2010年昌平区流动人口艾滋病KAP现状及影响因素分析

Study on Current Situation of HIV/AIDS-related KAP and Its Influencing Factors Among Floating Population in Changping District in 2010

目的了解昌平区流动人口艾滋病相关知识、态度、行为现状及其影响因素,为进一步有效地开展流动人口艾滋病预防和控制工作提供依据。方法 对辖区建筑工人、工厂工人、个体经营者、住宿餐饮从业人员、家政从业人员、临时雇佣劳动力、娱乐场所从业人员7类流动人口进行问卷调查。结果流动人口艾滋病相关知识知晓率为84.8%,不同性别、不同行业人群艾滋病相关知识知晓率差异均有统计学意义。Binary Logistic回归分析显示,不同性别、年龄、户籍、文化程度、是否做过免费HIV检测等因素对其知晓率有显著影响;流动人口现有的艾滋病相关知识通过多途径获得,从高到低依次是电视、免费宣传材料、广播等,但流动人口最希望获得艾滋病相关知识的途径从高到低依次是电视、免费宣传材料、书籍等;有3.6%的流动人口做过免费HIV检测;仅22.1%的人不歧视HIV/AIDS;有4.7%流动人口有商业性行为,仅18.1%的人能每次坚持用套;有7.3%的流动人口与临时性伴发生过性关系,仅18.1%的人能坚持每次用套;有0.5%的男性有同性行为,仅16.7%的人能坚持每次用套。结论昌平区流动人口艾滋病知识掌握不全面,存在对HIV/AIDS的歧视态度和感染艾滋病的高危性行为。需要进一步加强对当地流动人口的艾滋病综合干预。

Objective To learn knowledge,attitude,practice（KAP） and influencing factors related to AIDS among the floating population in Changping District,and to provide a scientific basis for further effective prevention and control of HIV/AIDS in floating population. Methods A questionnaire survey was conducted among the floating population in Changping District,including builders,factory workers,self-employers,restaurant workers,home service workers,temporary wage labors,and employees in public entertainment places in Changping. Results The awareness rate of HIV/AIDS-related knowledge in the floating population was 84.8%.There were statistically significant differences in the awareness rate of HIV/AIDS-related knowledge among the population of different gender and occupations.Binary Logistic regression showed that gender,age,household registration,educational background,and whether having free HIV testing or not,were the main factors which significantly influenced the awareness rate of HIV/AIDS-related knowledge.The floating population acquired AIDS-related knowledge through various ways,which were television,free media publicity materials,radio,etc.But the most desired ways of obtaining HIV/AIDS-related knowledge in the floating population from high to low were television,free media publicity materials,books,etc.3.6% of the floating population had been tested for HIV antibodies.Only 22.1% demonstrated that they could treat the HIV/AIDS with correct attitude.4.7% had commercial sex behavior,and only 18.1% used a condom each time they had sex.7.3% of the floating population had sex with temporary sexual partner,and only 18.1% used a condom each time they had sex.0.5% of men had homosexual behavior,and only 16.7% used a condom each time they had sex. Conclusions HIV/AIDS-related knowledge of the floating population in Changping District is insufficient,and their HIV/AIDS risk attitudes and behaviors are higher.It is suggested to further strengthen health education and behavior intervention among the floating population.