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目的 为少数民族农村人群提供稳定的社会、经济及卫生支持 ,改变贫困和缺乏知识导致的HIV高危行为 ,从根本上遏止HIV/AIDS在该特征地区一般人群中的流行。方法 运用社区干预实验的方法 ,随机选取 2个彝族聚居的行政村作为综合干预试点村 ,给予与扶贫相结合的形式多样的健康促进综合干预 ,对照村不进行干预。结果 干预后 2试点村艾滋病相关知识得分率大幅提高 ;吸毒人群共用注射器的频率下降 ,重复使用的注射器清洗行为显著增加 ,但干预后不使用安全套者仍在 70 %以上。结论 贫困是制约HIV/AIDS防治的一大因素 ,贫困地区HIV/AIDS防治应采取结合扶贫的综合干预方法
Objectives To provide stable social, economic and health support to ethnic minority rural people and to change the high-risk behaviors of HIV caused by poverty and lack of knowledge, so as to fundamentally prevent the spread of HIV / AIDS among the general population in this characteristic area. Methods Using the method of community intervention experiment, two villages inhabited by Yi people were randomly selected as pilot villages for comprehensive intervention. Comprehensive interventions for health promotion, which were combined with poverty alleviation, were given, and control villages did not intervene. Results After AIDS intervention, HIV / AIDS-related knowledge scores were significantly increased in 2 pilot villages. The frequency of sharing syringes among drug users decreased and the number of repeated syringe cleaning activities increased significantly. However, those who did not use condoms after intervention were still over 70%. Conclusions Poverty is a major factor restricting the prevention and treatment of HIV / AIDS. HIV / AIDS prevention and treatment in poor areas should adopt a comprehensive intervention method combining poverty alleviation