论文部分内容阅读
目的探索针对男男性行为者(MSM)人群特征的有效干预方法。方法建立疾病预防控制中心主导与MSM志愿者骨干实施相结合的MSM人群艾滋病性病防治组织模式,以核心同伴宣传(POL)干预方法为主,结合网络宣传、外展服务等进行MSM宣传教育和安全套使用促进,分别采用应答者驱动招募法(RDS)对MSM人群进行基线、中期及期终评估招募调查,对调查结果进行比较分析。结果基线调查201人,中期200人,期终203人。基线、中期、期终调查比较:艾滋病性病基本知识总知晓率分别为68.6%,76.6%,83.7%,上升趋势明显;不同情况下安全套使用的主观态度有信心分别为49.1%,62.3%,62.9%,近1次不同性伴性行为安全套坚持使用率分别为56.2%,72.8%,82.1%,差异均有统计学意义,上升趋势明显(P<0.05);自认为艾滋病感染风险差异无统计学意义(χ2=9.262,P=0.159)。结论疾病预防控制中心为主导,MSM志愿者骨干实施的组织模式下,通过为期1年的POL为主,结合网络、外展等干预,有效提高了MSM人群的艾滋病性病防治知识水平和安全套使用率。
Objective To explore effective intervention methods for the characteristics of MSM population. Methods To establish an HIV / AIDS prevention and treatment model for MSM population dominated by Centers for Disease Control and Prevention (CDC) and the backbone of MSM volunteers. Focusing on core peer advocacy (POL) interventions, MSM education and condom Use promotion, respectively, using the respondent-driven recruitment method (RDS) MSM population baseline, midterm and end-term assessment of the recruitment survey, the survey results were compared. Results The baseline survey of 201 people, mid-200, the end of 203 people. The baseline, interim, and end-period surveys and comparisons showed that the total awareness rates of STDs were 68.6%, 76.6% and 83.7% respectively, with a clear upward trend. The subjective attitudes towards condom use in different situations were 49.1%, 62.3% and 62.9% respectively %, And nearly 1 consecutive use of condoms of different sexual partners were 56.2%, 72.8% and 82.1%, respectively, the differences were statistically significant (P <0.05); self-perceived risk of HIV infection was not statistically significant Significance (χ2 = 9.262, P = 0.159). Conclusion Under the organization mode of CDC and MSM volunteers, the one-year-long POL mainly led to the prevention and control center dominated by CDC and effectively improved the knowledge of STD prevention and treatment and the rate of condom use in MSM population .