摘要
目的:了解云浮地区助产机构医护人员艾滋病母婴传播相关知识知晓水平、歧视态度现状及影响因素,为制定针对性防控策略、推进消除艾滋病母婴传播工作提供数据支撑。方法:采用分层整群抽样法,选取2023年6月-2024年1月云浮地区26所不同级别助产机构的7 840名医护人员为研究对象,采用自行设计的信效度良好的结构式问卷开展调查,运用SPSS26.0软件进行统计学分析。结果:研究对象艾滋病母婴传播知识总体知晓率为76.5%,非传播途径维度知晓率最低(62.3%);总体歧视态度为中等水平(2.12±0.58)分,服务担心维度阳性态度占比最高(55.2%)。多元线性回归分析显示,机构级别为一级/基层、工作年限<5年、大专及以下学历、培训次数<3次/年、有接触感染孕产妇经历是歧视态度的主要影响因素(均P<0.05)。结论:云浮地区助产机构医护人员艾滋病母婴传播知识掌握存在短板,担忧、歧视情况仍较普遍,应结合影响因素开展分层分类培训,重点强化基层医护人员知识储备,缓解其职业风险担忧,降低歧视水平。
Objective:To investigate the knowledge mastery and discrimination status of medical staff in midwifery institutions in Yunfu area regarding mother-to-child transmission of AIDS,analyze the influencing factors,and provide a basis for intervention strategies.Methods:A cross-sectional investigation was carried out targeting healthcare professionals working in maternity facilities across the Yunfu region between June 2023 and January 2024.Participants were selected through stratified convenience sampling,with stratification based on facility tiers(tertiary hospitals,secondary hospitals,primary/community clinics,and unrated establishments).This approach ensured the sample composition mirrored the actual distribution patterns of healthcare institutions in the area.Data collection utilized a custom-designed questionnaire distributed through Wenjuanxing,an internetbased survey tool,followed by statistical analysis performed.The effective recovery rate of questionnaires reached 96.8%,and the overall knowledge awareness rate stood at 76.5%.Specifically,the awareness rate was higher among doctors than among nurses,and higher in tertiary medical institutions than in primary/first-tier ones.The average score of the Discrimination Attitude Scale was 2.12±0.58,with the highest score observed in the dimension of service-related concerns.Multiple linear regression analysis indicated that factors such as age≥41 years and the nursing profession were independent risk factors for discrimination,whereas receiving specialized training and having a good grasp of relevant knowledge served as protective factors.Conclusion:Local medical staff have certain deficiencies in their professional knowledge,and discriminatory attitudes exist among them.It is therefore necessary to implement targeted measures such as stratified training and enhanced protection protocols to improve their cognitive level and reduce discriminatory tendencies.
作者
欧葵喜
梁燕玲
徐志兵
曹秀群
OU Kui-xi;LIANG Yan-ling;XU Zhi-bing;CAO Xiu-qun(Yunfu Maternal and Child Health Hospital,Guangdong Province,Yunfu 527300,Guangdong)
出处
《安徽医专学报》
2026年第1期13-16,共4页
Journal of Anhui Medical College
基金
云浮市医学科学技术研究立项项目(编号:2023B047)。
关键词
艾滋病
母婴传播
助产机构
医护人员
歧视
AIDS
mother-to-child transmission
midwifery institution
medical staff
discrimination
