广西壮族自治区崇左市吸毒人群艾滋病健康教育效果评价

目的了解广西壮族自治区崇左市吸毒人群艾滋病健康教育效果，为制定该人群健康教育相关策略提供依据。方法在崇左市江州区设立针具交换点，选择并培训同伴教育者在吸毒人群中进行同伴教育。针具交换点提供清洁针具的同时，提供预防艾滋病的宣传教育材料。对干预前后艾滋病相关知识和行为进行调查。结果被调查者以25～35岁年龄段人员最多；民族以汉族和壮族为主。未婚者占被调查人数的50％以上。10道知识题均回答正确的人数，基线调查为12．36％，终末调查为27．71％；单个知识点回答正确率、全部知识点回答正确率终末调查与基线调查相比，均存在显著性差异（P〈0．05）。基线调查时，有过共针行为的人数比例为47．19％，终末调查时，人数比例为17．07％；基线调查中，做过艾滋病自愿咨询检测（VCF）的有13人（14．61％）；终末调查中，做过自愿咨询检测的人数为34人（40．96％），自愿咨询检测率基线与末期调查间存在显著性差异（x^2=15．02，P〈0．01）。结论广西崇左市吸毒人群中开展针具交换和健康教育项目效果显著，此方法可以在本类人群健康教育中使用。

Effects of health education on AIDS for drug abusers in Chongzuo City of Guangxi Zhuang Autonmous Region

Objective To explore the effects of health education on AIDS for drug abusers in Chongzuo City of Guangxi Zhuang Autonmous Region, and to provide evidence for AIDS health education. Methods Needle and syringes exchange site was established in Jiangzhou district of Chongzuo City. Companion pedagogues were selected and trained to carry out companion education. Clean needle and syringes were provided at the exchange site, and health educational ma- terial were provided at the ,same time. Investigation of AIDS knowledge was adopted before and after the intervention. Results Among all the 150 drug abusers, most of their ages were 25～ 35. Their main nations were Han and Zhuang. Above 50 % of them were unmarried. 12.36 % of the drug abusers gave the correct answers in baseline investigation while 27.71% in final investigation. The rate of sharing with needle was 47.19 % in baseline, while 17.07 % in endline. The number of VCT in baseline was 13 perkins （14.61% ）, while 34 （40.96%） persons in endline. There was significant difference between baseline investigation and final investigation in both correct answer fill rate of single and entire knowl- edge-points （P〈 0.05 ）. During the last drug taking behavior, there was significant difference between baseline investi gation and final investigation of using needle with other people （x^2 = 14.45, P 〈 0.01 ） and VCT （voluntary consulation and lest） rate （x^2= 15.02, P〈0.01 ）. Conclusion The project of health edueation on AIDS and needle and syringes exchanging for drug abusers in Chongzuo City of Guangxi Zhuang Autonmous Region got significant effect. The method should be carried out among drug abusers.