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目的探讨小组参与式艾滋病干预活动数量和时间对建筑工人及工程监理艾滋病知识、态度及行为的干预效果。方法采用随机抽样方法抽取湖北省宜昌至巴东在建高速公路31个建筑营地中的4个营地作为干预点,每季度使用“健康干预工具包”对干预点的建筑工人和工程监理进行一次艾滋病知识及行为干预,历经一年干预后调查目标人群参与干预活动情况和其艾滋病知识、态度及行为的改变情况等。结果 (1)共调查目标人群450人;接受干预0、1、2、3、4次后的艾滋病总知晓率分别为78.07%、94.40%、95.50%、96.40%和99.40%;(2)未接受干预与接受1次及以上次数干预目标人群的艾滋病防治一般概念和传播途径的认识提高明显,对艾滋病患者的态度也有显著性改善(P<0.05);(3)450人中在过去12个月有19.56%人发生过商业性性行为或临时性行为,接受不同频次干预的目标人群有时可以减少高危性行为的发生,但不是每种行为每次干预都有成效;(4)接受干预的目标人群主动寻求有关HIV/AIDS信息的比率显著上升(P<0.05),干预4次后能主动与他人讨论艾滋病(P<0.05);(5)干预1~4次后目标人群仍难以真正掌握性病的知识和难以形成正确的就医行为。结论应用“健康工具包”干预至少1次,建筑工人及工程监理不仅能显著提高的艾滋病知识知晓率,降低对艾滋病患者的歧视态度,还能主动寻求有关HIV/AIDS信息,干预多次后能主动与他人讨论艾滋病,值得推广。长达一年的干预对改变建筑工人及工程监理的行为方式,降低不安全性行为的发生率有一定效果,但难以持久,且目标人群难以掌握性病知识和形成正确的就医行为。
Objective To explore the effect of the intervention group on the quantity and time of HIV / AIDS interventions on the knowledge, attitude and behavior of construction workers and project supervisors. Methods A random sampling method was used to extract 4 camps in 31 construction campuses of Yichang-Badong Expressway under construction in Hubei Province as intervention sites. Construction workers and project supervisors of intervention sites were used quarterly using the “Health Intervention Kit” AIDS knowledge and behavior intervention, after a year of intervention to investigate the target population to participate in interventions and AIDS knowledge, attitude and behavior changes. Results (1) A total of 450 target population were surveyed. The total awareness rates of AIDS after receiving 0,1,2,3,4 times of intervention were 78.07%, 94.40%, 95.50%, 96.40% and 99.40%, respectively; (2) (1) The awareness of AIDS prevention and treatment was significantly improved and the attitudes toward AIDS patients also improved significantly (P <0.05); (3) Among 450 people, the awareness of AIDS patients in the past 12 years 19.56% of them have had commercial sexual behavior or temporary behavior in a month, and the target population receiving different frequency interventions can sometimes reduce the incidence of high-risk sexual behaviors, but not every intervention has the effect of each intervention; (4) (P <0.05). After intervention for 4 times, the target group could take the initiative to discuss HIV / AIDS with other people (P <0.05). (5) The target population still could not grasp the target after one to four times of intervention STD knowledge and difficult to form the correct medical behavior. CONCLUSION: The construction workers and engineering supervision can not only significantly increase the awareness rate of AIDS knowledge and reduce the discrimination against AIDS patients, but also take the initiative to seek information on HIV / AIDS and intervene several times After the initiative to discuss AIDS with others, it is worth promoting. A year-long intervention has some effect on changing the behaviors of construction workers and project supervisors and reducing the incidence of unsafe sexual behaviors, but it is difficult to sustain and the target population can not grasp the knowledge of STDs and form the correct medical treatment.