北京市男性流动人口艾滋病预防相关知识、行为调查

Investigation on the knowledge and practice about AIDS among the male floating population in Beijing

目的了解北京市低阶层的嫖客与男性流动人口(尤其是在北京工作的个体商贩、小企业主)的艾滋病相关知识、行为,为针对这一人群的艾滋病预防和干预工作提供科学依据。方法采用问卷调查法,对1130名在建材城、汽配城、小商品批发市场、电脑市场工作的商业、服务业外来进京人员进行匿名问卷调查。结果该人群中有11.2%的人接受过性服务,对艾滋病传播途径回答正确率最高为81.3%,最低为46.9%。在行为方面,该人群在性生活中使用安全套的意愿不高,自我保护意识不强。结论对低阶层的嫖客与男性流动人口进行有针对性的艾滋病宣传和干预对于预防和控制疾病的蔓延有不可替代的意义;这一人群对于预防艾滋病知识上的误区和盲区和我们一贯的宣传策略有关,这一点亟需相关部门的反思;在这一人群中推广和使用安全套存在着一定的障碍,需要采取更好的措施去解决。

Objective To investigate the knowledge and practice about AIDS among the low level clients and male floating population in Beijing, and to provide the scientific evidence for health education and behavior interference. Methods An anonymous questionnaire survey was conducted among 1130 male floating population who worked in the building materials store/car accessories market/wholesale market/computer market etc. Results They were tend to have commercial sex （11.2 % which is higher than the average level of the country）, but had lower level of the knowledge on HIV/AIDS. Only 81.3 % of them know that handshake does not transmit HIV and 46.9% of them still think coach can spread the virus. They were lack of awareness of protecting themselves from the sex epidemic illness, and only 1/3 of them were willing to use condom. Conclusion The low level clients and male floating population play an important role in preventing the spread of the disease. Solutions should be carried out on the fields of improving the knowledgelevel and will of using condom in commercial sex.