某有色金属公司流动矿工艾滋病KAP及其影响因素研究

Survey of the KAP and its related factors on AIDS among the migrant miners in a nonferrous metal company

目的了解有色金属公司流动矿工的艾滋病相关知识、态度和行为(KAP)现状及其影响因素,为制定相应的艾滋病健康教育及行为干预的策略与措施提供依据。方法对某有色金属集团公司某矿303名流动矿工进行问卷调查,通过单因素分析、相关分析与logistic回归分析其影响因素。结果艾滋病知识总知晓率为87.9%,其高低与文化程度密切相关。55.1%的人认为对艾滋病人不需要强制隔离,50.8%的人愿意与艾滋病感染者继续交往,对婚外性行为不持反对态度的占38.0%。最近3个月,10.6%的被调查对象(32人)与非固定性伴发生性关系,其中34.4%(11人)承认从未使用安全套,仅21.9%(7人)每次使用。年龄与对艾滋病病人态度是影响安全套使用情况的主要因素。结论①调查地区流动矿工艾滋病知识水平较高;②人群对婚外性行为持越来越宽容的态度,发生非婚性行为的可能性趋于增大;③安全套的推广力度应加大。

Objective To investigate the status and influencing factors of knowledge, attitude and practice （KAP） about AIDS among the migrant miners in a nonferrous metal company of Anhui Province and to provide evidence for constituting strategies and measures for AIDS health education and behavioural interver/tion. Methods 303 migrant miners in a nonferrous metal company were surveyed. U- nivariate analysis, Logistic regression and correlation analysis were used to explore their influencing factors. Results The general rate of awareness of AIDS was 87.9 %, and the main factor affecting miners knowledge level of AIDS was their educational level. Only 55.1% of migrant miners thought people with AIDS should not be isolated; 50.8 % of them would like to contact people with HIV; 38.0 % did not object to extramarital sex. There were 32 （10.6 % ） migrant miners admitting having had extramari- tal sex in the recent three months, but 11 （34.4%） admitted never having used condoms, only 7 （21.9 % ） having used each time. Multivariate analysis identified the influencing factors for condom utilization including age and attitude to people with HIV/AIDS. Conclusions （1）The migrant miners have sufficient knowledge about AIDS. （2）The traditional sexual beliefs are changing, and an increasing number of people are tolerant to extramarital sex. Consequently, it is likely that extramarital sex might rise. （3）The promotion of condom use should be strengthened.