流动人口艾滋病同伴教育干预效果系统评价与Meta分析  

A Systematic Review and Meta-analysis of the Effect of Peer Education on AIDS Prevention in Mobile Population

作　　者：刘加力[1] 张梅烈 宫献升 邹爱萍[1] 

机构地区：[1]山东省高密市疾病预防控制中心,山东高密261500

出　　处：《中外医疗》2013年第27期42-45,共4页China & Foreign Medical Treatment

摘　　要：目的对在我国流动人口开展艾滋病同伴教育的干预效果进行系统评价,为今后开展预防和干预工作提供理论依据。方法利用多种数据库对国内外相关文献进行全面检索,并按照事先定义的纳入与排除标准剔除不合要求的文献,对纳入文献用Revman4.2进行综合定量Meta分析。结果干预后,流动人口对＂艾滋病能否从表面上看出来＂的知晓率提高了37%（95%CI：0.23~0.50）;＂正确使用安全套是否能预防艾滋病＂的知晓率率提高了27%（95%CI：0.20~0.34）;＂保持单一性伴能否预防艾滋病的传播＂的知晓率提高了18%（95%CI：0.03~0.32）。根据干预前基线率值进行亚层分析后,异质性分析显示干预前基线率越低,干预效果越好。结论开展艾滋病同伴教育干预,对提高流动人口艾滋病的知晓率,促进其采取保护性性行为有较好的效果。Objective To systematically evaluate the effect of peer education on AIDS prevention in mobile population so as to provide a theoretical foundation for the prevention of AIDS in the future. Methods All related literatures at home and aboard were collected from different databases and non-compliant literatures were excluded according to inclusion and exclusion criteria. Then,the qualified literatures were comprehensively and quantitatively evaluated by the RevMan 4.2 to do meta-analysis. Results After the intervention, rate difference （RD）and 95% CI of knowledge about ＂The apparently healthy person may be an HIV infect- ed one＂ of the mobile population increased by 37% （95%CI：0.23-0.50）; RD and 95% CI of knowledge about the effect of con- doms for HIV prevention increased by 27%（95%CI：0.20-0.34）;RD and 95% CI of knowledge about＂To reduce the spread of AIDS by keeping a single partner＂ increased by 18%（95%CI：0.03-0.32）. Conclusion Peer education is helpful to improve the mobile population＇s awareness of AIDS and promote them to take protected sex.

关 键 词：艾滋病 流动人口 同伴教育 META分析 

分 类 号：R512[医药卫生—内科学]