244名高校男男性行为学生艾滋病知识和高危行为干预效果评价

Intervention Effects Evaluation on AIDS-related Knowledge and High-risk Behaviors Among 244 MSM In Colleges

目的评价宣传教育和行为干预对高校男男性行为学生在改变艾滋病知识、态度和行为方面的效果,为制定有效的干预措施提供科学依据。方法采用雪球抽样调查的方法进行基线调查,在此基础上对干预对象进行为期6个月的艾滋病宣传和同伴教育等综合干预,干预后再进行调查。结果承认最近6个月内有过同性性行为的比例干预前占78.2%,干预后下降到75.4%,差别无统计学意义(P>0.05);干预前同性商业性性行为发生率和异性性行为发生率明显高于干预后;最近1次同性性行为使用安全套者由干预前的56.5%提高到67.9%(P<0.05),最近6个月内发生性行为时安全套使用频率干预前后比较未见显著性差异。结论本次干预有一定效果。要改变此类人群艾滋病高危性行为应建立长效的干预机制。

Objective To evaluate the intervention effects of health education on AIDS-related knowledge,attitude and behaviors of MSM in colleges,and provide reference for formulating effective intervention measures.Methods On the basis of the baseline survey conducted by sampling of snowball,comprehensive intervention strategies were taken among all subjects,such as AIDS-related health education for 6 months and peer education.And investigation was conducted again after intervention.Results Before and after intervention,the proportion of subjects who admited having homosexual behaviors within the last 6 months changed from 78.2% to 75.4%,and no significance was found（P0.05）.Whether homosexual or heterosexual,the prevalence rates of sexual behaviors were all obviously higher before intervention.The proportion of subjects using condoms in the last homosexual behavior changed from 56.5% before intervention to 67.9% after intervention,there was significant differenec（P0.05）.There was no significant difference before and after intervention in the condom use rate within the last 6 months sexual behaviors.Conclusion The intervention measures had some effects.Long-term intervention mechanism should be established to change the high-risk behaviors of MSM.