性病门诊患者艾滋病防治知识和行为状况分析
Analysis on knowledge and behaviors to AIDS in STD outpatients
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摘要:目的 了解艾滋病高发区性病门诊患者的艾滋病(AIDS)相关知识和行为状况, 为制定防治策略和措施提供参考依据.方法 以安徽省7个艾滋病综合示范区的县级医疗机构的性病门诊为单位, 采取整群随机抽样的方法, 抽取一定时段内门诊患者, 由当地卫生专业人员担当调查员, 用结构化问卷, 以面访形式对患者进行调查.结果 共收集有效问卷952份, 应答率为95.2%.艾滋病相关知识总体知晓率为77.8%, 对传播途径、防治知识和非传播途径的知晓率分别为83.0%, 76.1%和74.1%;男性和中青年知识掌握情况较好, 最近3个月内有非婚性伴者260人(27.3%), 其中男性36.1%, 女性7.5%;与非婚性伴发生性关系时从不使用安全套者127人(48.7%), 每次都用者仅10人(3.8%).结论 安徽省艾滋病综合示范区性病门诊患者的AIDS相关知识水平还有待提高, 尤其是女性和年长者.安全套使用比例相对较低, 行为干预应从知识宣传向促进安全性行为转变.Abstract:Objective To explore HIV/AIDS -related knowledge and behaviors among sexually transmitted disease(STD)outpatients in China CAREsites of Anhui province, and inform future interventionsMethods STDoutpatients were drawn from STDclinics of health institutions in 7 China CAREsite counties in Anhui province using randomized clustersampling, and interviewed by trained local CDC staff using structured questionnaire.Results Atotal of 952 patients were interviewed accounting for a response rate of 95.2%.Their responses to HIV/AIDS -related knowledge questions were 77.8% correct.The percentage of correct answers about transmission routes, prevention methods and non-transmission were 83.0%, 76.1% and 74.1% respectively.Male and younger respondents were better educated than female and elder ones.Of the 952 patients, 27.5% had extra-marital sex in the recent three months.48.7% of them had never used condom during extra-marital sex, and only 3.8% of them had been using condoms every time.Conclusion STDpatients in rural Anhui are well educated about HIV/AIDS -related knowledge in general.However, female and elder patients are relatively less educated about HIV/AIDS.The patients' frequency of condom use is very low.These indicate that future intervention should be tailored to STDpatients' educational needs and stress behavior change, especially for female and elder patients.
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