高州市城镇居民艾滋病相关知识认知程度及相关行为分析

HIV/AIDS related knowledge and practice among urban residents,Gaozhou

目的了解高州市城镇居民对艾滋病防治相关知识认知程度、相关危险行为。方法采用多阶段抽样方法对高州市城镇居民对艾滋病防治知识的认知程度、相关行为以及态度进行调查,并采用描述性流行病学的方法进行分析。结果共调查1 050名城镇居民,回收有效问卷1 048份,其中男性704人,女性344人,平均年龄31岁。所调查人群对艾滋病相关知识的总知晓率(正确回答人次数/问题调查人次数)为61.45%(9 660/15 720)。对与艾滋病病人共用餐具、卫浴用品等是否会传播艾滋病认知程度较低分别为19.5%(204/1 048)和21.0%(220/1 048)。93.5%(979/1 048)的人有过性接触史,在最近1年内,有商业性行为的占5.6%(55/979)。仅有6.1%(60/979)的人经常使用安全套,67.6%(662/979)的人从来不用安全套。16.8%(176/1 048)认为艾滋病防治与其息息相关,16.8%(176/1 048)的人认为有必要了解艾滋病相关知识,3.8%(40/1 048)的人认为只有道德败坏的人才会得艾滋病,57.2%(599/1 048)的人认为应将艾滋病感染者、病人同健康人群分开。文化程度高的居民对艾滋病相关知识的认知程度较高,女性对艾滋病的认知程度高于男性,家庭经济收入高的居民对艾滋病相关知识认知程度较高(均P<0.01)。结论高州市城镇居民对艾滋病相关知识总体认知程度较低,所存在的高危行为仍然不可忽视。需进一步加大艾滋病防治知识的宣传及高危行为的干预力度。

Objective To understand the cognition of HIV/AIDS-related knowledge and high risk behaviors among urban residents in Gaozhou City. Methods Multistage sampling method was adopted to investigate the HIV / AIDS related knowledge,behaviors,and attitude among urban residents in Gaozhou.Data were analyzed by using descriptive epidemiology method. Results A total of 1 050 urban residents were investigated and 1 048 valid questionnaires were recovered,including 704 men and 344 women. Their average age was 31 years. The overall awareness rate of HIV / AIDS related knowledge was 61. 45%（ 9 660 /15 720 questions）. The awareness rates were 19. 5%（ 204 /1 048） for sharing tableware with AIDS patients and 21. 0%（ 220 /1 048） for sharing toilets and bathroom supplies. Among the respondents,93. 5%（ 979 /1 048） had sexual contact; 5. 6%（ 55 /979） had commercial sex behavior in the past year;only 6. 1%（ 60 /979） often used condoms; 67. 6%（ 662 /979） have never used condoms; 16. 8%（ 176 /1048） thought HIV / AIDS prevention and control was closely related with themselves; 16. 8%（ 176 /1 048）thought that it was necessary to understand HIV / AIDS related knowledge; 3. 8%（ 40 /1 048） thought that only the immoral persons would get HIV / AIDS; 57. 2%（ 599 /1 048） thought that the HIV-infected persons and patients with AIDS should be isolated from healthy people. The residents with high educational level,females,and high family economic income had higher awareness of HIV / AIDS related knowledge（ P〈0. 01 for all）. Conclusion The cognition degree of HIV / AIDS related knowledge is low among the urban residents in Gaozhou. The existing high-risk behavior still cannot be ignored. The propaganda of HIV /AIDS prevention knowledge and high-risk behavior intervention should be further strengthened.