南昌市青云谱区50～70岁男性艾滋病综合防制干预效果评估

发布时间：2018-01-03 13:40

本文关键词：南昌市青云谱区50～70岁男性艾滋病综合防制干预效果评估　出处：《南昌大学学报(医学版)》2016年05期 　论文类型：期刊论文

【摘要】：目的对南昌市青云谱区50~70岁男性艾滋病综合防制干预的效果进行评估。方法 2013年3月在该区所辖6个街道(居委会)随机调查50~70岁男性600名,采用自制调查表获取该人群艾滋病防制知识、态度和行为的信息(为干预前人群资料信息)。然后在辖区各街道实施综合防制干预(健康教育、行为干预和反歧视宣传),1年后使用相同调查表再次随机调查600名50~70岁男性(为干预后人群资料信息)。通过比较干预前后2个人群的有关指标进行干预效果评估。结果干预前后,研究对象的艾滋病防制知识知晓率从46.7%提高至48.5%,但差异无统计学意义(P=0.525)。干预前人群中,有无配偶者的知晓率差异无统计学意义(P=0.827);不同学历者的知晓率差异有统计学意义(P=0.047),其中大专及以上学历的知晓率最高(69.0%);不同职业者的知晓率差异有统计学意义(P0.001),其中职业为干部的知晓率最高(70.3%)。干预后人群中,有无配偶者的知晓率差异有统计学意义(P0.001),有配偶者的知晓率(51.4%)高于无配偶者(17.6%);不同学历者的知晓率差异有统计学意义(P0.001),其中中专或高中的知晓率最高(73.7%);不同职业者的知晓率差异有统计学意义(P=0.001),其中职业为干部的知晓率最高(61.8%)。干预前后两个人群对艾滋病患者的态度不同,差异有统计学意义(P=0.001)。多因素回归分析结果显示,干预前人群知晓率的影响因素为职业;干预后人群知晓率的影响因素为婚姻、学历和职业。结论南昌市青云谱区对50~70岁男性开展的艾滋病综合防制干预具有一定的效果,但仍需加强。
[Abstract]:Objective to evaluate the effect of comprehensive HIV / AIDS prevention and control intervention in 500-year-old male in Qingyun spectrum district of Nanchang city. Methods in March 2013, 6 streets (neighborhood committee) were administered in this area. A randomized survey of 600 males aged 70 years was conducted. The self-made questionnaire was used to obtain the information of AIDS prevention and control knowledge, attitude and behavior of the population. Then the comprehensive prevention and control intervention (health education) was carried out in the streets of the district. (B) Behavioral intervention and anti-discrimination campaigns). A year later, 600 men aged 50 to 70 were randomly surveyed using the same questionnaire (for information on the population after intervention). Objective: to evaluate the effect of intervention by comparing the relevant indexes of two populations before and after intervention. Results before and after intervention. The awareness rate of AIDS prevention and control among the study subjects increased from 46.7% to 48.5, but the difference was not statistically significant. There was no significant difference in awareness rate between those with or without spouses (P < 0. 827). There were significant differences in the awareness rate among the students with different degrees of education (P < 0.047), among which the highest awareness rate was 69.0% for those with college degree or above. There were significant differences in the awareness rate among different occupations (P 0.001), and the highest awareness rate was 70.3% among the cadres after intervention. There was significant difference in the awareness rate of the patients with or without a spouse (P 0.001), and the awareness rate of those with a spouse was 51.4% (P < 0.05) higher than that of those without a spouse (17.6%). There was significant difference in the awareness rate among the students with different degrees of education (P 0.001), and the highest awareness rate was 73.7% in the technical secondary school or the senior high school. There were statistically significant differences in awareness rate among different occupations, among which the highest awareness rate of cadres was 61.8%. Before and after intervention, the attitude of the two groups towards AIDS patients was different. The results of multivariate regression analysis showed that the influencing factor of the population awareness rate before intervention was occupation; Conclusion Qingyun spectrum area of Nanchang city has certain effect on comprehensive prevention and control of HIV / AIDS for men aged 50 to 70 years, but it still needs to be strengthened.
【作者单位】：南昌大学公共卫生学院流行病学教研室;南昌市青云谱区疾病预防控制中心;江西省民政学校教务处;赣州市卫生和计划生育委员会医政医管科;
【基金】：南昌市青云谱区科技计划项目(青教科体科字[2013]7号)
【分类号】：R512.91;R183
【正文快照】： 艾滋病(acquired immunodeficiency syndrome,AIDS)是由人类免疫缺陷病毒(humanimmunodeficiency virus,HIV)所引起的一种严重传染性疾病[1]。近年来我国老年艾滋病发病率不断上升,已成为社会关注的公共卫生问题[2]。2010年以来,南昌市青云谱区50岁以上老年感染者数量呈逐年上

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