[对墨西哥保健人员进行艾滋病教育]。

M L García García, J L Valdespino Gómez, M Palacios Martínez, J A Izazola, J Sepúlveda Amor
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引用次数: 0

摘要

我们描述艾滋病的流行病学,因为它与墨西哥的卫生工作者有关。在1993年以前报告的12151例成人病例中,2.9%发生在这些工人中。已记录有两例职业传播病例。血清流行率调查显示,感染率低于0.1%。尽管如此,乙型肝炎病毒标记物出现的频率(11.8%的抗hbs抗体携带者和2%的抗hbsag抗体携带者)表明,两种病毒的传播机制都在起作用。为了解卫生工作者对艾滋病问题的认识和态度而对他们进行的调查表明,他们对这一疾病有许多错误的看法,并污蔑艾滋病受害者。教育运动提高了人们对这种疾病的认识,但并没有显著改变人们的态度。举办讲习班已被证明是改变态度的最有用的策略。我们描述了一些可能有助于改变卫生人员消极态度的策略。在计算实施生物安全措施的频率时,已经注意到它们的应用是不稳定的。流行病学研究证实,职业暴露时间与乙型肝炎病毒标志物存在之间存在关联。许多人拒绝采取某些措施,如抗肝炎疫苗接种。最后,我们分析了如果要采取更多的生物安全措施,需要持续的培训和供应。
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[Education of Mexican health personnel on AIDS].

We describe the epidemiology of AIDS as it pertains to health workers in Mexico. Of the 12,151 cases notified in adults up until 1993, 2.9% occurred among such workers. Two cases of occupational transmission have been documented. Seroprevalence surveys have shown an infection rate of less than 0.1%. Nonetheless, the frequency with which hepatitis B viral markers are present (11.8% of anti-HBs antibody carriers and 2% of anti-HBsAg antibody carriers) points to the fact that mechanisms for the transmission of both types of viruses are at work. Surveys conducted among health workers to explore their knowledge and attitudes on the subject of AIDS indicate that they share many false notions about the disease and that they stigmatize its victims. Educational campaigns have improved knowledge about the illness but have not modified people's attitudes significantly. Holding workshops has proved to be the most useful strategy for attitude modification. We describe a few strategies that may be useful for changing negative attitudes among health personnel. When calculating the frequency with which biosafety measures are implemented, it has been noted that their application is erratic. Epidemiologic studies have confirmed the existence of an association between the time of occupational exposure and the presence of hepatitis B viral markers. Many people reject adopting certain measures, such as anti-hepatitis vaccination. Finally, we analyze the need for continuous training and supplies if increased biosafety measures are to be adopted.

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