浙江省衢江区流动人口艾滋病知识、行为及感染情况调查

Investigation on the knowledge,behaviors and infection status about AIDS among migrants in Qujiang district of Zhejiang province

目的掌握衢江区流动人口艾滋病知识率、相关行为特征和HIV感染率,为开展针对流动人口艾滋病防治干预工作提供科学依据。方法采用整群抽样方法,对400名调查对象进行问卷调查,问卷内容主要包括艾滋病相关知识、态度和行为。结果艾滋病防治知识的总知晓率为90.5%,艾滋病知识知晓率的影响因素主要是年龄与文化程度两因素;与暗娼和临时性伴侣发生过性关系的比例分别占15.5%和5%。年内与固定性伴、暗娼、临时性伴发生性关系安全套每次使用率分别为5.5%、46.8%、10.0%;未发现有HIV抗体与丙肝抗体阳性者;梅毒ELISA法检测与RPR抗体均阳性者4名,阳性率1.0%。结论流动人口中不安全性行为比例较高,建议多部门协调合作,加强流动人口群体的艾滋病防治知识和保护意识的宣传,应采用流动人口易于理解和接受的语言、内容和方式,开展个性化服务,不断增加流动人口的艾滋病知识知晓率和自我防范意识。

Objective To understand the knowledge awareness rate, behaviors and infection status of AIDS/HIV among mi- grants in Qujiang district, so as to provide effective strategy for AIDS/HIV prevention and control. Methods Cluster sampling method and questionnaire survey were adopted to survey 400 persons. Questionnaire mainly included the knowledge, manner and behaviors related to AIDS. Results The total awareness rate of HIV/AIDS prevention and control knowledge was 90.5%. Age and educational level were important influencing factors of AIDS knowledge awareness. The proportion of migrants having sex with female sex workers （FSWs） and casual partners were 15.5% and 5% respectively. The usage rate of condom in migrants having sex with regular sex partner, FSWs and casual partners in each sexual behaviour in one year were 5.5%, 46.8% and 10.0%. No case was found HIV - positive antibody or hepatitis C positive antibody. Both syphilis antibody and RPR antibody were positive in four cases, accounting for 1.0%. Conclusion Unsafe sexual behaviors take a large proportion in migrants. It is suggested that more intensive and effective propagandistic strategies should be developed to improve the awareness rate of knowledge associated with HIV control and prevention among migrants. More attention should be paid to find individual approaches to help migrants for prevention of HIV infection and transmission.