婚前青年性病艾滋病防治知识 态度 信念 行为及干预研究

AIDS/STD Prevention Knowledge, Attitude, Belief, Practice and Intervention Study Among Premarital Youth

目的 探索婚前青年性病艾滋病防治知识、态度、信念及行为(KABP)状况并评价其干预效果,为开展健康促进工作提供科学依据。方法 2000年3月～2001年9月,在石河子市对到妇幼保健院做婚前检查的1 392名男女青年发调查表,匿名答卷,经健康教育干预后1周,969人用同样问卷回答,以评价干预效果。调查人员经统一培训、统一方法进行质量控制。结果婚前青年对性病艾滋病防治一般知识回答的正确率比较高;干预后对安全套的作用、艾滋病疫苗或治疗药物及消毒常识的知晓程度有显著提高;防治态度也有所改善,但正确率比较低;愿意使用及相信能正确使用安全套的得到显著提高。结论 应加强对婚前青年性观念及性行为道德教育,加强宣传安全套的正确使用和提高其使用率,有的放矢地开展健康教育及健康促进是迫切需要的。

Objective To explore the status of AIDS/STD prevention knowledge, attitude, belief and practice(KABP) among premarital youth, evaluate the impact of intervention, and provide scientific evidence for AIDS/STD health education among them. Method Questionnaires were distributed to 1, 392 male and female youths who came to Shi Hezi Maternal & Children Hospital to receive premarital physical checkup from March 2000 to September 2001 .The survey was done anonymously, in one week after receiving health education during their first visit, 969 youths were surveyed for the second rime with the same questionnaires to evaluate the impact of interveti tions,Surveyors were trained with the unified protocol and quality control methods. Result The correct respondse rate for HIV related knowledge was shown to be relatively high;the knowledge levels for condom use, AIDS vaccine, therapeutic drugs and sterilization were improved significantly; attitudes in relation to AIDS/STD prevention improved, hut with arelatively low rate of correct answers; willingness toward condom use and belief for correct condom use improved significantly. Conclusion Education for sexuality and sexual behavior is needed among premarital youth and education for promoting correct condom use and condons use rate need to be strengthened. It is essential to conduct health education and health promotion in response to the needs of the youth.