昆山市社区艾滋病预防健康教育干预研究

目的 评价社区艾滋病预防健康教育干预对育龄青年的影响。方法 采用准实验研究设计。在昆山市选择两个社会经济特征相似的乡，随机分为干预乡和对照乡。两个乡共800名18-30岁的育龄青年被选作研究对象。利用当地计划生育服务机构在干预乡进行了为期12个月的艾滋病健康教育干预。结果 在艾滋病健康教育干预之后，干预乡育龄青年的艾滋病相关知识显著增加，艾滋病相关态度也有显著性正向变化，报告最近1次性交时使用避孕套的比例也从干预前的8.5%上升到干预后的14.4%（X^2=4.66,P=0.0308）。而对照乡没有发生这些变化。结论 把预防艾滋病的健康教育干预融入当前的计划生育服务是可行的、有效的。这种结合应作为我国抵御艾滋病进一步传播的一种现实选择。

A community-based acquired immtmodeficiency syndrome education intervention study in Kunshan county

Objective To study the acceptability and feasibility of promoting condom use among families with human immunodeficiency virus (HIV) infection in rural area of China. Methods Ninety families with HIV infection were selected. Education, skill training on condom use and distribution of condoms were carried out. Two cross sectional surveys were carried out before and after intervention to compare the difference of condom use rate. Results Eighty four families finished the study, with a follow up rate of 93.3 %. The rate of use condom for every sexual intercourse in the last month increased from 2.6 % before intervention to 71.4 % after intervention ( P < 0.001 ). After controlling other confounders, intervention is a strong independent predictor for increased condom use in infected couples. Conclusion Promoting condom use among families with HIV infection in the rural area is acceptable. To reduce risk of sexual transmission of HIV within couples, families of the HIV infected persons need to be informed in no time.