阳光家园项目对于我国艾滋病防治项目设计的启示  

Kunming Sunshine Homeland Project and its implication to the design of HIV/AIDS prevention and control projects in China

作　　者：李玫[1] 刘恩云 

机构地区：[1]云南大学公共管理学院,昆明650091 [2]云南省红十字会,昆明650200

出　　处：《中国艾滋病性病》2010年第1期40-43,共4页Chinese Journal of Aids & STD

摘　　要：目的根据2007年云南省昆明市阳光家园艾滋病防治与关爱项目评估数据,探讨以注射吸毒人员为目标群体的艾滋病防治项目中,存在哪些影响目标群体行为改变的因素,从而可以设计更合理、有效的干预措施。方法采用Logistic回归模型分析,检测相关因素与项目效果之间的关系。结果根据Fishbein和Guinan提出的态度、主流行为规范认知和自我效能感三因素理论,发现对于阳光家园注射吸毒人员行为转变最为有效的因素,是主流行为规范认知。结论针对注射吸毒人员的艾滋病防治项目设计,应强调主流行为规范认知因素的有效作用,并有机结合态度、自我效能感因素与主流行为规范认知因素,同时保持项目目标与手段的一致性。Objective To identify factors influencing behavioral changes among injection drug users（IDUs）by assessing the outcome of the Kunming Sunshine Homeland Project（SHP）in 2007,so as to design more effective and relevant interventions for HIV/AIDS prevention and control in China.Method Data obtained from SHP were analyzed by Logistic regression,in which the relationship between related factors and effectiveness of the interventions were examined.Results Based on Fishbein and Guinan’s hypothesis（1996）,among the three factors,i.e.attitude,perceived behavioral norm and self-efficacy,the perceived behavioral norm was the most effective one to change IDUs’ behaviors.Conclusions In designing HIV/AIDS prevention and control projects targeted to IDUs,perceived behavioral norms should be given high priority in combination with other 2 factors,and the approaches applied should match with the objective of the designed project.

关 键 词：艾滋病防治 注射吸毒人员 态度 主流行为规范认知 自我效能感 

分 类 号：R512.91[医药卫生—内科学]