论文部分内容阅读
目的了解少数民族地区艾滋病病毒(HI V)感染者艾滋病相关知识和危险性行为状况。方法对云南省德宏州某县2006年1月-2008年6月检测出的HI V感染者进行问卷调查,调查内容主要为一般人口学特征、艾滋病相关知识和危险性行为状况等。结果366名调查对象中汉族占45.9%,少数民族占54.1%,其中傣族占50.5%,景颇族占43.9%。汉族、傣族和景颇族的HI V感染者艾滋病知识总体知晓率分别为66.7%、45.0%和54.0%(χ2=12.59,P<0.05),且文化程度越高,艾滋病知识知晓率越高(趋势χ2=17.64,P<0.001)。汉族、傣族和景颇族HI V感染者中过去6个月与固定性伴发生性行为时能够坚持使用安全套的比例分别为9.7%、1.2%和1.5%;差异有统计学意义(χ2=9.10,P<0.05)。20人自报过去6个月内有1个以上的非固定性伴,其中12人与非固定性伴发生性行为时未能坚持使用安全套。结论调查对象艾滋病相关知识的知晓水平有待提高,危险性行为的发生仍然存在,应制定适合少数民族HI V感染者的艾滋病防治策略,提高感染者对艾滋病的认知态度,降低危险性行为,预防艾滋病传播。
Objective To understand AIDS-related knowledge and risk behaviors among HIV-infected persons in ethnic minority areas. Methods A questionnaire survey on HI V detected from January 2006 to June 2008 in a county of Dehong Prefecture in Yunnan Province was conducted. The main contents of the survey were general demographic characteristics, AIDS related knowledge and dangerous behaviors. Results Among the 366 respondents, Han accounted for 45.9% and minority accounted for 54.1%, of which Dai accounted for 50.5% and Jingpo accounted for 43.9%. The overall awareness rate of AIDS among HI, Han and Dai people and Jingpo people was 66.7%, 45.0% and 54.0% respectively (χ2 = 12.59, P <0.05), and the higher the level of education, the higher the AIDS awareness rate χ2 = 17.64, P <0.001). The proportions of Han, Dai and Jingpo HI V infected with persistent sexual partners in the past 6 months were 9.7%, 1.2% and 1.5% respectively, with statistical significance (χ2 = 9.10, P <0.05). 20 reported more than 1 non-regular partner in the past 6 months, of whom 12 were unable to stick with condom when having sexual intercourse with non-regular partners. Conclusion The knowledge level of AIDS-related knowledge needs to be improved and the occurrence of dangerous behaviors still exists. HIV / AIDS prevention and control strategies suitable for HIV-infected ethnic minorities should be formulated so as to enhance their awareness of HIV / AIDS, reduce risk behaviors and prevent AIDS transmission.