卫生九项目地区青年学生艾滋病知识、态度、行为监测分析

Analysis on HIV/AIDS related behavioral surveillance survey among young students in the provinces of World Bank Loan Project Health Ⅸ

目的了解卫生九项目地区(福建省、广西壮族自治区、山西省和新疆维吾尔自治区)青年学生对艾滋病相关认知、态度、性经历与安全套的使用情况和吸毒行为及其变化趋势,为制定有效干预措施和评估项目实施效果提供依据。方法采用整群抽样的方法,先对监测区域随机抽取大中专院校,再对抽取的大中专院校的学生进行整群抽样或按学生证编号进行单纯随机抽样,对抽取的学生进行相关调查。结果项目地区青年学生在三轮调查中对三条传播途径知晓率从68.7%上升到97.7%;非传播途径知晓率从20.5%上升到98.1%;预防知识知晓率从50.0%上升到86.2%;最近一次性行为安全套使用率从53.6%上升到60.9%;发生性行为时能够正确使用安全套的比例从50.0%上升到86.2%。结论项目实施过程中开展针对青年学生的艾滋病宣传活动可产生良好效果,但仍然需要加大宣传力度。

Objective To investigate the AIDS-related acknowledge and attitude, sexual action, condom use, and drug use of young students in the areas of World Bank Loan Project Health Ⅸ, and to provide the evidence for making effective intervention method and evaluating the project effectiveness. Methods Some universities in the project areas were randomly selected as surveillance spots. Then the students from these spots were selected with cluster sampling or random sampling according to the students＇ ID to undergo a survey. Results Young students participated in 3 round survey. The awareness rate of three AIDS transmition routes ascended from 68. 7% to 97.7%. The awareness rate of non-transmitted routes ascended from 20. 5% to 98. 1%. And the awareness rate of prevention knowledge rose from 50. 0% to 86. 2%. The rate of condom use in the latest sexual behavior rose from 53. 6% to 60. 9% , and the rate of correct condom use in sexual behavior rose from 50.0% to 86. 2%. Conclusion A series of disseminated activities display effects during project implementation, but need to be strengthened.