出境劳务人员STD/AIDS健康干预不同阶段知识水平变化研究

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目的了解出国劳务人员STD/AIDS健康干预前后知识水平变化情况。方法对盐城地区829名劳务人员开展出国前专业干预和出国期间同伴教育干预,比较本底、出国前专业干预和出国期间同伴教育干预后STD/AIDS知识水平的变化情况。结果劳务人员年龄主要集中在20~50岁,占86.6%,为性活跃年龄阶段;劳务人员中有性经历者占89.4%;55.0%的劳务人员文化程度在初中及以下,对STD/AIDS防范意识较低;首次出境者占82.9%,55.2%的劳务人员前往非洲、东南亚等STD/AIDS流行严重地区;工友、朋友交流(60.9%)是劳务人员获取STD/AIDS知识的主要渠道,但往往科学性不强乃至有误导之处;报刊、杂志和书籍(51.0%)、宣传画册(37.2%)以及影视广播(33.7%)等为常见宣传方式;出国前专业干预后,劳务人员STD/AIDS知识水平大幅提高,与本底调查相比,差异有统计学意义(P<0.01);回国后仍维持在较高水平,除正确使用安全套可降低感染艾滋病病毒危险这一问题外,其余问题与本底调查相比,差异有统计学意义(P<0.01)。结论对劳务人员宜采取“出国前专业干预+出国期间同伴教育”相结合的模式,有利于提高自我保护意识,延续干预效果,降低STD/AIDS感染风险。 Objective To understand the changes of knowledge level before and after STD/AIDS health interventions of labor service workers abroad. Methods The 829 laborers in Yancheng Prefecture performed professional intervention before going abroad and peer education intervention during the period of going abroad to compare the changes of STD/AIDS knowledge level after background and pre-going professional intervention and peer education intervention. Results The age of laborers was mainly from 20 to 50 years old, accounting for 86.6%, which was the stage of sexual active age. Among the laborers, sexual experience accounted for 89.4%; 55.0% of laborers’ education level was in junior high school and below, and they guard against STD/AIDS. Awareness was low; 82.9% of first-time exits and 55.2% of service personnel went to areas with severe STD/AIDS prevalence in Africa, Southeast Asia, etc.; the exchange of workers and friends (60.9%) was the main channel for laborers to acquire STD/AIDS knowledge, but often Science is not strong or even misleading; newspapers, magazines and books (51.0%), publicity albums (37.2%) and film and television broadcasting (33.7%) are common propaganda methods; after professional intervention before leaving the country, labor service personnel STD/AIDS The level of knowledge has increased substantially. Compared with the background survey, the difference is statistically significant (P<0.01). After returning home, the difference is still at a relatively high level. Except that the correct use of condoms can reduce the risk of HIV infection, the remaining problems are related to Compared with the background survey, the difference was statistically significant (P<0.01). Conclusion It is advisable for laborers to adopt a combination of “professional intervention before going abroad and peer education during the period of going abroad”, which will help increase self-protection awareness, continue the intervention effect, and reduce the risk of STD/AIDS infection.
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