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目的了解本社区艾滋病自愿咨询检测情况,以有效开展健康教育服务。方法以社区居民为研究对象,综合使用流行病学调查方法,以妇产科为依托,拓展艾滋病自愿咨询和检测服务人群。应用综合的干预措施,并进行效果评价。结果 2486人接受艾滋病自愿咨询检测,其中参与HIV抗体检测2394人,HIV阳性率为0.88%。求询者以未婚人群居多,离异或丧偶人群的阳性率高于已婚及未婚人群。本调查人群以未婚居多,求询者以初高中文化程度人群为主。不同文化程度、性别、求询者类型之间的HIV阳性率无显著性差异。综合干预后求询者对相关艾滋病预防知识的认知率明显提高,同时对艾滋病的相关态度明显改善,与干预前比较有显著性差异(P<0.05)。结论结合妇产科拓展社区艾滋病自愿咨询检测,并实施健康教育行为干预,可以有效地提高居民艾滋病知识水平,加强现有艾滋病感染者及患者的干预管理,最大限度切断传染源,是当前防艾工作的重点。
Objective To understand the status of AIDS voluntary counseling and testing in this community so as to effectively carry out health education services. Methods Taking community residents as the research object and using epidemiological survey methods in combination with obstetrics and gynecology, the group expanded the voluntary HIV counseling and testing service population. Apply comprehensive interventions and evaluate effectiveness. Results 2486 people received HIV voluntary counseling and testing, of which 2394 people were involved in the HIV antibody test, the HIV positive rate was 0.88%. Inquirers were mostly unmarried, with higher rates of divorced or widowed than married and unmarried groups. Most of the surveyed population was mostly unmarried, with the majority of people seeking high school education at the beginning of the survey. There was no significant difference in the positive rates of HIV between different education levels, genders and inquirers. After the comprehensive intervention, the inquirers obviously improved the cognition rate of HIV / AIDS related knowledge, and significantly improved the relative attitudes toward AIDS, which were significantly different from those before the intervention (P <0.05). Conclusions With the help of gynecology and obstetrics to expand community AIDS voluntary counseling and testing and implement health education behavior intervention, it can effectively improve residents’ HIV / AIDS knowledge, strengthen the intervention management of existing HIV / AIDS patients and patients, and cut off the source of infection to the maximum extent The focus of work.