摘要
目的研究和评价流动人口主动接受艾滋病自愿咨询检测(VCT)服务的有效策略。方法通过基线调查,了解社区流动人口的VCT接受意愿,采取在流动人口聚集的场所开展社区动员、VCT广泛宣传和免费服务等综合干预措施。干预2年后进行评估。结果干预前,该社区的流动人口感染HIV风险的意识薄弱,VCT的知晓率低至48.1%,而HIV主动检测率仅为2.6%;干预后,流动人口感染HIV风险的意识增强,VCT的知晓率达85.3%,HIV主动检测率达19.4%,经统计学检验有显著性意义(P<0.01)。对社区卫生服务中心能够提供VCT服务的知晓率达56.8%。结论在流动人口中开展社区动员和VCT广泛的宣传,能够显著提高人群对VCT的认知水平和感染HIV风险的意识,并在此基础上促使流动人口主动接受免费VCT服务。
Objective To evaluate the effectiveness of strategies on motivating floating population＇ s receptivity to the Voluntary Counseling and Testing （VCT） service. Methods A baseline survey was conducted to understand the acceptance and utilization of VCT for HIV and their determinants among floating population in a community of Shanghai. After that, a two-year community-based comprehensive health education and intervention program was implemented to promote the awareness, acceptance and utihzation of VCT service among floating population. The interventions included community mobilization, community-wide health education and provision of accessible community VCT site. Results At the Baseline, among the floating population, the awareness of HIV infection risks was limited, and the awareness rate of VCT was 48.1%. Only 2. 6% of them had actively taken HIV test. After the intervention, the participants were more aware of the risks of HIV infection, and the awareness rate of VCT was enhanced to 85.3%. HIV active detection rate was 19.4%. There were statistically significance between them respectively （P 〈 0. 01 ）. 56. 8% of the participants knew that community health service center could provide free services. Conclusion Community mobilization and comprehensive health education and intervention for HIV/AIDS and VCT can effectively promote the awareness of HIV risks, and the acceptance and utilization of VCT service among floating population.
出处
《中国健康教育》
2009年第8期586-589,共4页
Chinese Journal of Health Education
基金
美国国立研究院(NIH)课题(R01TW007298,HE)
上海市重点学科建设项目(B118)
关键词
艾滋病
自愿咨询检测
流动人口
接受性
HIV/AIDS
Voluntary counselling and testing （VCT）
Floating population
Acceptance
