上海地区建筑工人安全套使用的知信行及影响因素研究  

Survey on KAP and impact factors of condom use among construction workers in Shanghai,China

作　　者：任金马[1] Calzavara L. 康来仪[1] 方蕙[1] 潘启超[1] 庄鸣华[1] 陈晓玲 许磊 陈洪波 杨美霞 宿飞[5] 汪红卫[5] 

机构地区：[1]上海市疾病预防控制中心,上海200336 [2]加拿大多伦多大学 [3]南汇区疾病预防控制中心,上海201300 [4]徐汇区疾病预防控制中心,上海200031 [5]黄浦区疾病预防控制中心,上海200011

出　　处：《中国艾滋病性病》2010年第1期22-25,共4页Chinese Journal of Aids & STD

基　　金：中国-加拿大艾滋病合作项目(IDRC Grant#103460-045)~~

摘　　要：目的了解上海地区建筑工人安全套使用的知识、态度及使用情况,以及相关的影响因素,为进一步推广使用安全套提供依据。方法随机选择上海三个区18个工地的1871名工人,进行面对面问卷调查,内容包括基本人口学特征、工作经历、生活情况、安全套使用的知识和态度以及相关行为等。结果上海地区的建筑工人以已婚男性为主,平均年龄(39±10.4)岁,初中及以下文化水平的占80.8%;安全套的知识和态度得分较低;与非固定性伴每次使用安全套的比例为53.3%,明显高于固定性伴的10.6%(P<0.001);年龄越大、同居、已婚/再婚、每日工作时间越长的工人,使用安全套的频率越低,OR值依次为0.57、0.22、0.46和0.71。结论建筑工人由于其流动性大、性行为活跃、安全套知识匮乏、安全套使用比例低等特点,将成为艾滋病/性病经性传播的重要桥梁人群,需在该人群中加大力度进行安全性行为的教育和推广使用安全套。Objective To understand the level of knowledge,attitude and practice （KAP） related to condom use and relevant impact factors among construction workers in Shanghai so as to provide evidence base for further promotion of condom use.Methods A face-to-face questionnaire survey was conducted among 1871 construction workers who were randomly selected from 18 sites in three districts of Shanghai.The collected information included demography,working experience,living conditions,KAP related condom use,etc.Results Most of the surveyed construction workers were married and male.Average age was 39±10.4 years;80.8% of them only had primary or junior middle schooling or even below.The scores of knowledge and attitude related to condom use were very low.The proportion of consistent condom use with casual sex partners was significantly higher than that with regular sex partners （53.3% vs 10.6%;P〈0.001）.The factors related with lower frequency of condom use included older age,cohabitation,married/remarried status and long daily working time,their OR values being 0.57,0.22,0.46 and 0.71,respectively.Conclusion Construction workers play a bridge role of transmitting HIV/STI from the high risk population to the general population because they are highly floating and sexually active,with insufficient condom use knowledge and less frequency of condom use,etc.Therefore,strong promotion of condom use should be conducted among this special population group.

关 键 词：建筑工人 安全套使用 知信行 艾滋病/性病预防 

分 类 号：R512.91[医药卫生—内科学]