安徽省项目地区居民艾滋病防治知识行为调查分析

AIDS knowledge and behavior among residents in program areas in Anhui

目的了解安徽省项目地区全球基金项目5年来居民艾滋病知识水平和影响因素以及变化情况,评价5年来项目工作效果并为下轮滚动有针对性地开展宣传工作提供依据。方法采取普查和分层整群抽样的方法,选择安徽省10个示范区/全球基金艾滋病项目地区的高危人群和感染者、学生、流动人口、居民等人群进行问卷调查。利用项目2006年专项调查(以下简称中期评估)数据评价项目终期效果。结果在15268名调查对象中艾滋病知识平均知晓率是89.81%,其中暗娼91.52%,艾滋病病毒感染者/病人93.50%,流动人口83.05%,农村居民87.60%,城镇居民87.50%,中学生92.29%。10个项目地区的平均知识知晓率为濉溪县88.36%,颍州区88.63%,临泉县91.07%,阜南县91.27%,界首市88.79%,萧县90.99%,谯城区91.94%,蒙城县93.21%,利辛县91.94%,郎溪县83.17%。各地区知晓率较高,但各项目地区知晓率不平衡。暗娼最近一次使用安全套的比例为95.38%,暗娼最近3次每次使用安全套的比例为93.78%;艾滋病病毒感染者/病人最近一次使用安全套的比例为93.63%,艾滋病病毒感染者/病人最近3次每次使用安全套的比例为80.88%。较中期评估有较大提高。结论安徽省项目地区居民艾滋病知识知晓率较项目中期评估时有明显提高,但不同地区和不同人群的艾滋病知识和行为仍存在不平衡,无偿献血和艾滋病非传播途径知晓率低。在今后的工作中要加大这方面的宣传和教育。

Objective To learn about the progress of AIDS program supported by the Global Fund in Anhui to evaluate the program effectiveness and provide foundation for future program activities. Methods A sample from each of the ten different population groups was taken using convenient sample （ commercial sex workers, and CSWs） and stratified cluster sampling method. A structured questionnaire was administered in group students and face-to-face in other participants, and the project baseline data were used to compare the mid-tern1 effectiveness. Results Among 15 268 participants, the rate of AIDS knowledge was 89. 81%, with sex workers at 91. 52%, people living with HIV/AIDS （PLWHA） at 93.50%, mobile population at 83.05%, rural residents at 87.60%, town residents at 87.50%, and middle school students at 92.29%. The rate in the ten project counties was 88.36%, 88.63% ,91.07% ,91.27% ,88.79% ,90.99% ,91.94% ,93.21% ,91.94% and 83.17% respectively. All the areas enjoyed a high awareness rate, but with an imbalance of awareness rate in the program areas. The most recent condom-using rate for the CSWs was 95.38 % and that of the last three times was 93.78%. On the other hand, the most recent condom-using rate for the infected/patient was 93.63% and that of the last three times was 80.88%. Compared with the mid-term evaluation, the above was a marked progress. Conclusions While some significant progress has been made in certain aspects, drawbacks still remain obvious, which entails further work for improvement.