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目的了解无锡市不同类型流动人口艾滋病知识、态度、行为和艾滋病、梅毒、丙型肝炎感染现状,为制定针对流动人口的艾滋病防制措施提供依据。方法对建筑工人、企业工人、餐饮宾馆服务行业服务人员和劳务市场寻工人员中流动人口进行问卷调查和艾滋病、梅毒、丙型肝炎检测,分析流动人口艾滋病知识、态度、行为和感染情况。结果在1 703份有效问卷中,该省外市流动人口占37.1%,外省的占62.9%。在调查的8个艾滋病预防知识中,总知晓率为67.8%。知晓率企业工人高于建筑工人、劳务市场寻工人员和餐饮宾馆服务行业服务人员,男性高于女性,初中及以上学历高于小学和文盲,45岁以下年龄组高于45岁以上年龄组,差异均有统计学意义(P<0.01)。表示愿意与艾滋病感染者/患者在一起工作仅占29.01%;未婚者中有过性行为经历的占16.1%,承认过去1年内有2个及以上的性伴侣的占3.9%,男性被调查者中承认最近1年与小姐(暗娼)发生过性行为占6.0%。获得艾滋病知识的渠道主要是电视、报纸、书籍、广播和免费宣传材料;调查对象中有80.4%的人接受过艾滋病预防的外展干预服务,有41.3%接受过咨询检测。艾滋病病毒和丙型肝炎抗体未检出,梅毒抗体阳性率为0.24%,梅毒特异性抗体阳性率为0.06%。结论无锡市流动人口中艾滋病知晓率低,相关行为率高,歧视态度普遍,需加大艾滋病的宣传教育力度,提高流动人口艾滋病预防意识和能力,促进健康行为,有效遏制艾滋病性病的上升趋势。
Objective To understand the knowledge, attitude and behavior of HIV / AIDS, syphilis and hepatitis C in different types of floating population in Wuxi and provide the basis for developing AIDS prevention and control measures for the floating population. Methods Questionnaire and HIV / AIDS, syphilis and hepatitis C testing were conducted among migrant workers, workers, catering service providers and labor market seekers. Knowledge, attitude, behavior and infection of migrant population were analyzed. Results Among the 1 703 valid questionnaires, the floating population in other cities accounted for 37.1% and the other provinces accounted for 62.9%. Among the eight AIDS prevention knowledge surveyed, the total awareness rate was 67.8%. Awareness rate Higher than the number of workers in construction workers, labor market seekers and catering service industry service workers, men than women, junior high school and above education is higher than primary school and illiteracy, 45 years of age group is higher than 45 years of age group, The differences were statistically significant (P <0.01). Only 29.01% said they were willing to work with people living with HIV / AIDS, 16.1% had unpaid sexual experiences, 3.9% had two or more sexual partners in the past year, and male respondents Admitted that in the recent 1 year and Miss (female sex workers) had sex accounted for 6.0%. The sources of AIDS knowledge are mainly television, newspapers, books, radio and free publicity materials; 80.4% of respondents have received outreach intervention services for AIDS prevention and 41.3% have been counseled and tested. HIV and Hepatitis C antibodies were not detected, the positive rate of syphilis antibody was 0.24%, and the positive rate of syphilis-specific antibody was 0.06%. Conclusion The awareness rate of HIV / AIDS among the floating population in Wuxi is low, the rate of related behaviors is high and discrimination is widespread. AIDS awareness and education needs to be increased to raise HIV / AIDS prevention awareness and abilities among migrants, promote healthy behavior and effectively curb the upward trend of HIV / AIDS.