绵阳市安县地区男男性接触人群干预前后艾滋病知识、行为改变情况

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目的了解绵阳市安县地区男男性接触(men who have sex with men,MSM)人群干预前后艾滋病(acquired immune deficiency syndrome,AIDS)知识、行为的改变情况。方法于2012年4—9月在固定场所进行问卷填写,并将获得的110名MSM人群资料与2011年资料相比较。计数资料采用χ2检验,P<0.05为差异有统计学意义。结果 2012年调查人群中,最小年龄16岁,最大年龄49岁,平均年龄(25.0±12.0)岁,AIDS知识得分达到864分(总分880分)。与2011年相比,2012年不同年龄、婚姻状况、民族、居住时间、文化程度中知识回答正确率分别为:<20岁96.3%、20~29岁99.4%、30~39岁100.0%、≥40岁96.9%;未婚97.6%、已婚100.0%、离异或丧偶100.0%;汉族98.8%、其他66.7%;居住时间≤2年100.0%、>2年98.9%;小学及以下83.3%、初中99.6%、高中或中专98.9%、大专及以上97.6%,差异均有统计学意义(均P<0.05);2012年艾滋病预防服务获得情况中,接受社区药物维持治疗/清洁针具提供/交换情况的获得率为6.4%,与2011年相比,差异有统计学意义(P<0.05)。结论开展一点两线交互运行的县级AIDS防治网络人群健康教育和行为干预活动后,知识知晓达到较高水平,行为也有了较大的改变,但仍有部分指标变化不明显,因此应当加大宣传和教育力度,促使行为的改变。 Objective To investigate the changes of knowledge and behavior of AIDS among people who have sex with men (MSM) in An County, Mianyang City before and after intervention. Methods The questionnaire was filled in from April to September in 2012, and the data of 110 MSM people obtained were compared with the data of 2011. Count data using χ2 test, P <0.05 for the difference was statistically significant. Results Among the surveyed population in 2012, the minimum age was 16 years, the maximum age was 49 years, the average age was (25.0 ± 12.0) years old, AIDS knowledge score reached 864 points (total score 880 points). Compared with 2011, the correct answers for knowledge in different age, marital status, ethnicity, living time and education level in 2012 were: <20.39 years, 96.3%, 99.4% of 20-29 years, 100.0% of 30-39 years, ≥ 40.9 years old 96.9%; unmarried 97.6%, married 100.0%, divorced or widowed 100.0%; Han 98.8%, other 66.7%; living time ≤ 2 years 100.0%,> 2 years 98.9%; elementary and junior high school 83.3%, junior high school 99.6 %, 98.9% in high school or secondary school and 97.6% in post-secondary school, all of which were statistically significant (all P <0.05). In 2012, HIV / AIDS prevention and treatment services were provided / exchanged with community drug maintenance therapy / , The difference was statistically significant (P <0.05) compared with 2011. Conclusion After carrying out health education and behavioral intervention at the county level AIDS prevention and control network with a one-point and two-line interaction, the awareness of knowledge has reached a higher level and the behavior has also been greatly changed. However, some indicators still have not obvious changes and should be increased Publicity and education efforts, prompting changes in behavior.
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