上海市浦东新区流动人口性病/艾滋病健康教育干预效果评价

Effectiveness of AIDS/STD Health Education in Floating Populations in Pudong New District, Shanghai

目的 调查上海市浦东新区流动人口性病 /艾滋病健康教育干预效果。方法 对 1 0 2 3名浦东区流动人口进行问卷调查。其中 ,男性 5 1 2人 ,女性 5 1 1人 ,大部分为 1 5～ 2 5岁的青年。以基线调查中流动人口所在街道、工厂和工地为单位 ,将调查对象分为 4组 ,3个干预组和 1个对照组。采用小媒介宣传、同伴教育和综合干预的方式对 75 0名干预组的调查对象进行为期 6个月的干预。干预后 ,再次进行问卷调查。结果 除了对待婚前性行为这一问题外 ,3个干预组对艾滋病 /性病的相关态度明显高于对照组。干预组中安全套的使用率、就医相关行为明显高于对照组 ,但除外接受同伴教育的干预组对就医相关行为这一问题。 3个干预组间的知识、信念、行为无明显差别。结论 在流动人口中采取小媒体宣传、同伴教育的方式进行艾滋病 /性病教育是有效的。

Objective To investigate the effectiveness of health education on AIDS/STD among the floating populations. Methods One thousand and twenty-three persons in the floating populations in Pudong New District, Shanghai, 512 males and 511 females, 66.5% of which being aged 15～25, selected by random sampling were recruited. Health education on AIDS/STD in the forms of mini-media, peer education, and mini-media plus peer education, was conducted among 750 persons of them, 250 in each group, randomly selected for 6 months. Another sex and aged-matched 256 persons were used as controls. Questionnaire survey was conducted among them before and after the study. Results The rates of attitudes toward AIDS/STD, except that toward pre-marital sex, of the 3 intervention subgroups were all significantly higher than those of the control groups (all P<0.01). The condom use rate and medical-help-seeking behavior rate of the intervention group, except the medical-help-seeking behavior rate of the peer education subgroup, were both significantly higher in the intervention group than in the control group (both P<0.01). No significant difference in changes of KAP was found among these 3 intervention subgroups. Conclusion Mini-media and peer education are all effective in AIDS/STD education among floating populations.