在医院环境中改进基于指标的艾滋病毒检测的机会:结构方程模型分析分析
Saskia Bogers1,2,3, Anders Boyd2,4,5, Maarten Schim van der Loeff1,2,4
1Internal Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
AIDS care
|September 8, 2023
概括
指标条件 (IC) 导向的艾滋病毒检测对于识别未被诊断的个体是有效的. 干预措施应侧重于指导方针的实施,医生态度和自我效能,以改善艾滋病毒检测行为.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 行为 健康行为
背景情况:
- 指标条件 (IC) 导向的艾滋病毒检测是一种可行且具有成本效益的策略,用于识别未被诊断的艾滋病毒感染者.
- 评估IC指导测试的决定因素可以揭示HIV查实践需要改进的领域.
研究的目的:
- 评估IC指导的艾滋病毒检测行为在医院医生的决定因素.
- 评估计划行为理论 (TPB) 领域对艾滋病毒检测意图和行为的影响.
主要方法:
- 在阿姆斯特丹的163名医院医生中,使用TPB框架进行了一项调查研究.
- 结构方程建模分析了TPB领域 (态度,信念,规范,自我效能,行为控制) 与艾滋病毒检测意图/行为之间的关联.
- 还考虑了指南建议对测试行为的影响.
主要成果:
- 医生的实际艾滋病毒检测行为 (平均得分2.8) 显著低于他们打算进行检测 (平均得分3.8).
- 直接模型将TPB决定因素与行为联系起来显示出比意图介导模型更好的匹配.
- 医生对IC指导测试的态度和自我有效性是实际测试行为的关键相关值.
结论:
- 加强医院IC导向艾滋病毒检测的干预措施应优先考虑实施指南建议.
- 改善医生的态度和对IC导向HIV测试的自我有效性对于增加实际的测试行为至关重要.
- 解决测试意图和行为之间的差异对于有效的艾滋病毒查策略至关重要.
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