首页|云南省艾滋病防治服务提供者暴露前预防认知和态度相关因素分析

云南省艾滋病防治服务提供者暴露前预防认知和态度相关因素分析

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目的 了解艾滋病防治服务提供者对暴露前预防(PrEP)的认知和态度,探索其相关因素,为下一步推广和强化该策略提供依据.方法 以艾滋病防治服务提供者为调查对象,2022年5-9月在云南省16个州(市)采用线上自填式调查问卷方式,收集调查对象的人口学特征、PrEP相关知识、PrEP态度等内容;采用logistic回归模型分析影响调查对象PrEP态度的相关因素.结果 调查艾滋病防治服务提供者542人,PrEP知识知晓率为91.5%(496/542),93.9%(509/542)支持PrEP策略.不了解相关知识(42.4%)、担心副作用(33.3%)和随访困难(27.3%)是不支持PrEP的主要原因.多因素logistic回归分析结果显示,知晓PrEP知识(OR=55.38)是支持PrEP策略的促进因素.进一步分析发现,知晓PrEP的作用(OR=4.71)、PrEP的有效保护率(OR=4.22)和服用PrEP药物时需要使用安全套(OR=14.02)可促进对PrEP策略的支持态度.结论 虽然艾滋病防治服务提供者的PrEP总体知识知晓率高,但对PrEP有效率及服用方法知晓率不足;大部分艾滋病防治服务提供者支持PrEP策略,但仍然存在一些障碍.应继续加强培训,强调社会组织的作用,优化PrEP流程,从而促进PrEP的实施.
An analysis of factors related to PrEP awareness and attitudes among HIV service providers in Yunnan Province
Objective To understand the awareness and attitude of HIV service providers towards pre-exposure prophylaxis(PrEP)and explore its influencing factors which may provide suggestions for next steps.Methods From May to September 2022,HIV service providers in 16 prefectural cities(cities)in Yunnan Province were surveyed with self-administered online questionnaire to collect their demographic characteristics,knowledge related to PrEP,and attitudes to-wards PrEP.Logistic regression model was used to analyze the relevant factors affecting the survey subjects'attitudes to-wards PrEP.Results Among 542 HIV service providers,the awareness rate of PrEP knowledge was 91.5%(496/542)and 93.9%(509/542)supported PrEP strategy.Lack of knowledge(42.4%),fear of side effects(33.3%),and difficulty in follow-up(27.3%)were the main reasons for not supporting PrEP.Multivariate Logistic regression analysis showed that knowledge of PrEP(OR=55.38)were the promoting factors supporting PrEP strategy.Further analysis found that knowing the role of PrEP(OR=4.71),the effective protection rate of PrEP(OR=4.22),and the need to use condoms when taking PrEP(OR=14.02)promoted supportive attitudes towards the PrEP strategy.Conclusions Although HIV service providers have a high awareness of PrEP knowledge,they do not fully grasp the relevant knowledge such as effectiveness of PrEP and mea-sures of PrEP.Most HIV service providers support the PrEP strategy,but some barriers remain.Training should continue to be strengthened,emphasizing the role of social organizations,and optimizing the PrEP process to facilitate the implementa-tion of PrEP.

HIV service providersPre-exposure prophylaxisAwarenessAttitude

马婧、楼金成、李佑芳、王珏、潘颂峰、李志晴、蔡永年、王玉淼、劳云飞、马艳玲

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云南省疾病预防控制中心性病艾滋病防制所,云南 昆明 650022

云南省传染病医院

艾滋病防治服务提供者 暴露前预防(PrEP) 认知 态度

2024

华南预防医学
广东省疾病预防控制中心 中华预防医学会

华南预防医学

CSTPCD
影响因子:1.061
ISSN:1671-5039
年,卷(期):2024.50(10)