摘要
目的探索在艾滋病(AIDS)高危人群中进行综合干预的方法,对干预效果进行评价,为科学预防AIDS提供参考依据。方法对九江市浔阳区暗娼、注射吸毒者(IDU)进行为期1年的健康教育、心理与医学咨询、推广使用安全套等综合干预,分别在干预前、后进行问卷调查,对干预效果进行评价。结果通过进行综合干预,暗娼的AIDS知识总知晓率从70.75%上升至84.75%(χ2=22.66,P<0.01),IDU则从77.25%上升至88.50%(χ2=17.84,P<0.01)。暗娼最近1个月与客人(Z=-2.73,P<0.01)、与配偶或男友(Z=-2.02,P=0.04)发生性关系时使用安全套的频率均显著升高。IDU最近6个月共用针具的频率显著下降(Z=-3.67,P<0.01),最近1年使用安全套的频率显著上升(Z=-2.96,P<0.01)。结论通过进行综合干预措施,可有效提高暗娼、IDU的AIDS知识知晓率,改变其可能导致AIDS传播的危险行为。
Objective To explore the comprehensive intervention methods among people with high-risk of AIDS ,and to evaluate the effects of the intervention to provide reference basis for the scientific prevention of AIDS .Methods The 1-year comprehensive intervention including the health education ,psychological and medical consultation ,and condom promotion was conducted among the commercial sex workers（CSW） and the injecting drug users（IDU） in the Xunyang district .The questionnaire survey was performed before and after the intervention ,and then the effects of intervention were evaluated .Results Through the comprehensive interven-tion ,the total awareness rate of the AIDS knowledge among CSW was increased from 70 .75% to 84 .75% （χ2 =22 .66 ,P＆lt;0 .01） while which among IDU was increased from 77 .25% to 88 .50% （χ2 =17 .84 ,P＆lt;0 .01） .The frequencies of using condoms with cli-ents ,spouse or boyfriend in recently one month were significantly increased （Z= -2 .73 ,P＆lt;0 .01 ,Z= -2 .02 ,P=0 .04） .The fre-quency of sharing needle in recently six months among IDU was significantly decreased （Z= -3 .67 ,P＆lt;0 .01） and the frequency of using condoms in recently one year among IDU was significantly increased （Z= -2 .96 ,P＆lt;0 .01） .Conclusion The comprehensive intervention may effectively increase the awareness rate of the AIDS knowledge among CSW and IDU and change their dangerous behaviors possibly leading to AIDS transmission .
出处
《重庆医学》
CAS
CSCD
北大核心
2014年第10期1228-1230,1233,共4页
Chongqing medicine
基金
全球基金中英艾滋病资助项目(GF/DFID-CHN-XUNYANG-AIDS-14
CHN-405-G0505-H)
关键词
获得性免疫缺陷综合征
性行为
性传播疾病
注射吸毒者
干预性研究
acquired immunodeficieney syndrome
sexual behavior
sexually transmitted diseases
injecting drug users
interven-tion studies
