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目的了解安徽省项目地区全球基金项目5年来居民艾滋病知识水平和影响因素以及变化情况,评价5年来项目工作效果并为下轮滚动有针对性地开展宣传工作提供依据。方法采取普查和分层整群抽样的方法,选择安徽省10个示范区/全球基金艾滋病项目地区的高危人群和感染者、学生、流动人口、居民等人群进行问卷调查。利用项目2006年专项调查(以下简称中期评估)数据评价项目终期效果。结果在15268名调查对象中艾滋病知识平均知晓率是89.81%,其中暗娼91.52%,艾滋病病毒感染者/病人93.50%,流动人口83.05%,农村居民87.60%,城镇居民87.50%,中学生92.29%。10个项目地区的平均知识知晓率为濉溪县88.36%,颍州区88.63%,临泉县91.07%,阜南县91.27%,界首市88.79%,萧县90.99%,谯城区91.94%,蒙城县93.21%,利辛县91.94%,郎溪县83.17%。各地区知晓率较高,但各项目地区知晓率不平衡。暗娼最近一次使用安全套的比例为95.38%,暗娼最近3次每次使用安全套的比例为93.78%;艾滋病病毒感染者/病人最近一次使用安全套的比例为93.63%,艾滋病病毒感染者/病人最近3次每次使用安全套的比例为80.88%。较中期评估有较大提高。结论安徽省项目地区居民艾滋病知识知晓率较项目中期评估时有明显提高,但不同地区和不同人群的艾滋病知识和行为仍存在不平衡,无偿献血和艾滋病非传播途径知晓率低。在今后的工作中要加大这方面的宣传和教育。
Objective To understand the level of knowledge, influencing factors and changes of AIDS among residents in the Global Fund Project in the project area of Anhui Province over the past five years and to evaluate the effect of the project in the past five years and provide the basis for carrying out targeted publicity work in the next round. Methods The methods of census and stratified cluster sampling were used to select the high risk population and the infected persons, students, floating population and residents in 10 demonstration area / Global Fund AIDS Project areas in Anhui Province for questionnaire survey. Use the project 2006 special survey (hereinafter referred to as the mid-term assessment) data to evaluate the final effect of the project. Results The average knowledge rate of HIV / AIDS among 15268 subjects was 89.81%, among which 91.52% were female sex workers, 93.50% of HIV / AIDS patients, 83.05% of floating population, 87.60% of rural residents, 87.50% of urban residents and 92.29% of middle school students. The average awareness of 10 project areas was 88.36% in Suixi County, 88.63% in Yingzhou District, 91.07% in Linquan County, 91.27% in Funan County, 88.79% in Jieshou City, 90.99% in Xiaoxian County and 91.94% in Yuncheng District. 93.21% in Cheng County, 91.94% in Lixin County and 83.17% in Langxi County. There is a high rate of awareness in all regions, but there is an imbalance in the awareness of each project area. The proportion of most recent use of condoms by commercial sex workers was 95.38% and that of commercial sex workers was 93.78% for each of the last three times. 93.63% of the people were recently infected with HIV / AIDS and the last 3 times were those living with HIV / AIDS The proportion of each use of condoms was 80.88%. Compared with the mid-term assessment has greatly improved. Conclusion The awareness rate of HIV / AIDS among residents in project area in Anhui Province is significantly higher than that in mid-term evaluation. However, there is still an imbalance in HIV / AIDS knowledge and behavior in different regions and different populations, and the awareness of HIV / AIDS non-transmission is still low. In the future work to increase publicity and education in this area.