某高速公路筑路工人艾滋病项目干预前后的KBP研究

刘丹; 黄毅; 刘征

doi:10.13406/j.cnki.cyxb.001426

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某高速公路筑路工人艾滋病项目干预前后的KBP研究

临床研究 | 更新时间：2024-01-17

- 某高速公路筑路工人艾滋病项目干预前后的KBP研究
- Study on knowledge,belief and performance of highway road construction workers of before and after AIDS project intervention
- 重庆医科大学学报 2017年42卷第12期页码：1685-1690
- 作者机构：
  
  1. 重庆医科大学公共卫生与管理学院社医卫管教研室
  2. 重庆医科大学附属大学城医院后勤保障科
  3. 重庆医科大学附属第一医院医务处
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001426
  中图分类号： R512.91
- 纸质出版日期：2017，
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刘丹, 黄毅, 刘征. 某高速公路筑路工人艾滋病项目干预前后的KBP研究[J]. 重庆医科大学学报, 2017,42(12):1685-1690.

Liu Dan, Huang Yi, Liu Zheng. Study on knowledge,belief and performance of highway road construction workers of before and after AIDS project intervention[J]. Journal of Chongqing Medical University, 2017,42(12):1685-1690.
刘丹, 黄毅, 刘征. 某高速公路筑路工人艾滋病项目干预前后的KBP研究[J]. 重庆医科大学学报, 2017,42(12):1685-1690. DOI： 10.13406/j.cnki.cyxb.001426.

Liu Dan, Huang Yi, Liu Zheng. Study on knowledge,belief and performance of highway road construction workers of before and after AIDS project intervention[J]. Journal of Chongqing Medical University, 2017,42(12):1685-1690. DOI： 10.13406/j.cnki.cyxb.001426.

摘要

目的:通过对某高速公路筑路工人的艾滋病相关知识-信念-行为(knowledge

belief and performance

KBP)进行干预

研究干预前后的KBP改变

为进一步在筑路工人中开展健康教育提供科学依据。方法:在某高速公路沿线的14个标段采取多阶段抽样方法抽取8个标段的筑路工人

进行为期1年的倡导、行为改变/宣传教育的干预

调查分析干预前后该人群的艾滋病KBP情况。结果:干预前后分别调查了男性946人和975人

其中干预前调查监理、项目管理人、包工头、司机、技术工人、非技术工人分别为63人、116人、46人、104人、292人、274人

干预后为69人、123人、56人、101人、269人和331人

2组调查对象在年龄、文化程度、婚姻状况、月收入间不存在差异(P>0.05)。监理、项目管理人、包工头、司机、技术工人在干预前后对是否听说过艾滋病的回答相差不大

但文化层次较低的非技术工人经过干预后提高较大(86.4%vs.93.2%

P=0.03)。对于艾滋病三大传播途径

司机对于输血(91.3%vs.100.0%)、性交(93.3%vs.100.0%)、母婴(84.6%vs.95.0%)的正答率在干预后有明显提高(P<0.05)

其他各人群干预后的正答率也较干预前有不同程度的提高;除了监理

其他人群对于每次发生性行为时正确使用安全套能预防艾滋病感染的正确认识在干预后明显提高(P<0.05);总人群与小姐(69.0%vs.80.3%)/临时性伴(55.7%vs.58.9%)发生性行为时的避孕套使用率在干预后无太大变化(P>0.05)。结论:在筑路工人中开展艾滋病预防的健康教育已迫在眉睫

对该人群进行倡导、行为改变/宣传教育的干预

希望能在一定程度上提高其意识

以期改善知行之间的不一致。今后应继续加强预防艾滋病的宣传教育

提高他们的知识、意识

避免高危行为。

Abstract

Objective:To find the changes in knowledge

belief and performance（KBP）of highway construction workers before and after AIDS project intervention

in order to provide scientific basis for the further health education.Methods:Multi-stage sampling method was used to choose 8 sections from 14 sections along the highway to do a one-year survey.Advocacy

behavioral change/publicity education intervention were performed to investigate and analyze their AIDS knowledge

belief and performance（KBP）before and after the intervention.Results:Two groups respectively including 946 and 975 men were investigated before and after the intervention.Investigate supervisor

project manager contractor

drivers

skilled workers and unskilled workers were respectively 63

116

104

292

274 people before the intervention

and 69

123

101

269

331 people after the intervention

without difference in age

education level

marital status

monthly income between the two groups（P>0.05）.On whether or not heard of AIDS

the answers of the supervisor

project managers

contractors

drivers and technical workers before and after intervention were similar

but the answers of non skilled workers with lower educational level were greatly improved after the intervention（86.4% vs.93.2%

P=0.03）.On the three major transmission ways of AIDS

the driver’s correct answer rate for blood transfusion（91.3% vs.100%）

sex（93.3%vs.100%）and infant-mother（84.6% vs.95%）was increased after the intervention（P<0.05）;so did other people.On correct understanding of using condoms to prevent HIV infection was improved in project managers

contractors

drivers and technical workers except supervisors（P<0.05）.There was no change in condom use rate among the total population when having sex with commercial sex worker（69% vs.80.3%）or temporary partners（55.7% vs.58.9%）（P>0.05）.Conclusion:Health education of HIV prevention should be conducted among the road construction workers urgently.The intervention of advocacy

behavior change

publicity and education of the population is expected to improve their consciousness and correct their unsafe sexual behavior.Further health education of HIV prevention should be enhanced in order to improve their knowledge and awareness

to avoid the happening of high-risk behaviors.

关键词

获得性免疫缺陷综合征筑路工人知识-信念-行为

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