大多数人知道与艾滋病患者发生性行为或共用针头感染艾滋病的风险很高。然而,对于艾滋病毒感染的本质似乎存在相当大的误解,三分之一的人认为只有单一异性伴侣的男女感染艾滋病的风险很高或中等。高度的关注加上相当多的困惑似乎导致了不必要的焦虑和偏见。四分之一的人认为与艾滋病患者接吻或被其吐痰感染艾滋病的风险很高或中等,六分之一的人认为咳嗽、打喷嚏以及共用毛巾、肥皂、餐具或马桶座圈是传播途径。超过50%的男性和40%的女性表示,如果同性恋者和吸毒者感染艾滋病,那是他们自己的错,而且并不为他们感到惋惜。得出的结论是,迄今为止限制艾滋病传播的行动让公众了解了相关信息,但尚未对公众进行充分的教育。如果要减少不必要的焦虑和偏见,政府、医疗服务机构及其他方面现在必须集中精力通过更多的个人教育来增进对艾滋病毒感染本质及其传播方式的理解。(摘要截选至250词)