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目的了解性病门诊就诊者艾滋病和梅毒检测意愿及影响因素。方法选择宁波市北仑区4家性病门诊的就诊者为研究对象,调查HIV抗体和梅毒检测意愿,比较不同性别、就诊科室、就诊原因等就诊者检测意愿差异。结果调查550例性病就诊者,咨询前分别有69.64%和68.55%的患者有HIV抗体、梅毒检测意愿;经医务人员咨询后,HIV抗体、梅毒检测意愿率分别提高至72.18%和70.18%。接受HIV抗体和梅毒检测的397例和386例患者中,HIV抗体阳性2例,阳性率0.50%;梅毒58例,检出率为15.03%。多因素Logistic回归分析结果显示,男性(OR=2.573,95%CI:1.007~6.571)、就诊科室为妇产科(OR=0.101,95%CI:0.041~0.249)和就诊原因为复诊(OR=0.114,95%CI:0.066~0.198)是HIV抗体检测意愿的影响因素;就诊科室为妇产科(OR=0.136,95%CI:0.060~0.311)、就诊原因为复诊(OR=0.150,95%CI:0.089~0.253)和有高危行为(OR=0.461,95%CI:0.230~0.923)是梅毒检测意愿的影响因素。结论女性、妇产科就诊患者、复诊的性病患者HIV抗体检测意愿较低;妇产科就诊患者、复诊、有高危行为的性病患者梅毒检测意愿较低。
Objective To understand the willingness of AIDS and syphilis testing in STD clinic and its influencing factors. Methods Four STD clinics in Beilun district of Ningbo were selected as research objects to investigate the willingness of testing for HIV antibody and syphilis, and to compare the differences in willingness to test among different departments of treatment, treatment departments and medical reasons. Results A total of 550 cases of STDs were investigated. Before the consultation, 69.64% and 68.55% of the patients were tested for HIV antibody and syphilis, respectively. After medical consultation, the detection rate of HIV antibody and syphilis increased to 72.18% and 70.18% respectively. Of the 397 and 386 patients tested for HIV and syphilis, 2 were HIV-positive, with a positive rate of 0.50%; 58 were syphilis with a detection rate of 15.03%. Multivariate logistic regression analysis showed that there was a significant difference between male (OR = 2.573, 95% CI: 1.007-6.571), obstetrics and gynecology (OR = 0.101, 95% CI: 0.041-0.249) (OR = 0.136, 95% CI: 0.060-0.311). The reasons for the visit were ORs (OR = 0.150, 95% CI, CI: 0.089 ~ 0.253) and high risk behaviors (OR = 0.461, 95% CI: 0.230 ~ 0.923) were the influencing factors of the willingness to test syphilis. CONCLUSIONS: Women and obstetrics and gynecology patients with STDs have a lower willingness to test HIV antibody. Patients with obstetrics and gynecology patients who seek follow-up and those with STDs who have high-risk behaviors have a lower willingness to test for syphilis.