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目的了解各类高危人群获得艾滋病咨询检测信息的途径,为提高对咨询检测服务的宣传教育的覆盖面,促进早期检测提供参考。方法采用问卷调查方法对艾滋病流行程度、VCT工作基础、地理位置不同的3个县(区)的吸毒人群、卖淫妇女、男男性行为人群、男性流动人群进行调查,用EPI和SPSS软件进行数据录入和分析。结果高危人群获得艾滋病及咨询检测知识的最主要渠道是医疗卫生机构,其次为广播、电视、报刊、家人/亲戚、同伴/朋友、热线电话、互联网和广告/宣传品;低流行和VCT工作基础薄弱的地区80.7%的高危人群通过医疗卫生机构获得艾滋病咨询检测信息,明显高于流行水平较高和VCT基础较好的地区;72.2%的男性流动人口通过医疗卫生机构获得咨询检测信息,明显高于其他人群;61.9%的男男性行为人群通过朋友/同伴获得相关信息,明显高于其他人群;25.7%的高危人群通过家人或亲戚获得相关信息,以男男性行为人群和卖淫人群为高。结论医疗卫生机构在艾滋病咨询检测服务的宣传和促进中起着重要的作用,建议充分发挥我国完善的县-乡-村医疗卫生体系优势,把艾滋病咨询检测服务的宣传和促进整合到常规卫生服务中;进一步发挥同伴教育的作用,开展针对男男性行为人群的咨询检测服务的宣传和促进;针对吸毒和卖淫人群的亲属开展艾滋病咨询检测服务的宣传可以有效补充以上宣传渠道的不足。
Objective To understand the ways for all kinds of high-risk groups to obtain HIV counseling and testing information and provide reference for promoting the coverage of publicity and education on counseling and testing services and promoting early detection. Methods A questionnaire survey was conducted to investigate the prevalence of HIV / AIDS, the basis of VCT work, drug addicts, prostitutes, men who have sex with men and male migrants in 3 counties (districts) with different geographical locations. Data were entered using EPI and SPSS software And analysis. Results The most important channels for acquiring HIV / AIDS and counseling and testing knowledge among high-risk groups were health care institutions, followed by radio, television, newspapers, family members / relatives, companions / friends, hotlines, the Internet and advertising / promotional materials; low prevalence and VCT work In the weak area, 80.7% of the high-risk population got AIDS counseling and testing information through the medical and health institutions, which was obviously higher than the areas with higher prevalence and better VCT; 72.2% of the male migrants got the consulting and testing information through the medical and health institutions, Among other groups, 61.9% of men who have MSM receive relevant information, which is significantly higher than that of other groups through their friends / peers; 25.7% of them are family members or relatives who get relevant information, and MSM and prostitution groups are higher. Conclusion The medical and health institutions play an important role in the publicity and promotion of AIDS counseling and testing services. It is suggested that we should give full play to the advantages of the sound county-township-village health care system in our country and integrate the promotion and promotion of AIDS counseling and testing services into routine health services ; To give full play to the role of peer education to promote and promote counseling and testing services for men who have sex with men; and to promote AIDS counseling and testing services for relatives of drug addicts and prostitutes, which can effectively supplement the above channels of publicity.