Kozieł Aleksandra, Domański Igor, Kuderska Natalia, Szetela Bartosz, Szymczak Aleksandra, Knysz Brygida
Department of Internal Medicine and Diabetology with Subdivision of Endocrinology, Independent Public Regional Hospital in Szczecin, 71-455 Szczecin, Poland.
Clinical Department of Diabetology, Hypertension and Internal Diseases, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Healthcare (Basel). 2025 Apr 9;13(8):854. doi: 10.3390/healthcare13080854.
: HIV remains a significant public health issue in Poland, with many diagnoses occurring at advanced stages due to the limited access to diagnostic tools in primary healthcare (PHC). General practitioners are crucial for early detection, but barriers such as the absence of rapid testing in PHC settings hinder a timely diagnosis. This study evaluates primary care physicians' knowledge of HIV diagnostics and pre-exposure prophylaxis (PrEP), focusing on their role in improving prevention and early detection. : This study used anonymous surveys distributed online and on paper to physicians in randomly selected primary care facilities across four Polish voivodeships. The data were analysed statistically to assess their knowledge, attitudes, and practices related to HIV diagnostics, rapid testing, and PrEP. : A total of 100 surveys were collected. A total of 83% of the physicians reported recommending HIV tests, although 17% had never done so, mainly among family medicine specialists. A total of 88% were aware of Voluntary Counselling and Testing Centres (VCTs), but 99% had never performed rapid HIV tests in their offices. Physicians with shorter professional experience (less than 10 years) demonstrated a significantly higher awareness of PrEP compared to that in those with longer experience (Fisher's test = 0.35). : Primary care physicians play a crucial role in HIV prevention, but limited access to diagnostic tools and systemic support hampers their effectiveness. Targeted education and a comprehensive program for STI and HIV prevention are needed to improve prevention efforts and early detection.
在波兰，艾滋病毒仍然是一个重大的公共卫生问题，由于初级医疗保健（PHC）中诊断工具的获取有限，许多病例在晚期才被诊断出来。全科医生对于早期检测至关重要，但诸如初级医疗保健机构中缺乏快速检测等障碍阻碍了及时诊断。本研究评估了初级保健医生对艾滋病毒诊断和暴露前预防（PrEP）的知识，重点关注他们在改善预防和早期检测方面的作用。：本研究通过在线和纸质方式向波兰四个省随机选择的初级保健机构的医生发放匿名调查问卷。对数据进行统计分析，以评估他们与艾滋病毒诊断、快速检测和PrEP相关的知识、态度和做法。：共收集了100份调查问卷。共有83%的医生报告曾推荐进行艾滋病毒检测，尽管17%的医生从未这样做过，主要是家庭医学专科医生。共有88%的医生知晓自愿咨询检测中心（VCT），但99%的医生在其办公室从未进行过艾滋病毒快速检测。专业经验较短（少于10年）的医生对PrEP的知晓率明显高于经验较长的医生（费舍尔检验 = 0.35）。：初级保健医生在艾滋病毒预防中起着关键作用，但诊断工具的获取有限和系统性支持不足阻碍了他们的成效。需要有针对性的教育以及一项综合性的性传播感染和艾滋病毒预防计划，以加强预防工作和早期检测。
