北京市昌平区建筑工地流动人口艾滋病知识行为状况调查

摘要：目的　了解昌平区建筑工地流动人口艾滋病知识、行为现状及其影响因素，为制定有针对性的防控
措施提供依据。方法　采用随机整群抽样，对北京市昌平区３家建筑工地外省市流动人口进行面对面的问
卷调查并采集血样检测人类免疫缺陷病毒（ＨＩＶ）、丙型肝炎病毒（ＨＣＶ） 和梅毒抗体，对艾滋病知识知
晓、安全套使用情况等进行统计分析。结果　共６９９ 人参与调查， 流动人口艾滋病知识总体知晓率为
９２．７０％ （６４８／６９９）。艾滋病知晓率随文化程度的增高而增加，近１年内与固定性伴发生性行为时安全套的
使用情况，在已婚者中６９．３０％ （３９５／５７０）的人从来不用，仅４．７４％ （２７／５７０）的人每次使用，在非婚者
中２９．１７％ （７／２４）的人从来不用，２９．１７％ （７／２４） 的人每次使用；与非固定性伴（暗娼、临时性性伴）
有过性行为史的人群安全套每次使用率仅为４１．１８％ （２８／６８）。ＨＩＶ 抗体阳性检出率为０．１４％ （１／６９９），
ＨＣＶ 抗体阳性检出率为０．５７％ （４／６９９），梅毒抗体阳性检出率为０．１４％ （１／６９９）。结论　应加强对建筑
工地流动人口的艾滋病健康教育，提高自我保护意识和安全套使用意识，遏制艾滋病在该人群中的传播扩散。
关键词：流动人口；艾滋病；知识、行为
中图分类号：Ｒ５１２．９１　　文献标识码：Ａ　　文章编号：１００９ ６６３９ （２０１４）０５ ０４１６ ０３

Survey on HIV/AIDS-related knowledge and behavior among mobile construction workers in Changping district of Beijing

Objective To understand the current status of AIDS related knowledge,behavior and the influencing factors among mobile construction workers of Changping district of Beijing. Methods A randomized cluster sampling method was used to recruit floating individuals in three construction sites in Changping district of Beijing,and a face to face questionnaire survey was conducted.Blood samples were collected for the detection of antibodies against HIV,HCV and syphilis. Results A total of 699 individuals were recuited with an overall awareness rate about AIDS knowledge of 92.70%（648/699）,which was influenced mainly by education level and age.Only 4.74% of married participants and 29.17% of unmarried workers reported of using condom for each sexual intercourse with their fixed partners in recent year,while 69.30%of married subjects and 29.17%of those unmarried claimed never using condom in the same period.Less than half（41.18%）of participants who had sex with their temporary partners such as sex workers reported of using condom for each sexual intercourse.The antibody positive rates for HIV,HCV and syphilis were 0.14%,0.57%and 0.14%,respectively. Conclusions AIDS related health education should be promoted among migrant construction workers in order to raise the awareness of self protection and condom use to curb the spread of HIV in this population.