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MSM艾滋病性病防治知识同伴干预效果评价
引用本文:王毅, 张洪波, 徐杰, 李志军, 张光贵, 杨宏武, 樊静. MSM艾滋病性病防治知识同伴干预效果评价[J]. 中国公共卫生, 2009, 25(5): 631-633. DOI: 10.11847/zgggws2009-25-05-69
作者姓名:王毅  张洪波  徐杰  李志军  张光贵  杨宏武  樊静
作者单位:1.四川省绵阳市疾病预防控制中心, 621000;;2.安徽医科大学公共卫生学院;;3.中国疾病预防控制中心性病艾滋病控制中心行为干预室;;4.美国CDC全球艾滋病项目中国办事处;;5.四川省绵阳同志关爱小组
基金项目:卫生部艾滋病防治应用性研究项目,中美艾滋病防治合作项目 
摘    要:
目的探索针对男男性行为者(MSM)人群特征的有效干预方法。方法建立疾病预防控制中心主导与MSM志愿者骨干实施相结合的MSM人群艾滋病性病防治组织模式,以核心同伴宣传(POL)干预方法为主,结合网络宣传、外展服务等进行MSM宣传教育和安全套使用促进,分别采用应答者驱动招募法(RDS)对MSM人群进行基线、中期及期终评估招募调查,对调查结果进行比较分析。结果基线调查201人,中期200人,期终203人。基线、中期、期终调查比较:艾滋病性病基本知识总知晓率分别为68.6%,76.6%,83.7%,上升趋势明显;不同情况下安全套使用的主观态度有信心分别为49.1%,62.3%,62.9%,近1次不同性伴性行为安全套坚持使用率分别为56.2%,72.8%,82.1%,差异均有统计学意义,上升趋势明显(P<0.05);自认为艾滋病感染风险差异无统计学意义(χ2=9.262,P=0.159)。结论疾病预防控制中心为主导,MSM志愿者骨干实施的组织模式下,通过为期1年的POL为主,结合网络、外展等干预,有效提高了MSM人群的艾滋病性病防治知识水平和安全套使用率。

关 键 词:核心同伴宣传(POL)  男男性行为者(MSM)  艾滋病性病  防治知识  安全套促进
收稿时间:2009-01-06

Effectiveness of POL intervention on AIDS/STD related knowledge in MSM groups
WANG Yi, ZHANG Hong-bo, XU jie, . Effectiveness of POL intervention on AIDS/STD related knowledge in MSM groups[J]. Chinese Journal of Public Health, 2009, 25(5): 631-633. DOI: 10.11847/zgggws2009-25-05-69
Authors:WANG Yi  ZHANG Hong-bo  XU jie
Affiliation:1.Mianyang Center for Disease Prevention and Control, Mianyang 621000, China
Abstract:
ObjectiveTo explore effective approach of intervention in MSM (man who have sex with men) group.MethodsHealth education and behavial intervention on AIDS/STD were conducted among MSM groups with the adapting of popular opinion leader(POL)model and the network propagada and expanded service Responder driven sampling was used to collect participants in Dec 2006, July 2007 and Jan 2008, respectively for the intervention evaluation.ResultsTotally 201 MSM satbaseline, 200 atmidteun and 203 at the end of intervention were surveyed The awareness rate of the basis knowledge of AIDS and STD was 68.6%,76.6,83.70,respectively.The subjective confidence on safty of condom use in different situation was 49.1%,62.3,62.9,respectively.The persistent usagemte of condom in the latest sexual.activity with different sexual partners was 56.2%,72.8%,82.1%,respectivaly,with significant increase trend(P<0.05).ConclusionThrough one year in tervention of POL model,the knowledge of AIDS/STD and the usage rate of condom were effectively increased among the target MSMs group.
Keywords:POL  MSM  AIDS/STD  health knowledge  condom promotion
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