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目的了解广州市番禺区吸毒者对艾滋病自愿咨询检测(VCT)综合服务利用情况,为进一步探讨并建立VCT网络及有效服务模式提供参考。方法采用整群抽样方法,选取番禺区强制戒毒所、番禺区公安分局羁押医院入所(院)近6个月的强制戒毒人员,按照统一要求匿名答卷。问卷以“中美艾滋病防治合作(GAP)项目”广东子项目的基线调查为版本,参考国内外同类研究项目自行设计,内容包括基本情况、性病情况、艾滋病知识、艾滋病自愿咨询和检测5个方面。结果共调查447名戒毒者,回收有效答卷434份。434名戒毒者中青壮年(19~39岁)占90.32%,未婚单身和已婚者分别占38.25%和31.34%,初中以下文化程度占86.87%,无业者及低收入(≤1 000元/月)者分别占41.94%和73.73%,非广州籍、居住时间短(≤5年)者占56.86%。18.9%的吸毒者过去曾主动咨询,有职业、有固定性伴、静脉注射毒品者咨询率较高(P<0.05或P<0.01)。76.7%的吸毒者最近一次检测是在戒毒所进行的;知道可到医院检测者占90.3%。影响吸毒者自愿检测的主要因素是是否共用注射器和考虑检测结果的保密性(P<0.05)。结论广州市番禺区吸毒人群自愿咨询检测意愿较高,但对综合服务的知晓率和利用率并不高,吸毒者是否共用注射器和考虑检测结果是否保密是影响其检测行为的主要因素。今后必须广泛开展自愿咨询检测服务的宣传,加强VCT网络建设。
Objective To understand the use of VCT services by drug addicts in Panyu District of Guangzhou City and provide reference for further exploring and establishing VCT network and effective service mode. Methods A cluster sampling method was used to select compulsory drug addicts from Panyu District Detention Center and Panyu District Public Security Bureau Detainement Hospital for nearly 6 months. Anonymous replies were obtained according to the uniform requirements. The questionnaire was designed based on the baseline survey of “GAP Project” Guangdong Subproject with reference to the similar research projects at home and abroad, including basic information, STD status, HIV / AIDS knowledge, HIV voluntary counseling and testing 5 Aspects. Results A total of 447 drug addicts were investigated and 434 valid questionnaires were collected. 434 drug addicts accounted for 90.32% of them were middle-aged and young adults (19-39 years old), 38.25% and 31.34% respectively for unmarried single and married persons, and 86.87% for those with junior high school education or below, unemployed persons and low-income people (≤1,000 yuan / Month) accounted for 41.94% and 73.73% respectively. Non-Guangzhou residents accounted for 56.86% with short residence time (≤ 5 years). In the past, 18.9% of drug users volunteered counseling, while those who had occupation, fixed partners and intravenous drug abusers had a higher consultation rate (P <0.05 or P <0.01). 76.7% of drug addicts most recently tested at drug treatment centers; know that to the hospital test accounted for 90.3%. The main factors that affect the voluntary testing of drug addicts are the sharing of syringes and the confidentiality of test results (P <0.05). Conclusions Volunteer counseling and testing in drug abusers in Panyu District of Guangzhou Municipality are higher than others. However, awareness and utilization of integrated services are not high. Whether injectors are shared by drug users or confidentiality of testing results is the main factor affecting their testing behavior. In the future, we must conduct extensive publicity on voluntary counseling and testing services and strengthen the network construction of VCT.