2011—2019年宁波市某区814名暗娼艾滋病KAP调查分析  

A KAP study on AIDS among 814 FSWs in Ningbo City,2011-2019

作　　者：杨庆伟[1] 丁坚强[1] 刘巨敏[1] YANG Qing-wei;DING Jian-qiang;LIU Ju-min(Disease Control and Prevention Center of Zhenhai District,Ningbo 315200,China)

机构地区：[1]宁波市镇海区疾病预防控制中心,浙江宁波315200

出　　处：《中国健康教育》2021年第11期999-1004,共6页Chinese Journal of Health Education

摘　　要：目的分析历年暗娼人群哨点监测工作资料,描述该人群人口学特征,分析该人群艾滋病(AIDS)相关知、信、行信息(KAP调查),为政府部门开展公共卫生决策提供资料。方法通过现况研究和现场调查的方法,对不同场所来源的暗娼人群进行描述性分析,对其知、信、行相关指标进行计数资料率的比较,对艾滋病相关行为数据进行多元回归分析,明确今后干预重点方向。结果研究对象814名,舞厅来源占88.57%(721/814),外省户籍占91.89%(748/814),各场所人口分布不同。艾滋病相关知识知晓率为96.80%(788/814),拥有艾滋病预防意识比例为79.39%(2585/3256),艾滋病正确行为比例为56.63%(1383/2442),KAP调查的"知行分离"现象存在。该人群艾滋病病毒(HIV)抗体检出率为3.68‰(3/814)。"场所来源为其他(OR=0.229)""最近1年艾滋病检测未覆盖(OR=1.961)""年份(OR=0.336)",是暗娼人群最近1个月坚持使用安全套的影响因素(P<0.05)。结论该地暗娼人群以外省户籍为主,艾滋病相关知晓率已处于较高水平,应将干预工作重点放在改变人群的态度和行为上,改变该人群艾滋病相关"知行分离"的现状,应加大HIV抗体筛查力度,普及安全套使用,提升服务的可及性和创新性,广泛开展艾滋病咨询检测,提升干预工作覆盖面至外省新转入的人群,从而遏制艾滋病在该人群中的传播。Objective To analyze the sentinel surveillance data of FSW,and to provide information for government departments to carry out public health decision-making.Methods Descriptive analysis were used to analyze the rates of working places,knowledge,trust and behavior in FSW places.Multiple regression analysis was carried out on AIDS related behaviors.Results 814 subjects were studied,the working place in ballroom accounted for 88.57%(721/814).The household registration from other provinces accounted for 91.89%(748/814),and the population distribution of each place was different.The awareness rate of AIDS related knowledge was 96.80%(788/814),the awareness rate of AIDS prevention was 79.39%(2585/3256),the correct behavior rate of AIDS was 56.63%(1383/2442),and the phenomenon of"separation of knowledge and practice"existed in KAP survey.The detection rate of HIV antibody was 3.68‰(3/814)."The source of workplace was other(OR=0.229)"and"the last year′s HIV test was not covered(OR=1.961)""year(OR=0.336)"were the influencing factors of condoms persistent use in the last month(P<0.05)in FSW.ConclusionThe awareness rate of AIDS is high.The intervention should focus on changing the attitude and behavior of FSW,changing the status of AIDS related"separation of knowledge and behavior".

关 键 词：艾滋病 暗娼 KAP调查 

分 类 号：R193[医药卫生—卫生事业管理]