Abstract:

[Abstract]   Objective   To understand the knowledge, attitudes, practices (KAP) and relative training demand of
AIDS and other sexually transmitted diseases (STDs) in reproductive health-related medical professionals in Tianjin.  Methods   By using random, stratified and clustered sampling approach,507reproductive health-related medical professionals were selected in Tianjin area. A self-administered KAP questionnaire on AIDS and other STDs was used to collect the data included in the general condition, understanding of AIDS and other STDs knowledge, attitudes to AIDS and syphilis patients, occupational exposure of medical staffs and request of continuing education.  Results   The score of STD knowledge was (75.59±12.15) in respondents coming from the secondary medical institutions, which was significantly higher than that of tertiary medical institutions (70.11±10.07) and primary health care institutions (67.62±12.20，F=15.817，P＜0.001). Multiplefactor analysisshowed that there was a higher cognitive level for STD in professionals working in the department of obstetrics and gynecology and women’s health care (β=-3.765，P=0.048). A total of86.34% respondents worried about HIV or syphilis infection due to occupational exposure. Only 25.88% respondents expressed a willingness to provide medical services for AIDS and syphilis patients. About60.46% medical staffs experienced occupational exposure. Only13.04% respondents were familiar with emergency treatment and reporting procedures while occupational exposure occurring. The 94.62% medical personnel showed demand on relative training.  Conclusion   It’s necessary to perform continuing education to medical staffs via different intervention, so as to improve theircognitivelevel and attitudes to AIDS and other STDs, and help them providing better service to the patients and the public.

Key words: Acquired immune deficiency syndrome, sexually transmitted diseases, reproductive health, medical staff, health knowledge, attitudes, practice