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目的评估近期内采用同伴教育手段对男男性接触(MSM)人群在预防、控制艾滋病方面的效果。方法 2010年3~10月对佛山市MSM人群采用艾滋病同伴教育行为干预手段,并分别对同伴教育前和同伴教育后的MSM人群相关艾滋病调查情况进行统计分析。结果同伴教育扩大了MSM各类人群干预覆盖面,总干预人数增加了184.01%,并成为主要干预手段;实施同伴教育前后该人群艾滋病知晓率均保持在较高水平,且同伴教育前后该人群高危性行为改变无显著性差异;同伴教育后检测人数上升,掌握该人群的H IV感染率为9.13%。结论短期内同伴教育对改变MSM的艾滋病高危行为的影响作用有限,但对扩大不同亚群MSM的干预规模以及提高该人群的艾滋病检测率具有积极推动作用,并为长期开展MSM艾滋病综合防治奠定了良好基础。
Objective To assess the effectiveness of peer education in the prevention and control of AIDS among men who have sex with men (MSM) in the near future. Methods From March to October 2010, AIDS-related peer education behavior intervention measures were applied to MSM population in Foshan City, and statistical analyzes were conducted on AIDS-related survey of MSM population before and after peer education. Results Companion education expanded the intervention coverage for all kinds of MSM population, and the total number of intervention increased by 184.01%, which became the main intervention method. Before and after peer education, the awareness rate of HIV / AIDS among the population remained at a high level, There was no significant difference in behavioral changes. After peer education, the number of tested persons increased, and the H IV infection rate of this group was 9.13%. Conclusions Peer education has a limited effect on changing MSM’s high-risk behavior in the short term, but it has a positive effect on expanding the intervention scale of MSM in different sub-groups and increasing HIV detection rate in this population, and lays the foundation for the long-term comprehensive prevention and treatment of MSM Good foundation.