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[目的]了解农村流动人口艾滋病耻辱感现状,影响因素及艾滋病健康教育对耻辱感的改善情况。[方法]采用多阶段抽样方法,在流出地选择返乡流动人口454人,利用自制问卷面对面调查了解其耻辱感现状及相关情况。[结果]37.7%的调查对象艾滋病耻辱感高,耻辱感与年龄明显相关(r=0.19,P﹤0.01)。艾滋病认知水平经健康教育后明显提高,但耻辱感也随之增高。接受健康教育的调查对象中,高耻辱感比例为45.8%,高于未接受者(P﹤0.01),不愿意接受艾滋病健康教育者中,高耻辱感比例达45.8%,高于愿意接受者(P﹤0.01)。[结论]现有的艾滋病健康教育模式能提高艾滋病认知水平,但未能降低或消除耻辱感,调整和改进干预策略十分必要。
[Objective] To understand the status quo of HIV / AIDS stigma in migrant rural population, influencing factors and the improvement of stigma in AIDS health education. [Methods] A multistage sampling method was used to select 454 returning migrant population at the outflow site. The self-made questionnaire was used to conduct face-to-face investigation to understand the status quo of the stigma and other related conditions. [Results] 37.7% of the respondents had a high sense of stigma and a significant correlation with age (r = 0.19, P <0.01). AIDS awareness increased significantly after health education, but also increased the sense of disgrace. Among the respondents who received health education, the proportion of high-sense of stigma was 45.8%, higher than those of non-acceptors (P <0.01). Among the respondents who did not want to receive AIDS education, the proportion of high-sense of stigma reached 45.8% P <0.01). [Conclusion] The existing HIV / AIDS health education model can raise the AIDS awareness level, but it can not reduce or eliminate the sense of disgrace. It is necessary to adjust and improve the intervention strategy.