以社区为基础开展流动人口艾滋病预防干预研究

A Study of Community-Based AIDS Intervention to Immigrants

目的探讨在社区水平上开展流动人口艾滋病防治的可行性。方法以社区卫生服务中心为骨干,动员其他部门合作,对社区户籍人口、出租屋流动人员和娱乐场所工作人员进行宣传、咨询、检测等干预活动。对干预效果进行问卷和定性访谈评估。结果社区居民、出租屋流动人口艾滋病知识知晓率干预前后分别为40.67%(61/150)、52.17%(60/115)和93.33%(140/150)、86.33%(259/300)。娱乐场所工作人员最近一次性行为中安全套使用率为94%(141/150),比干预前调查时51.79%(58/112)显著上升。对社区承担艾滋病服务接受性达到60%以上。结论社区有能力开展艾滋病防治工作,这是艾滋病防治工作可持续发展的立足点。

Objective To explore the feasibility of community-based AIDS behavior intervention among immigrants.Methods The health workers of community health service center were trained as project implementors.Under the support of multi-sectors,the activities of health education,counseling,test and behavior change communication were conducted to the residents,immigrants and female sex workers in the community.A questionnaire was used to evaluate the intervention effect.Results The knowledge of AIDS prevention among the residents and immigrants was 40.67%（61/150）,52.17%（60/115）and 93.33%（140/150）,86.33%（259/300） before and after intervention activities,respectively.The condom use rate of the last sex was from 51.79%（58/112）to 94%（141/150）.Over 60% interviewee were happy to accept the project from community health service center.Conclusion It was possible to develop AIDS prevention and control activities in community-based level and it will become a key and sustainable point in AIDS prevention and control.