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目的了解社区的人口和计划生育工作人员及卫生部门工作人员对联合开展艾滋病自愿咨询检测(VCT)与自愿咨询转诊(VCR)的认识、态度,并探讨其影响因素。方法采用定量问卷调查的方法,对上海市3个社区的计生、卫生服务中心的所有管理人员和技术人员共437人进行调查。结果调查对象具有一定的VCT和VCR知识,但对于“求询者不需提供真实姓名”知晓率仅为37.1%。有58.6%的调查对象赞同计卫联合开展VCT和VCR。多分类logistic回归分析显示:与女性相比,男性赞成计卫联合开展VCT和VCR的比例较低(OR=0.47,95%CI:0.25～0.87);与初中的对象相比,大学文化程度的服务人员更倾向于持赞同态度,OR值为4.89(95%CI:1.28～8.71)。结论社区人口计生和卫生工作人员赞同联合开展艾滋病VCT和VCR服务,但需要一定的VCT和VCR知识培训。
Objective To understand the awareness and attitudes of the community population and family planning staff and the health department staff on joint VCT and VCR and to explore their influential factors. Methods A quantitative questionnaire was used to investigate 437 managers and technicians of family planning and health service centers in three communities in Shanghai. Results The respondents had some knowledge of VCT and VCR, but only 37.1% knew about “no real name needed by inquirer”. 58.6% of the respondents agree with CCS to jointly launch VCT and VCR. Multivariate logistic regression analysis showed that the proportion of males in favor of dementia in combination with VCT and VCR was lower than that in females (OR = 0.47, 95% CI: 0.25-0.87). Compared with those in junior high school, Service staff tended to agree with the attitude, OR was 4.89 (95% CI: 1.28 ~ 8.71). Conclusion Population and family planning and health workers in the community are in favor of jointly implementing VCT and VCR services for HIV but require some knowledge of VCT and VCR training.