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[目的]了解上蔡县4种人群预防艾滋病健康教育现状。[方法]对15～49岁村民、中学生、艾滋病毒感染者/病人(PLWHA)和暗娼(CSW)分别采用二阶段整群抽样和方便样本普查法进行艾滋病知识、态度与行为的问卷调查。用SPSS11.5软件统计分析。[结果]共调查村民442人、中学生772人、PLWHA369人及CSW150人。4种人群关于艾滋病知识的5个问题总计正确率分别是72.2%、84.6%、95.9%、85.3%,各人群之间差异有统计学意义(χ2=80.73,P﹤0.001)。4种人群愿意与感染HIV的熟人继续来往的比率依次为77.8%、77.6%、98.4%和52.7%。PLWHA人群在过去3个月内有过性生活者占总数的71.5%,安全套每次使用率为92.0%。CSW人群最近1次插入性商业性性行为时安全套使用率为86.7%;过去3个月与客人和过去1个月与固定性伴发生性关系时安全套每次使用率分别是84.7%和12%;最近6个月均无注射过毒品。[结论]上蔡县各种人群对艾滋病知识还有不同程度误解,仍存在传播艾滋病的危险行为。建议针对不同人群还应进一步采取不同形式开展广泛深入的艾滋病知识宣传和行为干预。
[Objective] To understand the current status of health education on HIV / AIDS prevention in 4 populations in Shangcai County. [Methods] A questionnaire survey on knowledge, attitude and behavior of AIDS among villagers, middle school students, PLWHA and CSW from 15 to 49 years old was conducted respectively by using two-stage cluster sampling and convenience sample survey. Using SPSS 11.5 software statistical analysis. [Results] A total of 442 villagers, 772 middle school students, PLWHA369 and CSW150 were surveyed. The accuracy of the five questions about AIDS knowledge among the four groups was 72.2%, 84.6%, 95.9% and 85.3%, respectively. There was significant difference between the groups (χ2 = 80.73, P <0.001). The ratio of 4 kinds of people who are willing to continue with HIV-infected acquaintances is 77.8%, 77.6%, 98.4% and 52.7%, respectively. 71.5% of PLWHA people have had sex during the past 3 months, and condom use was 92.0%. The condom use rate was 86.7% in the most recent CSW intercourse among sex workers and 84.7% and 12% respectively in the last 3 months when compared to guests and sex partners in the past month ; The last 6 months have not injected drugs. [Conclusion] There is still some misunderstandings about HIV / AIDS among different groups in Shangcai County. There is still danger of spreading HIV / AIDS. Suggestions for different groups of people should also take further forms to carry out a wide range of AIDS knowledge and behavioral interventions.