安徽省部分地区三类人群艾滋病知识、态度及相关行为比较研究  

A comparative study on knowledge of HIV/AIDS,attitudes and related behaviors among three types of high-risk groups in parts of Anhui Provivce

作　　者：韦晓岑[1] 马颖[1] 李峰[2] 钟礼琴[3] 陈任[1] 胡志[1] 秦侠[1] 

机构地区：[1]安徽医科大学卫生管理学院,安徽合肥230032 [2]解放军105医院医保办,安徽合肥230032 [3]合肥市第二人民医院医务处,安徽合肥230032

出　　处：《中华疾病控制杂志》2013年第3期235-238,共4页Chinese Journal of Disease Control & Prevention

基　　金：国家自然科学基金(70973001)

摘　　要：目的了解安徽省部分地区高危人群中的娱乐场所女性性服务工作者(暗娼)、美沙酮维持治疗诊所的维持治疗人员(维持治疗人员)、男男同性性行为者(男同)这3类人群艾滋病知识水平、态度及相关行为的现状,为实施高危人群的艾滋病干预提供依据。方法在安徽省部分地区的娱乐场所、美沙酮维持治疗诊所、公园等地对3类人群进行现场面对面问卷调查。结果 (1)艾滋病知识总知晓率为80.8%,暗娼、维持治疗人员、男同艾滋病知识知晓比例分别为68.3%、89.4%和88.1%。(2)调查中男同认为需要进一步了解艾滋病相关知识的比例最高(89.1%);维持治疗人员认为会使用安全套预防艾滋病的比例最高(93.3%);暗娼选择与艾滋病人继续交往和允许他们继续工作的人员最低,为27.2%和25.8%;男同听说过艾滋病自愿咨询检测的比例最高,占81.4%。(3)最近1次性行为中,暗娼、维持治疗人员安全套使用率分别为60.8%和31.7%,46.5%的男同在近6个月肛交时总采取保护行为。结论应充分利用当地各种形式的宣传媒介和可利用卫生资源,开展形式多样的宣传教育和行为干预工作,提高高危人群的安全套使用率,消除其歧视心理。Objective To examine the status of knowledge of HIV/AIDS, attitude and related behaviors among three types of high-risk groups in parts of Anhui Provivee and provide scientific evidence for developing intervention model and evaluating intervention effect among three types of high-risk groups. Methods Subjects were selected in parts of An- hui Provivee from three types of high-risk groups. The subjects were surveyed with a structured questionnaire by a face-to- face interview. Results （ 1 ） The knowledge rate of HIV/AIDS in all was 80. 8%, which was 68. 3%, 89.4% , 88. 1% in entertainment female sex workers, maintenance treatment persons in methadone maintenance treatment clinic and men who have sex with men, respectively. （2） The rate who thought it necessary to further understand the related knowledge of HIV/AIDS of men who have sex with men was highest （89. 1% ）. The rate who thought using condoms can prevent HIV/ AIDS of maintenance treatment persons in methadone maintenance treatment clinic was highest （93.3%）. The rate who chose to have communication with people living with HIV/AIDS and allow them to work of entertainment female sex workers was lowest （27.2%, 25.8% ）. The rate who knew voluntary counseling testing of Men who have sex with men was highest （81.4% ）. （3） The rate of using condoms in the latest sexual behavior was 60. 8% and 31.7% in entertainment female sex workers and maintenance treatment persons in methadone maintenance treatment clinic, respectively. The rate of having protective action in anal sex in the latest six months of men who have sex with men was 46. 5%. Conclusions We should make full use of various forms of public media and available health resources to carry out various forms of education and behavioral intervention, to increase the rate of using condoms in high-risk groups, and to eliminate the discrimination.

关 键 词：获得性免疫缺陷综合征 态度 行为 流行病学研究 

分 类 号：R512.91[医药卫生—内科学]