客列车三乘人员艾滋病知识、态度、行为及需求调查分析

Analyses of knowledge、attitude、behaviorand demand on AIDS IN train workers

目的了解旅客列车三乘人员(客运、车辆、公安)的艾滋病知识、态度、行为(KAP)和需求现状,为开展健康教育及干预措施提供科学依据。方法采用整群抽样方法,对890名旅客列车三乘人员进行自填式问卷调查。结果在有效问卷863份中,对艾滋病传播三个传播途径认知率达到86.21%,但对艾滋病的非传播途径认知率较低,正确使用安全套的认知率为88.64%,对艾滋病治疗方面的知识认知率低于50%。不同文化程度对艾滋病的态度差异有统计学意义(P<0.01)。90%以上的被调查对象都表示对艾滋病知识有需求,其中对预防措施的需求最高。广播是旅客选择最多的宣传方式。结论旅客列车三乘人员艾滋病相关防治知识认知水平较低,应根据该人群特点,针对性开展艾滋病知识、态度和行为的相关健康教育。

Objective To understand the AIDS knowledge,attitude,behavior（KAP）and demand situation of workers（the train crew、the train examiners and the railway police）on the passenger train,in order to provide scientific evidences for health education and intervention measures.Methods A self-administered questionnaire survey on KAP related to AIDS was conducted through cluster random sampling method among 890 train workers.Results In 863 valid questionnaires,the rate of raiway workers who knew AIDS transmission route was 86.21%,but the rate of knowing non- transmission route was lower. The rate of correct knowledge of condom use was 88.64%.The rate of knowing treatment on AIDS was lower than 50%.The correct rate of attitude on AIDS increased with the educational levels（P0.01）.Over 90%subjects expressed demands for knowledge on AIDS,especially the demand for preventive measures. The train broadcast was favorite propaganda way.Conclusion The cognitive level on AIDS knowledge in train workers was lower,and it was suggested to enhance the health education about AIDS knowledge、attitude and behavior according to the group characteristic.