成都市主城区务工人员AIDS/STDs知信行调查及作用机制研究  

Knowledge-attitude-practice survey and mechanism on AIDS/STDs among migrant workers in the main urban area of Chengdu city

作　　者：张翠华 周婧霖 游璐菱 吴雨燕 罗敏[3] 裴容 Zhang Cuihua;Zhou Jinglin;You Luling;Wu Yuyan;Luo Min;Pei Rong(School of Public Health,Chengdu University of TCM,Chengdu611137;School of Medical and Life Science,Chengdu University of TCM,Chengdu611137;School of Intelligent Medicine,Chengdu University of TCM,Chengdu611137)

机构地区：[1]成都中医药大学公共卫生学院,成都611137 [2]成都中医药大学医学与生命科学学院,成都611137 [3]成都中医药大学智能医学学院,成都611137

出　　处：《安徽医科大学学报》2024年第11期2040-2046,共7页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金项目(编号:72304050);成都中医药大学大学生创新创业训练计划国家级项目(编号:202310633041、202310633006X)。

摘　　要：目的分析成都市主城区务工人员艾滋病/性传播疾病(AIDS/STDs)知识-态度-行为(KAP)现状、影响因素及作用机制,为该类人群制定有效的防控方针提供依据。方法采用方便抽样和系统抽样结合的方法收集研究对象的人口学特征、AIDS/STDs认知、态度和性行为信息,采用EpiData 3.1和SPSS 26.0软件对数据进行整理和统计分析,并用AMOS 24.0构建KAP路径分析模型。结果有效问卷257份,AIDS知晓率为55.6%,平均得分(5.59±1.61)分。STDs知晓率为37.4%,平均得分(9.05±3.00)分。有58人(22.6%)和44人(17.1%)对AIDS和STDs持歧视态度。高危性行为的发生率为3.50%。男性(OR=0.500,95%CI:0.279~0.897)是AIDS知晓的阻碍因素。无子女是AIDS(OR=2.748,95%CI:1.385~5.451)和STDs(OR=2.287,95%CI:1.084~4.825)歧视态度的促进因素。年龄越大(OR=0.854,95%CI:0.785~0.929),高危性行为发生的可能性越低。发生高危性行为分别受到AIDS态度及其知识的直接和间接影响,AIDS和STDs分别的知识对其态度(r=0.15、0.24,均P<0.05)、AIDS态度对STDs态度(r=0.57,P<0.05)均为正相关。即得分越高,越不会产生歧视态度,故提升知识知晓率可减少AIDS/STDs歧视和高危性行为发生。结论成都市主城区务工人员AIDS/STDs知晓情况不容乐观,应加大对重点地区和人群的创新型干预力度。Objective To analyze the current situation,influencing factors and mechanism of knowledge-attitude-practice(KAP)regarding acquired immune deficiency syndrome(AIDS)/sexually transmitted diseases(STDs)among migrant workers in Chengdu's main urban area,so as to provide a basis for the development of effective prevention and control policies for this group.Methods Convenience sampling and systematic sampling were used to collect demographic information and data on knowledge,attitudes,and sexual behavior characteristics of AIDS/STDs of the participants.The collected data were organized and statistically analyzed by EpiData 3.1 and SPSS 26.0 software.Additionally,a KAP path analysis model was constructed by using AMOS 24.0 software.Results A total of 257 valid questionnaires were obtained.The AIDS awareness rate was 55.6%,with a mean scores of(5.59±1.61).The awareness rate of STDs was 37.4%,with a mean scores of(9.05±3.00).Discrimination attitudes towards AIDS and STDs were reported by 58 participants(22.6%)and 44 participants(17.1%)respectively.The prevalence of high-risk sexual behavior was 3.50%.Men(OR=0.500,95%CI:0.279-0.897)acted as deterrents to knowledge of AIDS.On the other hand,childlessness facilitated discrimination against AIDS(OR=2.748,95%CI:1.385-5.451)and STDs(OR=2.287,95%CI:1.084-4.825).There was lower likelihood of engaging in high-risk sexual behavior among migrant workers in Chengdu's main urban area who were older(OR=0.854,95%CI:0.785-0.929).The occurrence of high-risk sexual behaviors was influenced both directly and indirectly by attitudes towards AIDS and related knowledge.There was a positive correlation between knowledge about AIDS and STDs and attitudes towards them(r=0.15,0.24,both P<0.05),as well as between attitudes towards AIDS and attitudes towards STDs(r=0.57,P<0.05).That is,the higher the scores of knowledge,the less likely one was to hold discrimination attitudes.Therefore,increasing the rate of knowledge awareness could reduce discrimination towards AIDS/STDs and the occurrence of h

关 键 词：艾滋病 性传播疾病 成都市 务工人员 知信行 路径分析 

分 类 号：R195.4[医药卫生—卫生统计学] R759[医药卫生—卫生事业管理]