云南省楚雄州彝族流动人口及其家庭成员艾滋病知信行现状调查  

A survey of KAP toward AIDS among migrant workers and their families of Yi nationality in Chuxiong Yi Autonomous Prefecture,Yunnan Province

作　　者：刘童童[1] 李英华[1] 李雨波[1] 王新伦[1] 

机构地区：[1]中国健康教育中心(卫生部新闻宣传中心),北京100011

出　　处：《中国健康教育》2010年第4期254-257,共4页Chinese Journal of Health Education

摘　　要：目的了解云南省楚雄州彝族流动人口及其家庭成员艾滋病知信行现状及艾滋病防治健康教育需求,为开展健康教育和开发传播材料提供科学依据。方法采取随机整群抽样,对云南省楚雄市和禄丰县4个乡镇的彝族流动人口及其家庭成员进行问卷调查。结果共回收有效问卷397份,其中流动人口占30.5%,家庭成员占69.5%。男性占56.2%,女性占43.8%。流动人口外出务工从事行业前三位依次为建筑业(41.3%)、餐饮、娱乐等服务业(27.3%)和制造业(10.9%)。调查对象对国艾办督导评估8道基本知识题知晓率为78.7%,UNGASS 5道知识题知晓率为41.0%,流动人口与其家庭成员无显著性差异。流动人口对婚前、婚外和多性伴持不正确态度的比例分别为53.3%、31.6%和40.8%,其中8.4%有过多性伴性行为,上述比例均显著高于家庭成员。调查对象喜欢通过电视(64.7%)、村医(45.3%)、文艺活动(40.6%)等方式了解艾滋病信息,喜欢的艾滋病防治传播材料主要为扑克牌、纸杯、纸巾等生活用品(52.0%)、年历画(37.9%)、海报/挂图/张贴画(36.9%)。结论云南楚雄州彝族流动人口和家庭成员的艾滋病知识知晓情况较好,但流动人口中艾滋病高危态度和行为的发生率较高。亟需针对流动人口开发适合的传播材料,开展健康教育行为干预。Objective To investigate the KAP of AIDS among the migrant workers and their families of Yi nationality in Chuxiong Yi Autonomous Prefecture of Yunnan Province and provide supportive evidence for health education and materials development. Methods A questionnaire survey was conducted among migrant workers and their families in Chuxiong city and Lufeng county. Results Of 397 respondents, 30. 5% were migrant workers and 69. 5% were their family members; 56. 2% were males and 43. 8% were females. The migrant workers mainly engaged in occupations of architecture industry （41.3%）, catering and entertainment industry （27. 3% ） and manufacturing industry （ 10. 9% ）, etc. The knowledge rate of the 8 basic public knowledge points on AIDS issued by the State Council AIDS Working Committee Office was 78. 7%. The mean knowledge rate of the 5 key problems of United Nations General Assembly Special Session on HIV and MDS was 4I. 0%. No significant difference was found between migrant workers and their family members. Rates of incorrect attitudes （accepting or silent） to pre-marriage sex, extra-marital sex, and multi-sex partnership among migrant workers were 53.3%, 31.6% and 40. 8% respectively. 8.4% of migrant workers had multiple partners. The respondents would like to get AIDS knowledge from TV （64. 7% ）, village doctors （45. 3% ） and entertainment activities （40. 6% ） . The health education materials they preferred were daily supplies such as pokers and handkerchiefs （52.0%）, calendar pictures （37.9%）, wall chart/poster （36. 9% ）, etc. Conclusion AIDS knowledge awareness rates of the migrant workers and their families are relatively high, while the AIDS risk attitude and behaviors among migrant workers were high. Targeted health education intervention and health education materials are needed to change high risk attitude and behaviors.

关 键 词：艾滋病 彝族 流动人口 家庭成员 

分 类 号：R193[医药卫生—卫生事业管理] R512.91[医药卫生—公共卫生与预防医学]