某三级医院直接督导下短程化疗中心结核病患者艾滋病毒传播和预防知识的横断面研究

T. Talukdar, Shweta Sharma, Prof Vikas Kumar, Kanishk Sinha, Anjali Soin, P. Ish
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摘要

结核病-艾滋病毒合并感染对患者的健康造成了双刃剑效应。结核病患者对艾滋病毒的认识对预防、早期发现和适当治疗至关重要。我们的目的是评估结核病患者对艾滋病预防和传播的知识。在一家三级保健医院DOTS中心接受治疗的结核病患者中进行了一项横断面研究。HIV-TB合并感染的患者被排除在外。使用了一份预测问卷,包含13个问题,涉及艾滋病毒传播、预防艾滋病毒的方法、误解和治疗。53名患者参加了这项研究。以年轻为主(平均34.69±14.18岁),男性为主(64%)。在53名入组患者中,42名(79.2%)熟悉HIV感染。在这42例患者中,80%以上的患者知道HIV感染的多种传播途径。同性恋和母婴传播则鲜为人知。85.7%的患者了解避孕套的使用。相反,对艾滋病毒传播的误解(咳嗽、打喷嚏、握手、使用相同的厕所)在40%的患者中普遍存在。很少有患者(12%)知道印度国家艾滋病规划。男性和女性在知识和意识上没有差异。文化程度高的患者和生活在城市地区的患者对HIV的听说率较高(p<0.05)。即使在印度的城市中,关于艾滋病毒传播的神话和误解在结核病患者中也广泛存在。尽管艾滋病毒对结核病患者的预防、早期诊断和早期适当治疗具有至关重要的意义,但在结核病患者中传播艾滋病毒意识仍有很长的路要走。
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A cross-sectional study on knowledge about transmission and prevention of HIV in patients of Tuberculosis attending a DOTS center of a tertiary care hospital
TB-HIV coinfection imposes a double-edged sword effect on the patient’s health. Awareness about HIV among the TB patients is very essential for prevention, early detection and appropriate therapy. We aimed to evaluate the knowledge about HIV prevention and transmission among TB patients.A cross sectional study was done among the patients of Tuberculosis who attended the DOTS center at a tertiary care hospital. Patients who were HIV-TB coinfected were excluded. A pretested questionnaire consisting of 13 questions regarding the HIV transmission, methods to avoid HIV, misconceptions and treatment was used. 53 patients were enrolled in the study. It was a predominantly young (mean age was 34.69 ± 14.18 years) and male dominated (64%) population.Out of 53 enrolled patients, 42 (79.2%) were familiar with HIV infection. Among these 42 patients, more than 80% patients were aware about multiple transmission routes of HIV infection. Homosexual and mother to child transmission were less known. Awareness about use of condoms was present in 85.7% patients. On the contrary, misconceptions about HIV transmission (coughing, sneezing, shaking hands, use same toilets) was prevalent in 40% patients. Very few patients (12%) were aware about the Indian national HIV program. There was no difference in the knowledge and awareness among males and females. Literate patients and patients living in urban area had heard of HIV more as compared to their counterparts (p<0.05).Myths and misconceptions about HIV transmission are widely persistent among TB patients even in urban cities of India. There is still a long way to go regarding the spread of awareness about HIV among TB patients despite its paramount significance in prevention, early diagnosis, and early appropriate therapy for the same.
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