农村地区反对歧视艾滋病病毒感染者和患者干预活动效果评价

目的　采取干预手段转变农村居民对艾滋病病毒 (HIV)感染者和患者 (PLWHAs)歧视态度。 方法 　实施多种形式干预比较干预前后的效果。 结果　干预前 50 %的村民不知道HIV的三种传播途径 ,65 %～ 79%不了解非传播途径 ,仅 6 %答对所有问题。面对面访谈发现 ,村民对PLWHAs的歧视态度并不严重 ,可能与实际情况不一致。干预后三种传播途径的正确回答率上升为 81 % ,非传播途径的正确回答率从 1 2 %上升为 45 % ,所有问题均正确回答的上升为 35 %。持各项歧视态度的比例下降 ,持同情帮助的比例上升。Logistic分析提示 ,干预活动对持同情、帮助态度的作用大于文化程度和年龄。 结论 　反对歧视PLWHAs活动应从宣传艾滋病预防知识入手 ,在此基础上开展更为细致的反歧视工作

Evaluation of the Work for Non-discrimination Against People Living with HIV and AIDS(PLWHAs)in Rural Areas

Objective To change discrimination attitude toward PLWAHs by intervention Method To implement multiple forms of intervention and show the successful results based on baseline and evaluation surveys Results Before intervention,50% of interviewees had noidea know about the three routes of HIV transmission,65%-79% of them were not informed about the routes of non-transmission,and only 6% answered the above questions correctly Discrimination attitude was not serious from the face to face interview which might differ from the real situation After intervention,correct answer for the routes of transmission went up from 41% to 81%,routes of non-transmission from 12% to 45% Correct answers for all questions rose to 35% All discrimination attitudes went down and attitudes of sympathy and help increased Logistic analysis indicated that interventions played a greater role in creating sympathy and help attitude than education level and age Conclusion The first anti-discrimination intervention should target on the HIV/AIDS information,ard then more detailed work can be carried out