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[目的]分析兰州市社区居民艾滋病相关知识认知及影响因素,探讨社区防治措施。[方法]采取分层随机抽样方法,抽取兰州市某城区33个城市社区卫生服务中心辖区居民及2个乡镇卫生院辖区农村居民共2466人进行面对面问卷调查。[结果]城市社区居民对正确传播途径及预防措施知晓率在60%～80%之间,农村社区居民知晓率均不足50%;29.12%及35.77%的居民分别对传播途径及预防措施知识不知晓,19.67%的居民不愿意了解艾滋病相关知识;多因素回归结果显示,年龄、文化程度及需求态度是影响城市与农村社区居民艾滋病认知的主要因素。[结论]兰州市社区居民对艾滋病相关知识认知普遍较低,需逐步转变社区居民需求态度,并加强对艾滋病知识全面准确的认识;同时应针对城市与农村社区实际情况采取不同的教育宣传措施,逐渐提高社区居民艾滋病认知水平。
[Objective] To analyze the cognition and influencing factors of AIDS-related knowledge of community residents in Lanzhou and to explore community prevention and control measures. [Methods] A stratified random sampling method was adopted to select 2466 residents in community health service centers of 33 cities in a certain city of Lanzhou and 2 rural residents in 2 township health centers to conduct face-to-face questionnaires. [Results] The awareness rate of urban residents in proper communication and precautionary measures was between 60% and 80%, and that of rural residents was less than 50%. 29.12% and 35.77% residents respectively did not know the route of transmission and precautionary measures As a result, 19.67% of the residents were unwilling to know AIDS-related knowledge. The results of multivariate regression showed that age, education level and attitude towards needs were the main factors affecting the AIDS awareness of urban and rural community residents. [Conclusion] The community residents in Lanzhou generally have a low awareness of HIV / AIDS related knowledge, and they need to gradually change the attitude of community residents and reinforce their comprehensive and accurate knowledge of HIV / AIDS. At the same time, different education and propaganda measures should be taken in response to the actual situation of urban and rural communities , Gradually improve the AIDS awareness of community residents.