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目的通过了解新疆奎屯市以社区为基础的流动人群对艾滋病预防知识、行为的变化情况,评估干预工作效果,为进一步扩大以社区为基础的流动人群的艾滋病宣传干预模式提供依据。方法采用整群抽样方法,对选中的社区符合条件的流动人群进行艾滋病宣传教育及行为干预,干预前后进行问卷调查。结果干预前后艾滋病知识知晓率分别为26.30%、89.70%;干预前后发生商业性行为比例分别为9.10%、7.70%,与临时性伴发生性行为的比例分别是18.30%、15.60%,干预前后最近一次商业性行为使用安全套的比例分别为36.90%、57.10%,最近一次与临时性伴发生性行为时使用安全套的比例分别为33.60%、40.30%。可见干预后艾滋病知晓率大幅提高,不安全性行为的比例也有所下降。结论在流动人群中开展艾滋病宣传干预活动,能提高流动人群的艾滋病防治知识和降低高危行为。
Objective To understand the changes of HIV / AIDS prevention knowledge and behavior among community-based floating population in Kuitun, Xinjiang, and to evaluate the effect of the intervention, so as to provide basis for further expanding the intervention model of AIDS among community-based floating population. Methods A cluster sampling method was used to conduct HIV / AIDS publicity and education and behavioral intervention among eligible migrants in the selected community. Questionnaires were conducted before and after the intervention. Results Before and after the intervention, the awareness rate of AIDS knowledge was 26.30% and 89.70% respectively. The proportions of commercial sex behaviors before and after intervention were 9.10% and 7.70%, respectively, and those with temporary sexual partners were 18.30% and 15.60% respectively. Before and after the intervention The proportion of using condoms in a commercial sex act was respectively 36.90% and 57.10%. The proportion of condom use in the last sexual intercourse with them was 33.60% and 40.30% respectively. Visibility of AIDS after the intervention saw a substantial increase in the proportion of unsafe sex has also declined. Conclusions The AIDS awareness intervention among floating population can raise HIV / AIDS knowledge and reduce high-risk behaviors among floating population.