铁路工地流动人口艾滋病知识、态度、行为调查

目的了解铁路建筑工地流动人口的艾滋病相关知识、态度和行为(KAP)现状及其影响因素。方法对合肥市铁路施工单位943名在外施工的流动人口进行问卷调查,通过单因素分析、相关分析与多元logistic回归分析其影响因素。结果建筑工地流动人口总体上对艾滋病知识缺乏了解;文化程度和收入越高、打工时间越长者艾滋病相关知识水平越高。在听说过艾滋病的734人中,仅有37．5％(275人)对艾滋病感染者持同情态度。943名调查对象中,不反对“婚前性行为”、“卖淫”和“嫖娼”者分别占39．6％、7．3％和6．9％。9．5％的被调查对象(90人)承认最近3个月内有过非婚性行为,其中28．6％(22人)承认从未使用安全套,仅10．4％(8人)每次使用。文化程度和艾滋病知识得分越高者安全套使用频率越高;探亲时间间隔和打工时间越长,安全套使用频率越低。结论铁路建筑工地流动人口存在HIV感染的危险性,对其开展有针对性的艾滋病健康教育和行为干预迫在眉睫。

Study on knowIedge, attitude and practice regarding AIDS among migrant workers in railway constructionsites

Objective To investigate the status and influencing factors on knowledge,attitude and practice (KAP) about AIDS among the migrant workers in railway construction sites and to provide evidence for strategy development and measures on AIDS related health education and behavioral intervention. Methods 943 migrant workers in railway construction sites were surveyed. Univariate analysis, multivariate Logistic regression and correlation analysis were used to explore their influencing factors. Results The migrant workers in railway construction sites had poor AIDS knowledge as a whole. People with high educational level and income had higher AIDS correlative knowledge than other groups. Only 37.5% (275) of 734 migrant workers who had heard about AIDS felt pity for people with HIV/ AIDS. There were 39.6% ,7.3% and 6.9% of 943 migrant workers did not object to "pre-marital sex", "prostitution" or "wenching".There were 90 (9.5%) migrant workers admitted having non-marital sex for the last three months but 22(28.6%) admitted never using condoms,and only 8(10.4%) had used each time. It appeared that the higher educational level and scores about AIDS knowledge one had,the higher the rate of using a condom. Both longer time interval away from their families and working time were, the lower they would usage a condom. Conclusion Migrant workers in construction sites were potential high risk population for HIV/AIDS. AIDS health education and behavioral intervention should be carried out imminently.