安徽省项目地区居民艾滋病知识和行为调查分析

目的了解安徽省项目地区全球基金项目两年执行情况，为后3年项目计划提供依据。方法中期评估采用普查和分层整群抽样的方法，在我省8个示范区／全球基金艾滋病项目县分别对性工作者（普查）和感染者／病人、流动人口、居民、学生（分层整群抽样）等人群进行问卷调查。利用项目基线资料评价项目中期效果。结果7336名调查对象的艾滋病知识平均知晓率是83．78％，其中暗娼90．17％、感染者／病人86．90％、流动人口82．61％、居民（重点乡镇）87．38％、居民（非重点乡镇）73．09％、居民（城镇）86．26％、中学生（83．24％）、吸毒人群84．00％（x^2=904．32，P〈0．001）。8个项目县平均知晓率分别为96．95％、92．26％、89．84％、88．32％、85．26％、81．70％、77．60％和77．11％（x^2=392．42，P〈0．001）。暗娼最近1次与客人发生性关系时使用安全套的有303人（84．4％），最近3次每次使用安全套的有264人（73．5％）。感染者／病人最近1次与配偶过性生活时使用安全套有639人（56．7％），最近3次每次都使用安全套的有572人（50．8％）。与基线相比，除了吸毒人群外，所有人群的艾滋病知识知晓率均有不同程度的提高；所有人群对10个艾滋病知识点的答对率都有所提高；暗娼和感染者／病人的安全套使用率有所提高。结论我省项目地区居民的艾滋病相关知识知晓率和安全性行为形成率较项目启动时明显提高，但不同地区和不同人群的知识和行为不平衡，仍需要加大力度全面开展艾滋病健康教育和行为干预工作。

AIDS knowledge and behavior among residents in project areas in Anhui,China

Objective To identify the progress of AIDS project supported by the Global Fund in Anhui to evaluate the project effectiveness and provide baseline for the future project activities. Methods A sample from each of the eight different population groups was taken using convenient sample （ commercial sex workers, CSWs ） and stratified cluster sampiing method （ all other groups ）. A structured questionnaire was administered in group students and face - to - face to other participants. The project baseline data were used to compared the mid - term effectiveness. Results Among 7 336 participants, the proportion of knowing AIDS facts was 83.78%, with sex workers of 90. 17%, people living with HIV/ AIDS （PLWHA） of 86.90%, mobile population of 82.61%, rural residents in epidemic townships of 87.38%, rural residents in non - epidemic townships of 73.09%, county town residents of 86.26%, middle school students of 83. 24%, drug users of 84.00% （X^2 = 904. 32, P 〈 0.001 ）. The proportions in the 8 project counties were 96.95%, 92. 26%, 89.84%, 88.32%, 85.26%, 81.70%, 77.60% and 77.11% respocuvely （X^2 = 392. 42, P 〈 0.001 ）. The proportion of CSWs using condom with clients at last intercourse was 84.4%, and 73.5% of them used condoms consistently at last 3 intercourses. The proportion of PLWHAs using condom with spouses was 56.7% at last intercourse and 50.8% of them used condoms consistently at last 3 interceurses. Compared to baseline, all groups had a higher level of knowledge except for drug users, CSWs and PLWHAs had higher rates of using condoms. Conclusion The residents in project areas had a higher level of AIDS knowledge and safe sex behavior compared to the baseline and to residents in non - project areas. However, different groups in different project counties had different levels of knowledge and behavior. The AIDS education and intervention should be improved comprehensively.