青年学生常规与同伴艾滋病自愿咨询检测服务干预效果评价  

Evaluation of the intervention effect of conventional and peer AIDS voluntary counseling and testing services among young students

作　　者：陈希[1] 贺婷婷 陈梦清 梁清儿 李顺铭 陈韵聪[1] 罗业飞 蔡衍珊[1] 韩志刚 CHEN Xi;HE Tingting;CHEN Mengqing;LIANG Qinger;LI Shunming;CHEN Yuncong;LUO Yefei;CAI Yanshan;HAN Zhigang(Department of AIDS Prevention and Contronl,Guangzhou Center for Disease Control and Prevention,Guangzhou(510440),China;不详)

机构地区：[1]广州市疾病预防控制中心艾滋病预防控制部,广东510440 [2]广州医科大学公共卫生学院 [3]杭州市上城区疾病预防控制中心结核病艾滋病性病防制科

出　　处：《中国学校卫生》2023年第10期1468-1472,共5页Chinese Journal of School Health

基　　金：2024年度广州市校(院)企联合资助专题项目(SL2024A03J00782)。

摘　　要：目的 探讨两种自愿咨询检测(VCT)服务对青年学生艾滋病相关知识和行为的影响,为进一步完善和推广VCT服务提供新思路。方法 于2017年4月—2018年12月,在广州市12个高校巡回检测点和固定检测点,采用非劣性试验计算样本量,按1∶1匹配同期接受服务的青年学生为研究对象,纳入常规VCT共113名,同伴VCT共186名。采用χ^(2)检验分析两种VCT干预前后艾滋病相关知识和行为的差异,并对满意度进行调查。结果 青年学生接受常规VCT服务后,艾滋病基本常识总知晓率从80.53%上升至93.75%,最近1年异性性行为时每次使用安全套的频率升高29.17百分点(χ^(2)值分别为4.49,4.10,P值均<0.05)。接受同伴VCT服务后的青年学生,“四免一关”怀政策总知晓率从34.95%升高至58.26%,最近半年同性肛交性行为比例和最近半年≥2个同性性伴比例分别降低14.84,29.43百分点(χ^(2)值分别为15.69,4.82,10.97,P值均<0.05)。结论 接受两种VCT服务后,青年学生的艾滋病相关知识和行为均得到改善,两种VCT服务的成效各有侧重。可将常规VCT与同伴教育优势互补,形成更有效的艾滋病干预方式。Objective To explore the influence of two voluntary counseling and testing(VCT)services on young students'acquired immune deficiency syndrome(AIDS)-related knowledge and behaviour,so as to provide a new idea for further improvement and promotion of VCT services.Methods From April 2017 to December 2018,the sample size,selected from 12 patrol and fixed monitoring sites in colleges in Guangzhou,was calculated by non-inferiority trial,and the students who received services at the same period were 1∶1 matched.A total of 113 students received conventional VCT and 186 recerived peer VCT services.The Chi-square test was used to analyse the difference of AIDS-related knowledge and behavior before and after intervention,and a survey was conducted on satisfaction.Results After young students received conventional VCT services,the overall awareness rate of AIDS basic knowledge increased from 80.53%to 93.75%,and the frequency of condom use every time during heterosexual sexual activity in the past year increased by 29.17 percentage points(χ^(2)=4.49,4.10,P<0.05).After young students received peer VCT services,the awareness rate of the Four Frees and One Care Policy increased from 34.95%to 58.26%,the rates of homosexual anal sex and more than or equal to 2 sexual partners in the past half a year decreased by 14.84 and 29.43 percentage points,respectively(χ^(2)=15.69,4.82,10.97,P<0.05).Conclusion After young students receive two modes of VCT services respectively,the AIDS-related knowledge and behavior have been improved,and the influence of the two VCT services has different advantages.The combination of conventional VCT and peer education might be a more effective way of AIDS intervention.

关 键 词：获得性免疫缺陷综合征 咨询 干预性研究 学生 

分 类 号：R512.91[医药卫生—内科学] R167[医药卫生—临床医学] R179