安徽省农民工艾滋病传播材料开发和使用活动及其效果评价

目的针对安徽省农民工开发艾滋病健康传播材料并开展艾滋病健康教育活动，提高农民工艾滋病相关知识知晓率：方法采用社区干预方法，根据需求评估结果，开发传播材料，设计和开展健康教育活动配合材料使用，并对效果进行评估。结果干预前后调查对象艾滋病基本知识知晓率分别为62．6％和86．7％（P〈0．001）。干预前后无偿献血知识知晓率分别是48．6％和78．2％（P〈0．001）。干预后两个知晓率均达到了《中国遏制艾滋病行动计划（2006～2010）》的目标。于预前后艾滋病自愿咨淘检测（VCT）服务的知晓率分别为46．3％和74．8％（P〈0．001）：干预前后农民工艾滋病防治相关正确态度符合率分别是736％和85．0％（P〈0．001）。干预前后接受VCT服务的比例分别是16．0％和36．2％（P〈0．001）．自报有婚外（婚前）性行为的比例在于预前后分别为26．8％和20．1％（P=0．066）。最近3次与婚外（婚前）性伴的性行为中均使用安全套的比例在干预前后分别为11.8%和16．4%（P=0．458）。结论针对农民工开发和利用艾滋病健康传播材料有效地提高了集中场所农民工的艾滋病防治相关知识和正确态度，改善了VCT服务的利用行为．但对危除性行为的改变效果不明显。

Developing and utilizing IEC materials in migrant workers in Anhui

Objective Developing and utilizing IEC （information, education and communication） materials to improve HIV/AIDS knowledge among migrant workers in Anhui. Methods Community intervention was implemented. Based on needs assessment, IEC materials were developed, and health education activities were implemented. Evaluation activities were carried out to ensure the quality and asscss the effectiveness of the project. Results Thc AIDS knowledge level was 62.6% at pre-and 86.7 % at post-intervention （P〈 0. 001 ）. The knowledge level of voluntary blood donation was 48.6 % at pre-and 78.2% at post-intervention （P〈0. 001 ）. Both were higher than the goal defined in the national work plan （2006 - 2010）. The awareness of voluntary counseling and testing （VCT） service was 46.3 % at pre-and 74.8 % at post-intervention （P〈 0. 001 ）. The proportion of having positive attitude toward to HIV/AIDS was 73.6 % at pre-and 8.5.0 % at post-intervention （P〈 0.001 ）. The proportion of utilizing VCT service was 16.0 % at pre-and 36.2 % at post-intervention （ P〈 0.001 ）. The proportion of self-reported extra-marital sex was 26.8 % at pre-and 20.1% at post-intervention （P = 0. 066）. The rate of condom use at all last 3 sex with extra-marital intercourses was 11.8 % at pre- and 16.4 % at post-intervention （P= 0.458）. Conclusions The IEC development and utilization project are effective to improve the knowledge and attitude related to HIV/AIDS, and VCT seeking behavior but not sexual behaviors among migrant workers.