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目的了解城市“流入人口”艾滋病相关知识、态度、行为现状及其影响因素,为进一步开展有效的流动人口艾滋病预防和控制工作提供依据。方法对成都市成华区建筑工人、工厂工人、个体经营者、住宿餐饮从业人员、家政从业人员、临时雇佣劳动力、娱乐场所从业人员7类流动人口进行问卷调查。结果流动人口艾滋病相关知识知晓率为62.9%,不同人群之间艾滋病相关知识知晓率差异有统计学意义(χ2=35.164,P<0.001);80.0%的调查对象对艾滋病病毒感染者或病人持歧视态度;8.6%的调查对象最近1年发生过商业性行为,最近一次商业性行为安全套使用率为66.9%,其影响因素有艾滋病知识得分(OR=1.60,95%CI:1.10~2.30)、月收入(OR=0.31,95%CI:0.12~0.85),是否接受艾滋病宣传材料(OR=2.89,95%CI:1.16~7.16),最近1年51.7%的调查对象在商业性行为中坚持每次使用安全套。结论城市“流入人口”艾滋病知识知晓率低,对艾滋病病毒感染者或病人歧视态度普遍存在,商业性行为中安全套使用率较低,对流动人口开展针对性的健康教育及综合干预刻不容缓。
Objective To understand the AIDS-related knowledge, attitudes and behavior status and its influencing factors in the urban “influx population” and provide the basis for further effective AIDS prevention and control of floating population. Methods A questionnaire survey was conducted among 7 migrant workers in Chenghua District, Chengdu, factory workers, self-employed workers, residential and catering workers, domestic workers, temporary labor force and entertainment workers. Results The awareness rate of AIDS-related knowledge among floating population was 62.9%. There was significant difference in the awareness rate of AIDS-related knowledge between different groups (χ2 = 35.164, P <0.001); 80.0% of the respondents discriminated against HIV-infected persons or patients Attitude; 8.6% of the respondents have had commercial activity in the recent year, the most recent commercial sex condom use rate was 66.9%, and its influencing factors were AIDS knowledge score (OR = 1.60, 95% CI: 1.10-2.30) Income (OR = 0.31, 95% CI: 0.12-0.85), receiving HIV / AIDS information (OR = 2.89,95% CI: 1.16-7.16), and 51.7% of respondents in the last year persisted in commercial behavior every time Use condoms. Conclusions The awareness rate of HIV / AIDS among urban residents is low, discrimination against HIV-infected persons or patients is widespread, condom use is low among commercial sex workers, and targeted health education and comprehensive interventions for floating population are urgently needed.