论文部分内容阅读
目的了解存活的艾滋病病毒(HIV)感染者和艾滋病(AIDS)病人未进行结核病检查的原因。方法选择北京、云南、广东和四川部分地区,对2011年有过随访但未进行结核检查的病例开展问卷调查。结果 4个省11地区共调查病例3 579例,其中7例为既往已报病例(重卡),实际调查病例3572例,平均年龄为(33.7±11.9)岁,未进行结核检查的主要原因为“自觉无任何不适症状”(26.3%)、“随访时不在本地”(23.6%)和“距离较远去检查单位不便”(10.2%)。吸毒人群因羁押、异性性行为途径感染的病例因担心信息泄露后遭遇歧视,也是未能接受结核检查的重要原因。结论结核病和艾滋病防治机构需建立良好的合作转介机制,强化宣传和病例管理,减少歧视,促进病人主动、及时进行结核检查。
Objectives To understand the reasons why there is no tuberculosis checkup among survivors of HIV and AIDS. Methods Selected from Beijing, Yunnan, Guangdong and some parts of Sichuan, the questionnaires were conducted on the cases that had been followed up in 2011 but did not undergo tuberculosis examination. Results A total of 3 579 cases were investigated in 11 provinces in 4 provinces. Among them, 7 cases were previously reported cases (heavy truck), 3572 cases were investigated and the average age was (33.7 ± 11.9) years old. The main reason for not having tuberculosis examination was “Consciously without any discomfort” (26.3%), “not local at follow-up” (23.6%) and “inconvenient” (10.2%) at “distance to inspect the unit”. Cases of drug addicts infected by detention and heterosexual practices are also an important reason for their failure to accept tuberculosis because of fear of discrimination after disclosure of information. Conclusion TB and AIDS prevention agencies need to establish a good cooperation referral mechanism, strengthen publicity and case management, reduce discrimination, promote patient initiative, and promptly conduct tuberculosis screening.