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目的了解湖州市外来务工人员艾滋病(AIDS)知识和性行为及其影响因素,为制定AIDS干预措施提供依据。方法于2014年4—6月采用分层整群抽样方法,抽取湖州市宾馆服务业、工厂/公司、建筑工地及在劳务市场求职的1 980名男性外来务工人员,采用《全国AIDS哨点监测实施方案操作手册》对其AIDS知识知晓情况、性行为与安全套使用情况进行问卷调查。结果获得有效问卷1 961份,调查对象AIDS知识知晓率为73.48%,年龄、婚姻状况、文化程度和在湖州市居住时间不同的调查对象AIDS知识知晓率差异均有统计学意义(均P<0.05)。调查对象最近一年与配偶或同居者发生性行为时每次使用安全套者仅占12.27%;与暗娼、临时性伴侣发生性行为时每次使用安全套者分别占38.98%和17.57%。结论湖州市外来务工人员安全套使用率偏低,需开展针对性的AIDS健康教育和行为干预,推广安全套使用,以有效降低HIV在该人群中的传播风险。
Objective To understand AIDS knowledge and behavior of migrant workers in Huzhou City and its influential factors, and to provide basis for making AIDS interventions. Methods From April to June 2014, a stratified cluster sampling method was used to extract 1 980 male migrant workers from guesthouses, factories, companies, construction sites and job-hunting in Huzhou City, using the “National AIDS Sentinel Monitoring Implementation of the program manual ”AIDS awareness of their knowledge, sexual behavior and condom use survey. Results A total of 1 961 valid questionnaires were obtained. The rate of AIDS knowledge among the respondents was 73.48%. There was significant difference in age, marital status, educational attainment and AIDS knowledge of respondents who lived in Huzhou for different periods (all P <0.05 ). Only 12.27% of the respondents used the condom each time they had sex with their spouses or cohabitants in recent years; and 38.98% and 17.57% of the time they used condoms when they had sex with female sex workers and temporary partners. Conclusion The utilization rate of condom in migrant workers in Huzhou City is low. AIDS-related health education and behavioral interventions need to be carried out to promote the use of condoms so as to effectively reduce the risk of HIV transmission in this population.