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目的应用健康信念模式对1447名流动人口的社会心理因素与艾滋病预防行为关系进行分析。方法以健康信念模式理论为基础设计问卷,对张家港和丹阳两市流动人群进行随机抽样调查,应用多元回归方法进行统计分析。结果调整后的健康信念模式分析结果表明,4个信念因素中知觉到易感性和知觉到严重性与艾滋病预防行为关系无统计学关联,而知觉到益处(py11=10.51,P=0.000)和知觉到障碍(py12=-2.59,P=0.010)分别与预防行为有统计学关联。性别、婚姻状况、居住情况和社会交往等社会文化因素对行为的直接影响有显著性,艾滋病知识通过4个健康信念对行为有间接影响。结论健康信念模式中各因素对艾滋病预防行为的作用是不同的,城市流动人口艾滋病的预防控制应有针对性地制定健康教育策略。
Objective To analyze the relationship between psychosocial factors and HIV / AIDS prevention behavior among 1447 floating population using health belief model. Methods The questionnaire was designed on the basis of the healthy belief model theory. Random sampling was conducted on floating population in Zhangjiagang and Danyang, and the multiple regression method was used for statistical analysis. Results The results of adjusted health belief model showed that among the four beliefs, there were no significant correlations between perceived and perceived severity and HIV / AIDS prevention behavior, while perceived benefit (py11 = 10.51, P = 0.000) and perceived To the disorder (py12 = -2.59, P = 0.010) were statistically associated with preventive behavior. The direct impact of social and cultural factors such as gender, marital status, living conditions and social interaction on behavior is significant. Knowledge of AIDS has an indirect effect on behavior through four health beliefs. Conclusion The factors of health belief model have different effects on AIDS prevention behavior. The prevention and control of HIV / AIDS in urban floating population should be formulated health education strategy.