南充市城区人群艾滋病健康教育效果分析

Effect evaluation on AIDS-related health education for people living in Nanchong city

目的：评估南充市城区人群艾滋病健康教育效果。方法：在南充市城区，随机抽取大众人群、在校学生和流动人口各509，422，205人。并用方便抽样法选取MSM109人，用面对面访问的方式进行艾滋病认知、态度和行为的问卷调查。结果：调查对象中，超过50％接受过艾滋病健康教育，MSM最高，达80．73％，流动人口最低，仅23．41％。四类人群中，接受干预者对艾滋病相关知识的掌握率均明显高于未接受干预者（P〈0．05）；在流动人口和MSM人群，艾滋病健康教育并未带来最近1次安全套使用率和最近6月安全套使用频率的明显变化（P〉0．05）；大众人群和青年学生接受干预后，艾滋病歧视态度明显增加（P〈0．05）。结论：当前所进行的艾滋病健康教育工作虽然达到了较高的覆盖率。且提高了认知水平，但并未促进态度和行为的转变，调整和改进干预策略是亟待进行的工作。

Objective To evaluate the effect of AIDS-related intervention for people in Nanchong. Methods A total of 1247 participants were selected as study subjects through random sampling method or convenience sampling method. （）f which, 509 were from general population,C22 from in-school students, 205 from mobile population and 105 from MSM. All participants, while informed consent was acquired, accepted face-to-face interview on AIDS related knowledge, attitudes towards HIV-affected persons and high risk behaviors. Results Of all participants, more than 50 % accepted AID^related health education. Of which, MSM reached 80.73% while mobile population ranked the final and only 23.41 % acquired education. Participants who have accepted health education were in higher level of AIDS-related knowledge than those who have not（P（0.05）. However,among MSM and mobile population,the condom using rate dur- ir^g intercourse, whether in the most recent time or during the past six months, did not have a significant change after intervention （P〉0.05）. For general population and in-school students, the discrimination attitudes towards HIV-affected people unexpected）.y increased in participants who acquired intervention. Conclusions Although the current AIDS-intervention scheme achieved high coverage and raised the cognitive level, the discrimination attitudes and high-risk behaviors did not be substantially changed,which highlights the need for the adjustment of intervention strategy.