青岛市城阳区中学生不同艾滋病警示性教育方式效果评价

了解不同警示性教育方式对中学生艾滋病知识、态度、行为的影响,为探索更好的防艾知识宣传方式提供依据.方法 采取整群随机抽样方法,在青岛市城阳区随机抽取3所学校51个班2 019名学生为调查对象,以班级为单位,随机分为A组、B组、C组,A组仅发放艾滋病警示性健康手册,B组应用PPT形式开展艾滋病警示性教育讲座,C组应用PPT形式开展警示性教育讲座并发放健康手册,对3组干预前后艾滋病知识态度行为进行问卷调查.结果 干预前A组、B组、C组艾滋病总知晓率分别为64.9%,61.2%,61.2%,干预2周后分别提高了2.3,27.7,28.0百分点.艾滋病知晓率干预前后比较,A组差异无统计学意义(x2=0.545,P>0.05),B组和C组差异有统计学意义(x2值分别为157.495,144.653,P值均<0.01).单因素分析表明,干预后艾滋病知识知晓率与户籍、年级、干预方式、父母文化程度有关(P值均<0.01);多因素Logistic回归分析显示,与城阳区本地相比,城阳区以外的学生艾滋病知晓率高OR值(95%CI)=1.22(1.00~1.47)];与初一相比,高职一年级、初二艾滋病知晓率高(OR值分别为1.68,5.97);与A组相比,B组、C组艾滋病知晓率高(OR值分别为1.70,1.56).结论 城阳区中学生艾滋病知识知晓水平较低,应结合中学生生理和心理特点,采取生动形象的艾滋病警示性教育方式,提高中学生艾滋病知识知晓率并促进其态度行为改变.

Effect evaluation of different AIDS warning education methods for middle school students in Chengyang District of Qingdao City

Objective To understand the influence of different warning education methods on AIDS knowledge,attitude and behavior of middle school students,and to provide a basis for exploring the better way of propagating AIDS prevention knowledge among middle school students.Methods Stratified cluster random sampling method was used to randomly select a total of 2 019 students in 51 class from three schools in Chengyang District of Qingdao,and they were randomly divided into group A,B and C with a class as the unit.AIDS warning propaganda manual was only issued to group A,AIDS warning education lectures were given to group B in PPT form,warning education lectures were given in PPT form and health manuals were handed out in group C.Moreover,the questionnaire was conducted on their AIDS knowledge,attitude and behavior in three groups.Results Before intervention,the total awareness rates of group A,group B and group C were 64.9%,61.2% and 61.2% respectively,and increased by 2.3%,27.7% and 28.0% after 2 weeks respectively.Univariate analysis showed that the awareness rate of HIV/AIDS knowledge was related to household registration,grade,intervention mode and parental education after then intervention(P<0.01).Multivariate logistic regression analysis showed that compared with urban area,(95% CI) values were 1.215(1.00-1.47).Compared with the grade one,the OR(95%CI) values of primary and secondary AIDS awareness were 1.681(1.39-1.20) values in group B and group C were 1.70 and 1.56,respectively,compared with group A(P<0.05).Conclusion The awareness level of AIDS knowledge among middle school students in Chengyang district is quite low.Thus,a vivid AIDS warning education should be conducted in accordance with the physiological and psychological characteristics of middle school students to improve the awareness rate of AIDS knowledge and promote their behavior change.