上海市奉贤区不同特征人群艾滋病防治知识知晓率和艾滋病相关高危行为调查

Investigation on awareness rate of HIV/AIDS related knowledge and high risk behavior among different groups in Fengxian District of Shanghai City

目的了解上海市奉贤区不同特征人群艾滋病防治知识知晓情况及艾滋病相关高危行为现况,为该地区高危人群艾滋病干预措施提供科学依据。方法采用现况调查了解该辖区内不同特征人群对艾滋病知识掌握情况和安全套使用情况,并对该人群接受的干预措施进行调查。结果研究发现,高危人群对艾滋病知识知晓率较一般人群高。接受艾滋病防治健康教育服务,暗娼人群为67.80%,而吸毒者为39.5%,性病门诊男性就诊者为12.8%,青年学生为49.9%。各类人群接受艾滋病检测服务的比例均较低(低于30%)。社区居民和流动人群最近1年性行为时未使用安全套比例达33%,其中流动人群最近1次性行为安全套使用率仅15.80%。男男性行为者中每次肛交均使用安全套的比例39.13%,最近1次肛交使用安全套的比例58.69%。结论各类人群防治艾滋病知识的知晓率还有待进一步提高,安全套使用率仍较低。暗娼、男男性行为人群和青年学生的艾滋病防治工作需要进一步加强。

[ Objective] To understand the status of HIV/AIDS prevention knowledge and high risk behavior among different groups in Fengxian District of Shanghai City, and provide scientific evidence for further intervention in high risk population. [ Methods] A cross sectional survey was performed on different groups in Fengxian District to investigate HIV/AIDS related knowledge awareness, condom use and intervention measures. [ Results ] The investigation showed the AIDS knowledge awareness rate among high risk population was higher than that of the general populations. In acceptance of AIDS prevention and health education service, the pro- portion for female sex workers, drug addicts, STD outpatients and young students was 67.80% ,39.5% , 12.8% , 49.9% , respec- tively. The proportion of people in acceptance of HIV testing service was low （ 〉 30% ）. The proportion of sexual behavior without condoms in recent 1 year was 33% in community residents and floating population. The proportion of the latest sexual behavior without condom was 15.80% in floating population. The proportion of condom use in every anal sex among MSM was 39. ]3% , and the proportion of condom use in the latest time was 58.69%. [ Conclusion] knowledge awareness rate still needs to improve among different groups, and condom use rate is still low. AIDS prevention and control in female sex workers, MSM and young students needs to be strengthened further