上海市闵行区外来育龄妇女艾滋病知信行干预效果评价

Effect Evaluation of the HIV KAP Intervention Among Migrant Fertile Women in Minhang District,Shanghai

目的以流动人口计划生育服务中心为平台,对外来育龄妇女进行艾滋病健康教育与行为干预,提高外来育龄妇女艾滋病的相关知识水平以及对艾滋病自愿咨询检测(VCT)的知晓率和接受意愿,改变其相关行为以减少感染艾滋病的风险。方法采取方便抽样的方法,抽取外来育龄妇女实施基线调查。然后开展艾滋病健康教育与相关行为干预,1年后,采用同样的方法进行干预后调查。比较干预前后被调查对象艾滋病相关知识、态度、行为、VCT相关知识和意愿的变化,以评价干预效果。结果干预后外来育龄妇女艾滋病相关知识知晓率均高于干预前;HIV感染的意识为4.8%,较干预前明显升高(P<0.05);最近一个月安全套经常使用率上升为12.8%;VCT知晓率、检测地点回答正确率和检测意愿显著上升,分别为:64.8%、69.1%和82.8%。结论以流动人口计划生育服务中心为平台的干预研究提高了外来育龄妇女的艾滋病相关知识知晓率、安全套使用率、VCT相关知识和意愿。因此,在流动人口计划生育服务中心开展艾滋病预防干预是控制外来育龄妇女感染艾滋病有效的、可行的方式。

OBJECTIVE To improve their HIV knowledge, Voluntary Counseling and Testing（VCT） knowledge and willingness, to change their behaviors and to reduce the HIV infection risk by teaching the migrant fertile women HIV knowledge and interventing their behaviors, in the transient population family-planning service center. METHODS The convenient sampling method was adopted to earry out the questionnaires survey（the baseline and the final）. After the 1-year intervention, the intervention effectiveness was evaluated by comparing the participants＇ HIV knowledge, attitude, behaviors, VCT knowledge and willingness before and after the intervention. RESULTS After the intervention, the participants kept more HIV knowledge than pre-intervention. The awareness of thinking to be infected by HIV（4.8%）increased obviously compared to pre-intervention（P〈0.05）. The rate of using condoms went up to 12.8% at the final survey. 64.8% of the participants acknowledge the VCT, 69.1% could gave the answer of the testing location, and VCT willingness, 82.8% went up obviously. CONCLUSIONS The intervention in the transient population family-planning service center increased the migrant fertile women＇ s related HIV knowledge, condoms using, VCT knowledge and willingness. Carrying OUt HIV intervention in the transient population family-planning service center is an effective way to protect migrant fertile women from being infected by HIV.