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目的对参与式农村预防艾滋病健康教育综合干预的实施效果进行评价。方法采用现场调查方法,在干预及对照社区,于干预前后对农村常住居民和外出务工人员进行知识、态度问卷调查,干预前分别调查2142人和1006人,干预后分别调查2225人和1010人。同时,进行社会支持环境和目标人群相关行为调查。结果干预后,综合干预县的社会支持环境明显改善,目标人群自愿咨询检测(VCT)人数和电话热线咨询人数分别由35人次/年和88人次/年提高到128人次/年和132人次/年;艾滋病相关知识知晓率由干预前29.45%提高到54.18%,正确态度持有率由42.48%提高到57.59%,与对照组比较差异有统计学意义(P<0.001)。结论农村参与式预防艾滋病健康教育综合干预是一项有效措施。
Objective To evaluate the effectiveness of comprehensive interventions for participatory rural HIV/AIDS prevention education. Methods Using on-site investigation methods, in the intervention and control communities, before and after the intervention, questionnaire surveys were conducted on the knowledge and attitudes of rural residents and migrant workers. Before the intervention, 2,142 and 1,006 individuals were investigated. After intervention, 2,225 and 1,010 were investigated. At the same time, the social support environment and target population related behavior surveys were conducted. As a result of the intervention, the comprehensive intervention of the county’s social support environment has improved significantly. The number of VCTs and telephone hotline consultations for the target population has increased from 35/year and 88/year to 128/year and 132/year respectively. The awareness rate of AIDS-related knowledge increased from 29.45% before intervention to 54.18%, and the rate of correct attitudes increased from 42.48% to 57.59%. There was a significant difference from the control group (P<0.001). [Conclusion] Comprehensive intervention of rural participation in HIV prevention and health education is an effective measure.