摘要
目的了解四川省凉山艾滋病高发地区育龄妇女和妇幼工作者对艾滋病相关知识的知晓情况和态度意识,并为制定有效的艾滋病母婴传播阻断的干预模式提供科学有效的依据。方法在凉山彝族自治州昭觉县选择2个乡共13个村的82名育龄妇女村民和44名各级妇幼工作者共126人,进行一对一双语(彝语或汉语)不记名问卷调查。结果全部调查对象对HIV所有传播途径回答正确的比例为84.9%,但所有非传播途径回答正确的比例仅为38.9%。AIDs知识得分(满分12分),妇幼工作者平均得分9.0±2.4,育龄妇女平均得分8.5±1.7,按3个等级计,可认为育龄妇女知识的掌握与妇幼工作者无明显差异(Z=-1.507,P=0.132)。除县(乡)级妇幼工作者以外,村级妇幼工作者和全部育龄妇女村民对HIV的3种非传播途径、定期服用抗生素不能预防以及目前无有效疫苗或药物预防的知晓率都很低,且对AIDs/HIV感染者歧视现象较严重。结论村级妇幼工作者和全部育龄妇女村民对除传播途径外的艾滋病其他知识相当匮乏,对HIV感染者的歧视、恐惧及过度排斥态度较严重。应加强对该地区基层妇幼工作者和育龄妇女艾滋病知识的培训和教育。
Objective To investigate AIDs/HIV-related knowledge and attitudes among women of childbearing age and maternal and child health workers in districts with high incidence of AIDs in Liangshan Prefecture, Sichuan Province, and to provide information for effective prevention of mother-to-child transmission. Methods A total of 126 subjects, including 82 female villagers ofchildbearing age and 44 maternal and child health workers, were selected using proper sampling, to answer questions face to face without their names being recorded. Results An 84. 9% of all the individuals answered the whole disseminating ways correctly,while only 38.9% answered all the non- disseminating ways correctly. Referred to the score of AIDs/HIV-related knowledge （12 was total score） ,maternal and child health workers scored 9.0 ± 2.4, while female villagers of childbearing age scored 8.5 ±1. 7, divided into three grades,there was no significant difference between female villagers of childbearing age/s knowledge and maternal and child health workers1（Z = - 1. 507, P = 0. 132）. Village-level maternal and child health workers and the whole female villagers of childbearing age knew little about the non-disseminating ways, that taking antibiotics regularly could not prevent infection and there existed no effective vaccine or drugs to prevent HIV,meanwhile they had serious discrimination against people infected with HIV. Conclusions Village-level maternal and child health workers and the whole female villagers of childbearing age have poor knowledge of AIDs/HIV excluding routes of transmission,and they are discriminatory, scared and rejective to people infected with HIV seriously. More targeted HIV/AIDs related health trainings and education should be given to this group.
出处
《复旦学报（医学版）》
CAS
CSCD
北大核心
2013年第6期645-652,共8页
Fudan University Journal of Medical Sciences
基金
中国全球基金艾滋病项目(CSO-2012-研02)~~
