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目的 评价深圳市性活跃人群艾滋病认知、态度和行为 (KAP)效果 ,为防治艾滋病提供对策。方法 采用不记名方式 ,对居住深圳市 1年以上、从事公共场所服务工作的 16～ 4 0岁的性活跃人群自愿参与的艾滋病健康调查进行比较。结果 HIV感染者看起来健康 ,吃药或打针不能预防 ,蚊虫叮咬不传播的认知差异有极显著性意义 (P均 <0 0 1) ,握手和共同进餐不会传染的认识有明显提高 (P <0 0 5 )。安全套经常使用率仅在与夫 (或妻 )及情侣外的性接触时有增加 (P <0 0 1) ,而干预后的安全套经常使用率 38 7% ,反而低于干预前的 4 0 2 % (P >0 0 5 )。发现有性乱和性商业行为者 ,干预前为 4 6 5 % ,干预后为 5 6 9% ,增长 10 4 % (P <0 0 5 )。结论 推测性乱和商业性行为增长速度加快 ,提高经常性安全套使用率 ,减少盲目乐观迫在眉睫。
Objective To evaluate the effect of AIDS awareness, attitude and behavior (KAP) on sexually active people in Shenzhen and to provide countermeasures for the prevention and treatment of AIDS. Methods The anonymous AIDS health survey of 16- to 40-year-old sexually active people who lived in Shenzhen for more than 1 year and served in public places was conducted in an anonymous manner. Results The HIV-infected persons looked healthy, they could not be prevented by taking medicine or injections, and the cognitive differences in mosquito bites did not spread significantly (P < 0 01). There was a significant increase in the awareness that handshaking and common meals would not be transmitted ( P <0 0 5 ). Condom frequent use rate only increased when sexual contact with husbands (or wives) and couples (P < 0 01), and condom use after intervention was 38 7%, but rather lower than before the intervention 4 0 2 % (P > 0 0 5 ). The number of people found to have sexual disorder and sexual business activities was 465 before intervention and 596.9% after intervention, an increase of 104% (P < 0.05). Conclusion Increased rates of speculative disruption and commercial sex are accelerating, increasing the use of regular condoms and reducing blind optimism are imminent.