Mizuki Kazuyoshi, Ishimaru Tomohiro, Imahashi Mayumi, Ikushima Yuzuru, Takahashi Hideto, Masuda Masashi, Yokomaku Yoshiyuki
Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan.
Department of Medical Humanities, School of Medicine, University of Occupational and Environmental Health, Japan.
Environ Health Prev Med. 2023;28:52. doi: 10.1265/ehpm.23-00054.
To examine workplace factors associated with willingness to undergo human immunodeficiency virus (HIV) testing during workplace health checkups.
This cross-sectional study used an Internet-based self-administered questionnaire to obtain data from a pool of 24,287 Japanese workers. Binary and multiple logistic regression analyses evaluated the association between workplace factors and HIV testing. Data were adjusted for sex, age, marital status, education, and history of HIV testing.
We gathered information from 4,143 (17.1%) respondents, of whom 1,129 (27.3%) were willing to be tested for HIV as part of a workplace health checkup. The participants were 20-59 years old. Approximately half of the participants were male (49.9%), half were married (48.9%), and half had completed higher education (47.6%). Workplace hepatitis testing was offered to 15.6% of the respondents, and most participants underwent health checkups without their colleagues (52.1%) at a medical facility (60.2%). Willingness to undergo HIV testing was positively correlated with having an increased risk of occupational blood exposure (vs. not at risk, adjusted odds ratio [OR]: 1.74, 95% confidence interval [CI]: 1.41-2.15) or working in medical and welfare roles (vs. manufacturing, OR: 1.40, 95% CI: 1.07-1.84). The presence of occupational health staff at the workplace (vs. their absence, adjusted OR: 1.35, 95% CI: 1.16-1.59) and hepatitis testing (vs. not testing, adjusted OR: 2.02, 95% CI: 1.66-2.44) increased willingness to undergo HIV testing.
A pilot HIV-testing program involving individuals at an increased risk of occupational blood exposure and undergoing hepatitis tests in workplaces providing occupational health staff support is recommended.
研究工作场所因素与在工作场所健康检查期间接受人类免疫缺陷病毒（HIV）检测意愿之间的关联。
这项横断面研究使用基于互联网的自填式问卷从24287名日本工人中获取数据。二元和多元逻辑回归分析评估工作场所因素与HIV检测之间的关联。数据针对性别、年龄、婚姻状况、教育程度和HIV检测史进行了调整。
我们从4143名（17.1%）受访者中收集了信息，其中1129名（27.3%）愿意作为工作场所健康检查的一部分接受HIV检测。参与者年龄在20至59岁之间。大约一半的参与者为男性（49.9%），一半已婚（48.9%），一半完成了高等教育（47.6%）。15.6%的受访者接受了工作场所肝炎检测，大多数参与者在医疗机构（60.2%）独自（52.1%）进行健康检查。接受HIV检测的意愿与职业血液暴露风险增加（与无风险相比，调整后的优势比[OR]：1.74，95%置信区间[CI]：1.41 - 2.15）或从事医疗和福利工作（与制造业相比，OR：1.40，95%CI：1.07 - 1.84）呈正相关。工作场所存在职业健康工作人员（与不存在相比，调整后的OR：1.35，95%CI：1.16 - 1.59）和肝炎检测（与未检测相比，调整后的OR：2.02，95%CI：1.66 - 2.44）会增加接受HIV检测的意愿。
建议开展一项试点HIV检测项目，针对职业血液暴露风险增加且在提供职业健康工作人员支持的工作场所接受肝炎检测的人群。
