佛山市流动人口艾滋病相关知识、态度和行为的现状研究  

Study on the knowledge,attitude and behavior of acquired immunodeficiency syndrome (AIDS) among the floating population in Foshan

作　　者：陈抒豪[1] 林鹏[2] 梁自勉[1] 宫艳华[1] 朱志伟[1] 杨培喜[1] 

机构地区：[1]佛山市疾病预防控制中心．广东佛山528051 [2]广东省疾病预防控制中心

出　　处：《现代预防医学》2012年第8期2020-2023,共4页Modern Preventive Medicine

基　　金：全球基金艾滋病项目(CHN-304-G03-H)

摘　　要：目的了解佛山市流动人口艾滋病相关知识、态度和行为的现况及其影响因素,为进一步开展有效的流动人口艾滋病预防控制工作提供依据。方法采用分层抽样和方便抽样相结合的方法,在佛山市选择建筑工人、工厂工人、餐饮宾馆服务行业服务人员以及劳务市场寻工人员等4类流动人口,进行匿名问卷调查。调查内容包括流动人口一般特征,流动史,性病艾滋病相关知识、行为及态度,艾滋病防治需求及可能影响艾滋病知识知晓率的因素等。采用单因素和多因素非条件Logistic回归方法分析其知晓率的影响因素。血清学检测HIV、梅毒和HCV抗体。结果 98.69%的流动人口听说过艾滋病,艾滋病知识总知晓率为65.61%,艾滋病防治知识最主要通过电视节目获得。流动人口近一年临时性行为发生率为40.84%,在近1年与固定性伴和临时性伴发生性关系时每次都使用安全套的比例分别为1.20%和31.78%。10.30%调查对象近1年曾出现性病相关症状,患病后84.19%能去正规医疗机构就诊;HIV抗体阳性率为0.12%。5.23%的非婚性行为者接受过自愿咨询检测服务。调查对象中多因素非条件Logistic回归分析结果显示,文化程度为小学以下的流动人口艾滋病相关知识知晓率较低。结论佛山市流动人口对艾滋病防治知识知晓率偏低,对艾滋病病毒感染者或病人有歧视态度比例较高,该人群中依然存在非婚性行为、安全套使用率低等感染HIV的高危行为。对流动人口开展针对性的健康教育及综合干预刻不容缓。OBJECTIVE To learn KAP and influencing factors for HIV/AIDS among the floating population in Foshan,and provide scientific basis for the prevention and control of HIV/AIDS among the floating population.METHODS Multiple stage random sampling was used to recruit floating populations in Foshan from builders,manufactural workers,restaurant workers and temporary wage labors.All the responders were surveyed anonymously by questionnaire about general characters of migrants,migration record,knowledge,attitude and behavior of HIV/STD,demand and influence factors of the HIV/AIDS prevention and control.The influence factors for HIV/AIDS knowledge acquirement were analyzed by Logistic regression analysis.All the responders were tested for anti-HIV,syphilis antibody and anti-HCV.RESULTS 98.69% of the responders had heard about HIV/AIDS,and the awareness rate of HIV knowledge was 65.61%,The main sources were TV.40.84% of the floating population had temporary sexual experiences in the past year,1.20% and 31.78% of the floating population used condoms every time in the past year while they had sexes with their fixed and temporary partners.10.30% of the floating population had related symptom of STD in the past year.84.19% of them could visit regular hospitals after they had STD.The HIV infection rate of floating population was 0.12%.5.23% of the responders with un-martial sex behavior had accepted VCT service.Multiple Logistic regression analysis showed that those who had lower HIV/AIDS knowledge had less education than primary school.CONCLUSION The level of knowledge for HIV/AIDS among the floating population in Foshan city is low.Most of the floating population are discriminate against AIDS patients or people infected with HIV.Some high-risk behaviors,such as non-marriage sexes and low using rate of condoms still existed in the floating population.Health education and intervention for HIV/AIDS are urgently needed for the floating population.

关 键 词：艾滋病 流动人口 知识、态度、行为 影响因素 

分 类 号：R512.91[医药卫生—内科学]