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目的评价在流动人口中开展艾滋病预防同伴教育的中远期效果。方法随机整群抽取深圳市龙岗区某工厂450名工人(流动人口)作为干预对象,同时随机抽取另一工厂490名工人(流动人口)作为对照,实施半年的同伴教育干预后,每半年进行1次问卷调查,2年共进行4次调查(包括干预前1次),调查内容主要为艾滋病相关知识、态度、行为等,评价干预效果。结果干预组在实施同伴教育干预后的0.5、1、1.5年时其对艾滋病问题基本认识与交流得分以及艾滋病性病相关知识得分均高于对照组(均P<0.01),但在满2年时2组得分比较差异均无统计学意义(均P>0.05);干预组在实施同伴教育干预后的0.5、1、1.5及2年时其对艾滋病相关问题的态度、行为与生活技能得分均高于对照组(均P<0.01)。结论同伴教育对流动人口预防艾滋病的干预效果近期比较明显,而远期效果不理想,有必要在1~1.5年后再次强化同伴教育,以巩固干预效果。
Objective To evaluate the medium and long-term effects of peer education on AIDS prevention among migrants. Methods A total of 450 workers (floating population) from a factory in Longgang District of Shenzhen City were randomized to intervene randomly. At the same time, 490 workers (floating population) in another factory were randomly selected as a control. After half a year of peer education intervention, 1 In the second survey, four surveys (including one before intervention) were conducted in two years. The survey mainly focused on AIDS-related knowledge, attitudes and behaviors to evaluate the effect of interventions. Results At 0.5, 1.5 and 1.5 years after intervention, the score of AIDS awareness and communication and AIDS-related STD-related knowledge in intervention group were higher than those in control group (all P <0.01). However, at the age of 2 years There was no significant difference between the two groups (all P> 0.05). The scores of attitude, behavior and life skills of AIDS-related problems in intervention group were higher at 0.5, 1, 1.5 and 2 years after implementing peer education In the control group (all P <0.01). Conclusion Companion education on migrant population to prevent AIDS in the recent effect of intervention is more obvious, while the long-term effect is not ideal, it is necessary in 1 to 1.5 years to strengthen peer education again in order to consolidate the effect of intervention.