安徽省县区居民艾滋病知识和行为调查

Investigation on knowledge and behavoir of county town residents in Anhui province

目的了解安徽省城区居民(包括流动人口)对艾滋病的认知水平和行为状况,评估项目前期工作效果和为制定后期计划提供依据。方法采用整群抽样方法,在安徽省8个艾滋病综合防治示范区/全球基金项目县的城区抽取1654名居民作为调查对象,采用自行设计的调查问卷面对面进行匿名问卷调查。结果在1614份有效问卷中,艾滋病知识平均知晓率为84.3%;3种传播途径的知晓率为93.5%,6条非传播途径的知晓率为82.6%,二者差异有统计学意义(χ2=325.94,P<0.001)。自愿咨询检测(VCT)服务知晓率为76.5%,使用率为17.5%。无偿献血知识知晓率为55.7%。流动人口中婚外性行为的比例为3.7%,坚持安全套使用率为36.7%。结论安徽省项目地区城区居民艾滋病知识知晓率较高,但艾滋病知识认知不全,无偿献血知识知晓率不高,VCT服务知晓率和利用率低。今后应加强艾滋病健康教育和行为干预工作,全面提高各类城区居民的艾滋病(包括无偿献血和VCT)知识知晓率,提高安全性行为的形成率和VCT服务利用率。

Objective To identify the levels of AIDS knowledge and behavior among county town residents. Methods Using clustered sampling method, 1 654 residents were recruited and interviewed in the eight AIDS project counties in Anhui province. A structured questionnaire was anonymously administered face - to - face for each participant. Results Among 1 614 residents, the proportion of knowing AIDS facts was 84.3%. The awareness rates of HIV transmission and nontransmission routes was 93.5 % and 82.6 % respectively （ χ^2 = 325.94 ; P 〈 0. 001 ）. The proportion of knowing voluntary counseling and test （VCT） service was 76.5 % and the rate of using VCT service was only 17.5 %. The proportion of knowing basic facts about voluntary blood donation was 55.7 %. The proportion of having extra - marital sex was 3.6 % among mobile people and 36.7 % of them use condoms with casual partners. Conclusion County town residents in Anhui AIDS project areas had a high level of AIDS knowledge, but their knowledge was not comprehensive, and lack of knowledge about voluntary blood donation and VCT. Extra - marital sex existed and condom use rate was low among floating population. Comprehensive educational and interventional measures should be taken to increase AIDS （including blood donation and VCT） knowledge and promote safe sex and condom use among floating population in county town.