郑州市外来务工人员预防艾滋病活动效果评价

Evaluation of the effect of AIDS prevention activity among migrant workers in Zhengzhou

目的评价综合干预对郑州市外来务工人员艾滋病相关知识、态度和行为改变的效果。方法2008年3～4月期间对郑州市中原区7个娱乐场所与10个服务行业场所的外来务工人员共723人进行艾滋病知识、态度和行为调查,之后进行综合干预,干预后再次调查他们的知识、态度和行为。结果干预前,外来务工人员艾滋病知识知晓率为42.6%,干预后知晓率为99.2%,差异有统计学意义(χ2=405.5,P<0.001);各条目的回答正确率提高幅度均在10%以上;干预后,有31.1%的研究对象认为艾滋病患者的身份应该保密,88.0%的研究对象表示不会断绝与艾滋病病毒感染者/患者来往,82.7%的人表示可以接受与艾滋病患者共餐;干预前性生活时安全套使用率为68.1%,干预后有75.8%的研究对象愿意坚持每次性生活均使用安全套,正确求医行为形成率达到99.7%。结论外来务工人员艾滋病知识知晓率低,对安全套的使用方法缺乏正确认识,综合干预是提高他们知、信、行的有效方法。

Objective To evaluate the effect of multiple-intervention on AIDS related knowledge, attitude, and practice （KAP） among migrant workers in Zhengzhou. Methods 723 migrant workers from 7 entertainment places and 10 service industries in Zhongyuan District were invited to participate in the intervention from March to April, 2008. Their knowledge, attitude and practice about AIDS were investigated before and after intervention. Results The awareness rate of knowledge was 42.6 % before intervention and 99.2 % after intervention, the difference being significant （X^2 = 405. 5, P 〈 0. 001 ）. The correct rate of each item was enhanced by at least 10 %. After intervention, 31.1% of participants thought the identity of AIDS patients should be kept secret, 88.0% showed they would not refuse to keep contact with AIDS patients, and 82.7 % were willing to eat together with AIDS patients. The rate of using condom was 68.1%. After intervention, 75.8 % were willing to use condom every time having sex. 99.7% developed the correct habit of seeing doctors. Conelusions AIDS awareness among mi- grant workers in Zhengzhou is relatively low, and there are some misunderstandings about the usage of condom. Multiple-intervention is regarded as very effective method to enhance their level of KAP.