上海市徐汇区流动人口AIDS/STD知识态度行为影响因素调查

Knowledge,attitudes,beliefs and practices about STD/AIDS among urban mobile population

目的了解上海市流动人口性传播疾病／艾滋病（STD／AIDS）知识、态度及行为的影响因素，为STD／AIDS防治提供依据。方法采用多阶段整群抽样方法，对在上海居住满3个月、户籍不在上海的15～49岁的流动人口进行问卷调查。结果共调查流动人口671人，其中有效问卷617份，有效问卷率92．0％。71．0％的对象知道STD／AIDS是传染性疾病，可以通过性传播，但对于其他传播途径答对率较低。知道STD／AIDS发病症状的对象低于32．8％。多因素Logistic回归模型提示，影响知识得分的主要因素为年龄、文化程度及目前工作。只有44．696的对象对STD患者表示同情和关心，80．9％的对象认为应该将AiDS患者隔离。只有34。5％的对象使用过安全套，未婚者中23．1％有婚前性行为，已婚者中4％有婚外性行为；流动人口中有2个及以上性伴的比例亦占到4％。结论流动人口中STD／AIDS知识缺乏，应加强宣传教育，并针对不同对象开展有针对性的干预，改变其高危行为，流动人口中年龄偏小、文化程度低的保姆和集贸市场等人员，特别是女性流动人口应作为干预的重点人群。

Objective To understand knowledge, attitudes, beliefs and practices about STD/AIDS among urban mobile population. Methods Mobile population from rural areas living or working in Shanghai more than 3 months and aged between 15 and 49 years were surveyed by multi-stage stratified sampling method. Result Six hundred and seventy one migrant individuals were investigated by questionnaires and the rate of eligible questionnaires was 92 %. Among them,71.0 % of the people surveyed knew that STD/AIDS were infectious diseases and could be transmitted by sexual intercourse, but the rate of correct answer about other transmision mutes was very low, and the rate of knowing the symptoms of STD/ AIDS were less than 32.8 %. Multiple logistic regression analysis revealed that the main risk factors affecting score about STD/AIDS were age, current lob and education. Only 44.6 % of the respondents showed their sympathy to the person with STD and 80.9 % of them considered that persons with HIV/AIDS should be isolated. Only 34.5 % of participants used condoms, 23.1% of unmarried migrants had sex behavior and 4.0 % of married migrants had illegal sex behavior. Conclusion Migrants or mobile population lack knowledge of STD/AIDS,so it is imperative to develop extensive education of STD/AIDS and to take different effective interventions aiming at different mobile population groups and change their high risk behaviors. The migrants who are young with low education and whose job mostly are bazaar peddlers and house maids etc are important target population for intervention.