医务人员艾滋病 梅毒和乙型肝炎母婴传播防治知识知晓率及其影响因素

目的了解重大公共卫生服务专项经费支持开展预防艾滋病、梅毒和乙型肝炎(乙肝)母婴传播(Inte-grated prevention of mother-to-child transmission,IPMTCT)项目地区的医务人员,对母婴传播防治相关知识的知晓状况及其影响因素,为明确下一步项目工作中人员能力建设及支持重点提供参考依据。方法于2011年9-10月,对2省4个项目县(市、区)所有承担IPMTCT工作的医务人员进行问卷调查。结果734名医务人员IPMTCT综合知识知晓率为48.9%(359/734)。88.1%(647/734)的医务人员近1年接受过相关培训。多因素Logistic分析结果显示,调整地域和年龄因素后,有预防艾滋病母婴传播工作(Prevention of mother-to-child transmission,PMTCT)基础的项目地区,医务人员的IPMTCT综合知识知晓率高于无PMTCT工作基础的地区的医务人员比值比(Odds ratio,OR)=5.810,95%可信区间(Confidence interval,CI)=4.037～8.362];近1年接受过相关培训的医务人员知识知晓率高于未接受过培训的医务人员(OR=3.014,95%CI=1.674～5.426);乡镇级医务人员相关知识水平低于县级及以上医务人员(OR=0.335,95%CI=0.226～0.496);相对于临床人员,保健、检验等专业人员相关知识水平低(OR=0.413,95%CI=0.256～0.668;OR=0.274,95%CI=0.154～0.487)。结论医务人员IPMTCT综合知识水平普遍较低,乡镇医务人员和从事保健、检验工作的医务人员相关知识更为薄弱,有PMTCT工作基础的地区和近期接受过相关培训的医务人员,IPMTCT综合知识水平高。应进一步加强培训,尤其重视对乡镇医务人员、保健人员和检验人员的培训。加大对没有PMTCT工作基础的地区的培训支持。

The awareness rate of IPMTCT related knowledge and associated factors among health workers

Objective To investigate the awareness rate of integrated prevention of mother-to-child transmission(IPMTCT) related knowledge and its associated factors among health workers,so as to provide information for capacity building and financial support from major health service project.Methods From September to October in the year of 2011,734 health workers were surveyed with questionnaire regarding IPMTCT related knowledge in 4 counties or districts.Results Of the 734 participants,48.9%(359/734) had been aware of IPMTCT related knowledge and 88.1%(647/734) had received training in a recent year.As the result of multivariate logistic regression analysis showed,after adjustment for region and age,the awareness rate of IPMTCT related knowledge among health workers in the areas with the basis of AIDS prevention of mother-to-child transmission(PMTCT) project was higher than that in the areas without PMTCT project(OR=5.810,95%CI=4.037-8.362);the knowledge level of health workers who had received training in the last year was higher than those who had not received training(OR=3.014,95%CI=1.674-5.426);the knowledge level of health workers at township level was lower than that at and above the county level(OR=0.335,95%CI=0.226-0.496);health care staffs and laboratory staffs had lower awareness of IPMTCT related knowledge than clinical staffs(OR=0.413,95%CI=0.256-0.668;OR=0.274,95%CI=0.154-0.487).Conclusion The knowledge level of IPMTCT among health workers was generally low.Training about IPMTCT should be strengthening,and more attentions should be paid to the health workers at township level,health care staffs and laboratory staffs.It is imperative to increase the support for training programme in all IPMTCT-project areas,especially in those without the PMTCT project.