浙江省流动人口艾滋病知识知晓率现状及干预效果评价

Evaluation of AIDS related knowledge and intervention efficacy among migrant population in Zhejiang province

目的了解浙江省流动人口艾滋病知晓率现状,探索有针对性的干预方法。方法采用调查问卷的形式对浙江省的三个区、县(市)的600名流动人口进行了艾滋病知识等的基线调查,然后分别采用发放宣传资料、举办讲座和"一对一"宣传教育等方法进行干预,干预后再对其进行随访。结果接受调查的流动人口中知道艾滋病三大传播途径(血液、性接触和母婴传播)的分别为89.2%、86.6%和72.6%;了解主要预防方法(保持单一性伙伴、性生活时正确使用安全套、拒绝吸毒和不盲目使用血制品等)的分别为69.9%、71.0%、73.0%和83.5%。经过干预后知道艾滋病三大传播途径的分别提高至98.0%、97.3%和94.1%(P均<0.000);了解主要预防方法的也分别提高为89.4%、90.2%、95.3%和94.4%(P均<0.000)。在三种干预方法中"一对一"宣传教育和举办讲座对于提高艾滋病防治知识的知晓率较为明显。结论由于近年来各种宣传及干预方法的实施浙江省流动人口对艾滋病防治知识有了一定程度的了解,但地区间差异明显。因此仍然需要根据不同地区的情况选择有针对性的宣传和干预方法进行宣传教育。

Objective To evaluate AIDS related knowledge and intervention efficacy among migrant population in Zhejiang province.Methods 600 subjects were selected from three districts and counties of Zhejiang province for the survey of AIDS related knowledge.Each participant signed informed consent form and was provided with education materials,lectures and one-to-one consulting.The education efficacy was evaluated with followed-up visiting.Results 89.2%,86.6% and 72.6% of migrant participants knew the transmission modes of AIDS as blood,sexual activities and maternal-neonatal transmission,respectively.69.6%,71.0%,73.0% and 83.5% of migrant workers knew the AIDS preventive measures of maintaining sex partners,using condoms for sex,refusing to take drug and using blood products as necessary,respectively.After the intervention,98.0%,97.3% and 94.1% of migrant workers knew the AIDS transmission modes of blood,sexual activities and maternal-neonatal transmission.The increases were significant（P〈0.001）.89.4%,90.2%,95.3% and 94.4% of migrant workers knew the AIDS preventive measures of maintaining sex partners,using condoms for sex,refusing to take drug and using blood products as necessary,respectively.The increases of proportions were also significant（P〈0.001）.The intervention measure of one-to-one counseling was the most efficient among all the taken measures.Conclusion A decent proportion of migrant workers had some AIDS related knowledge.The implementation of intervention measures was still effective.