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[目的]评价艾滋病高危人群对自愿咨询检测(VCT)服务的利用和需求,研究VCT服务利用影响因素;[方法]采用配额抽样和便利抽样,对838名暗娼、312名男-男同性恋、282名性病患者进行面对面匿名问卷调查,评估高危人群对VCT服务的利用和需求现状;采用Logistic回归分析,评价高危人群利用VCT服务的影响因素。[结果]3类高危人群中,60.96%的人既往未利用过VCT服务,30.31%的人不知晓VCT,59.99%的人担心自己感染艾滋病病毒(HIV),71.86%的人认为有必要做HIV检测,71.30%的人认为有必要找专家咨询艾滋病方面的问题;Logistic回归分析结果显示:医务人员进行过HIV检测动员、担心感染HIV等,是高危人群利用VCT服务的主要促进因素;[结论]高危人群对VCT服务有较大需求,但实际利用不够;为促进VCT的有效开展,需进一步加强针对场所的宣传和干预,提高高危人群利用VCT服务的意识和主动性。
[Objective] To evaluate the use and demand of voluntary counseling and testing (VCT) services in high-risk AIDS population and to study the influencing factors of VCT service utilization. [Methods] By using quota sampling and convenience sampling, 838 female sex workers, 312 male- Face-to-face questionnaire was conducted to evaluate the status quo of the utilization and demand of VCT services in high-risk groups. Logistic regression analysis was used to evaluate the influencing factors of VCT services in high-risk groups. [Results] 60.96% of the 3 high-risk groups had never used VCT service, 30.31% did not know VCT, 59.99% were worried about their own HIV infection, 71.86% thought it necessary to make HIV Testing, 71.30% of people think it is necessary to find experts to consult the AIDS side of the problem; Logistic regression analysis showed that: medical staff HIV test mobilization, fear of HIV infection, high-risk groups is the main factor in the use of VCT services; [Conclusion] High-risk groups have greater demand for VCT services, but their actual utilization is not enough. To promote the effective development of VCT, publicity and intervention at venues need to be further strengthened so as to raise awareness and initiative of VCT services for high-risk groups.