南京市建筑工地流动人口艾滋病健康教育效果分析

Analysis on the health education effect of AIDS related knowledge among migrant construction workers in Nanjing City

目的了解南京市建筑工地流动人口健康教育前后对艾滋病相关知识的知信行改变,探索在建筑工地开展艾滋病宣传教育的模式。方法整群随机抽取南京市6所建筑工地的流动人口,采用多部门合作、形式多样的健康教育干预模式,在干预前和干预后分别随机抽取了337人和273人进行匿名问卷调查。结果干预后,艾滋病相关知识总知晓率、传播途径总知晓率、预防措施总知晓率分别由54.3%、55.3%和61.2%提高到69.3%、70.8%和76.2%。对艾滋病相关态度干预前后的差异均有统计学意义(P<0.05)。干预前,性行为时每次均使用安全套者仅占6.1%,干预后愿意使用安全套的比例达84.2%。65.9%的被调查对象愿意接受健康讲座。结论多部门合作、多种形式开展健康教育的干预模式对建筑工地流动人口预防和控制艾滋病方面具有较好的效果。

Objective To investigate the cognitive degree change of AIDS-related knowledge and attitude after intervention,and explore the AIDS prevention and intervention model at the construction sites.Methods 6 of construction sites were chosen as propaganda and intervention object by cluster sampling.Multi-sectored cooperation and various ways and forms were taken in our intervention model.337 of workers were randomly chosen and investigated before intervention from the 6 construction sites.And 273 of workers were randomly chosen and investigated after intervention from the same construction sites.Results After intervention the cognitive degree to AIDS related knowledge has been significantly increased from 54.3% to 69.3%,the awareness of knowledge on transmitted routes was significantly increased from 55.3% to 70.8%,and the awareness of knowledge on preventive measures was significantly increased from 61.2% to 76.2%.The attitudes of the migrant construction worker to AIDS sufferers improved significantly（P0.05）.84.2% workers would like to use condoms after intervention while only 6.1% persons always used condoms before.The main way of health education they would like to accept was health lecture（65.9%）.Conclusion The health education intervention model,which was taken in a variety of ways and forms and multi-sectored cooperation,had a good effect on improving AIDS related knowledge level in construction sites.