广西艾滋病防治工作满意度分析

潘超平; 黎燕宁; 黎泽明; 杨翠连; 庄少武; 潘梦华

doi:10.11847/zgggws1118190

广西艾滋病防治工作满意度分析

Satisfaction to AIDS prevention and control work among people living with HIV and AIDS in Guangxi

摘要

摘要:
目的了解广西艾滋病感染者对艾滋病防治工作的满意程度，发现广西艾滋病防治的问题，并提出相应的卫生策略。
方法于2016年10月，本研究采用自编艾滋病防治工作满意度调查问卷，采用分层整群抽样调查999名广西艾滋病感染者对艾滋病防治工作的满意度。
结果艾滋病感染者对艾滋病防治工作的满意度较好（艾滋病感染者对宣教、随访、政府救助、接受医疗服务时受到尊重、接受医疗服务时隐私保护、接受医疗服务时和义务人员交流中满意或很满意分别为83.5 %，91.8 %，61.8 %，88.1 %，91.7 %和92.5 %，各项满意度平均值为84.9 %，但对政府救助的满意度偏低（满意或很满意占61.8 %）。多因素分析发现，与农村相比，城市艾滋病感染者的宣教满意度、随访满意度、对政府救助满意度、接受医疗服务时隐私保护满意度比农村更低（OR值分别为0.434、0.416、0.578和0.559，P均 < 0.05）。治疗费用支付形式中，免费治疗组和其他（保险）的随访满意度较自费组高（OR值分别为4.903和9.311，P均 < 0.05），部分自费和免费治疗组的接受医疗服务时的受到尊重满意度较自费组高（OR值分别为2.529和3.270，P均 < 0.05），免费治疗、部分自费和其他组接受医疗服务时的隐私保护满意度较自费组高（OR值分别为6.446、7.396和13.444，P均 < 0.05）。
结论建议提高艾滋病感染者的救助水平，加强对城镇感染者的宣传教育、随访以及提高医疗服务质量，以提高广西艾滋病的防治能力。

Abstract:
Objective To evaluate the satisfaction to AIDS prevention and control work among people living with human immunodeficiency virus (HIV) infection and AIDS (PLWHA) in Guangxi Zhuang Autonomous Region (Guangxi) and to explore problems in the work for developing relevant strategies.
Methods We conducted a survey among 999 PLWHA selected from 50 communities or villages in 10 counties or districts across Guangxi using stratified cluster random sampling in October 2016. A self-administered questionnaire was used in the study.
Results Among the participants, the mean ratio of reporting satisfaction to main aspects of AIDS prevention and control was 84.9% and the satisfaction rates of the participants were 83.5% for health education, 91.8% for follow-up service, 88.1% for perceived respect while receiving medical service, 91.7% for privacy protection in medication, and 92.5% for communication with medical staff, respectively; but the satisfaction rate was only 61.8% for government assistance. Multivariate analysis demonstrated that compared to the rural PLWHA, the urban PLWHA were more likely to report lower satisfaction to health education (odds ratio OR = 0.578), follow-up (OR = 0.434), government assistance (OR = 0.416), and privacy protection in medication (OR = 0.559) (P < 0.05 for all). The analysis also revealed that in comparison to the PLWHA with self-paid treatment, the PLWHA with treatment free of charge and under other medical securities were more likely to report higher satisfaction to follow-up service (OR = 4.903 and OR = 9.331) (both P < 0.05); the PLWHA with partly self-paid and free of charge treatment were more likely to report satisfaction to perceived respect while receiving medical service (OR = 2.529 and OR = 3.270) (both P < 0.05); and the PLWHA with free of charge treatment, partly self-paid treatment, and other supported treatment were more likely to report satisfaction to privacy protection in medication (OR = 6.446, OR = 7.396, and OR = 13.444) (all P < 0.05).
Conclusion The results of the study suggest that government assistance, health education, and medication quality need to be improved among PLWHA to upgrade HIV/AIDS prevention and control work in Guangxi.

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