大型建筑工地农民工艾滋病宣传教育与干预效果调查

A study on health education strategy for highly concentrated migrant workers based in large scale construction sites

目的探索在农民工中开展预防艾滋病宣教干预措施的可持续发展机制,为提高建筑工地农民工艾滋病干预工作覆盖率提供参考性建议。方法选择中瑞项目覆盖市的大型建筑工地的男性农民工,在干预的3年间开展多次横断面调查,取最初和最后一次调查结果为基线调查和终期调查结果。其间开展针对性宣传教育。结果农民工知晓艾滋病是可以预防的,由项目启动时的33.3%上升到终期调查的82.8%,每次性行为正确使用安全套能预防艾滋病的知晓率,由项目启动时的35.7%上升到87.4%,最近3个月每次性行为都使用安全套率,由项目启动时的0上升到74.7%。农民工最近患梅毒比例显著下降,由22.2%降到3.4%。结论协调有关部门,从目标人群入手,不放松周边环境的综合治理,对于农民工的防艾宣教是可持续和有效的。

Objective To explore a sustainable mechanism for HIV/AIDS publicity among migrant workers and provide evidence and recommendation for increasing intervention coverage of migrant workers.Methods Baseline and 3 year-end cross-sectional investigations were conducted.Between investigations,continuous publicity and awareness raising activities targeted for HIV/AIDS among male migrant workers in large-size construction site were carried out.Results AIDS awareness regarding preventable HIV transmission increased from baseline 33.3% to 82.8% at the end of 3 year intervention;knowledge that consistent and correct condom use could prevent HIV increased from 35.7% to 87.4%;consistent condom use in the last 3 months increased from 0.0% to 74.7% and syphilis prevalence decreased from 22.2% to 3.4%.Conclusion Coordinating relevant department,focusing on migrant workers and paying attention to surrounding environment like sex business are parts of the integrated approaches to address huge number of migrant workers in a sustainable and effective way