【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。更多还原

【Abstract】 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 utilization 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.更多还原