东莞市农民工艾滋病知识、态度、行为调查

目的：了解东莞市农民工艾滋病知识、态度和行为，为制定针对这一人群的艾滋病防制措施提供依据。方法：采取整群抽样和方便抽样的方法，对东莞市厚街镇和常平镇两闯工厂的615名农民工进行调查，内容包括社会人口学、对艾滋病防治知识的掌握情况、对HIV／AIDS及非婚性行为的态度及个人行为。结果：东莞市的农民工多为来自农村、15～39岁的未婚人群；对艾滋病防治知识的知晓率为44．39％，已婚及文化程度高的农民工艾滋病防治知识的知晓率显著高于未婚和文化程度低者；农民工的艾滋病防治知识主要来源渠道为电视和报刊；对婚前性行为、婚外情、一夜情、卖淫和嫖娼行为的赞同率分别为11．71％、2．28％、2．76％、0．49％和0．81％，且男性和文化程度高者对上述5种非婚性行为的赞同率均显著高于女性和文化程度低者；22．16％的未婚农民工有过性行为、6．02％的农民工有临时性行为，2．93％的农民工曾经有一夜情；农民工在近6个月与固定性伴和临时性伴发生性关系时每次都使用安全套的比例分别为儿．47％和21．62％；农民工中性病的患病率为1．79％，患病后90％以上的人均能去正规医疗机构就诊。结论：东莞市农民工艾滋病防治知识知晓率偏低、对非婚性行为普遍不赞同，但该人群中依然存在非婚性行为、安全套使用率低等感染HIV的高危行为。建议通过电视和报刊等农民工喜闻乐见的媒体加大宣传教育力度，同时开展推广使用安全套等干预措施，遏制艾滋病在这一人群传播。

A survey on AIDS-related knowledge,attitude and behavior in migrant workers in Dongguan

Objective TO know the AIDS-related knowledge,attitude and behavior(KAB) of migrant workers in Dongguan and to provide the basis for working out and implementing prevention and control measures.Methods615 migrant women were investigated on the demographic information,AIDS-related KAB in Changping and Houjie townships by cluster and convenient sampling.ResultsMost of the migrant workers were between 15 and 39 year-old and unmarried.The awareness rate on HIV/AIDS was 44.39% and awareness rate on HIV/AIDS of married and higher education-level workers were significantly higher than those of unmarried and lower education-level workers.TVs,books and newspapers were the main media for migrant workers to receive the knowledge.The agreement rates on sexual behavior before marriage,the sexual behavior beyond marriage,one-night sex,prostitute and visiting prostitutes were 11.71%,2.28%,2.76%,0.49% and 0.81%,respectively.The agreement rates on above non-marriage sexual behavior of male and higher education-level migrant workers were significantly higher than those of female and lower education-level workers.22.16% of unmarried migrant workers had sexual experiences,6.02% had temporary sexual partners and 2.93% experienced one-night sex.11.47% and 21.62% of migrant workers used condoms every time in the past six months while they had sexes with their fixed and temporary partners.The prevalence rate of STD in the population was 1.79% and most of them could visit regular hospitals after they had STD.ConclusionsHIV/AIDS knowledge awareness rate seemed to be low in migrant workers and most of them didn't agree non-marriage sexual behavior But some high-risk behaviors,such as non-marriage sexes,low using rate of condoms,still existed.It is suggested to strengthen health education throughTV,books and newspapers and intervention measures,such as popularizing condoms use to stop the spread of HIV/AIDS epidemic in the population.