摘要
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2007-01/06在绵阳城区采用以核心同伴教育宣传员(POL)干预方法为主,结合网络宣传进行MSM宣传教育和行为干预,2006-12、2007-07采用应答者驱动招募法(RDS)对MSM人群进行基线和终期评估招募调查,对调查结果进行比较分析。结果基线调查201人,终期评估调查200人,人口学特征一至性检验差异均无统计学意义。基线与终期评估调查比较:艾滋病性病基本知识总知晓率分别为68.6%、76.6%,不同情况下安全套使用的主观态度分别为有信心49.1%、62.3%,没有信心20.3%、14.8%,不确定30.7%、22.9%;不同性伴性行为安全套坚持使用率分别为近6个月31.4%、43.4%,近3次38.1%、38.1%,近1次56.2%、72.8%;艾滋病咨询、检测分别为12.9%、36.0%,差异均有统计学意义;近6个月不同类别性伴数,除男男肛交,差异均无统计学意义;近6个月患性病后通知所有性伴进行检查或接受治疗、自认艾滋病感染风险差异无统计学意义。结论以POL为主,结合网络宣传的干预方法,在场所不发达的二级城市能在较短时间有效提高目标人群的艾滋病性病知识知晓率和安全套使用率,是适合MSM人群特点的一种有效干预手段。
Objective To explore effective approach to intervene the MSM group （man sexual with man ）. Methods In priority, Popular Opinion Leander（POL） was given and associated with network propaganda to AIDS related health education and behavioral intervention. During January to July 2007, Respond Driven Sampling （RDS） was used to estimate and investigate the base line and the final persons. Results Base line investigation included 201 persons, final investigation 200 persons and there were no differences in demological character coherence between the two groups. Compared with base line persons and final persons, the rates of acquirement of AIDS basic knowledge were 68.6% and 76.6%, Subjective attitude of using condom in various condition： full of confidence 49. 1% and 62. 3%, without confidence 20. 3% and 14. 8%, uncertain 30. 7% and 22. 9%, using condom with different sexual partners： in recent 6 months 31.4% and 43.4%, in last 3 times 38.1% and 38. 1%, in last time 56.2% and 72.8%, seeking advise and detecting AIDS 12.9% and 36. 0%. There were statistical differences in above items. Conclusion The way to intervene by giving prionty to POL, associated with network propaganda will upgrade the objective group condom using ratio and konwing the AIDS knowledge efficiently in short time in undeveloped areas and second level cities, and therefore it would be an effective in tervention measure suited to the MSM characteristics.
出处
《预防医学情报杂志》
CAS
2008年第12期962-967,共6页
Journal of Preventive Medicine Information
基金
卫生部艾滋病防治应用性研究项目(课题编号:WA2005-04)
