【摘要】 目的探讨高校大学生适用的艾滋病防治宣教模式,为有效开展校园艾滋病教育及男男艾滋病人群筛查等干预工作提供依据。方法随机抽取武汉市某高校学生570人进行问卷调查,并分为4组,通过多媒体讲座、志愿者组织宣传、校园网络、发放健康教育处方等形式干预,1个月后再行相同问卷调查。结果 4组干预前后知晓率为:多媒体组37.03%、72.60%;志愿者组37.91%、64.54%;网络组30.4%、52.94%;处方组40.76%、57.14%,差异有统计学意义(前2组P值<0.001,后2组P值为0.005、0.004)。多媒体干预后正向态度率明显提高(P<0.001),另3组差异无统计学意义。71.58%的调查者知道男男性行为更易传播艾滋病,仅35.44%知道肛交最易传播。有过性行为的调查者中96.00%认同戴安全套能减少艾滋病的传播,但54.17%在第一次性行为中未用安全套。结论健康教育干预可显著提升大学生对艾滋病相关知识知晓率,其中多媒体讲座效果最佳。目前开放的性观念及匮乏的性知识使青年男男同性恋人群(Men who have Sex with Men,下简称"MSM")成为感染高危人群,应加强教育筛查。更多还原

【Abstract】 Objective To explore an AIDS educational model for university students, so as to provide a more effectively theoretical basis for the education of AIDS in campus and the screening population of AIDS among men who had sex with men(MSM). Methods A total of 570 randomly selected students of a university in Wuhan were divided into four groups to finish questionnaires.Form of intervention including multimedia lectures, volunteer organization propaganda, campus network and gave out health education prescriptions. And the same questionnaire was conducted after a month. Results Awareness rates of pre and post intervention among four groups were 37.03% and 72.6% of multimedia lectures group, 37.91% and 64.54% of volunteers group, 30.4% and 52.94% of network group, 40.76% and 57.14% of prescription group 4, with significantly statistical difference(In former two groups, P <0.001.In latter two groups, P values were 0.005 and 0.004,respectively). After multimedia lectures, the rate of positivet attitude improved significantly( P<0.001), the other three groups had no statistics significance. 71.58% of the interviewees knew that MSM are more likely to spread HIV, but only about 35.44% of which knew that anal sex was the most likely way to spread HIV. Among the people who had sexual behavior in the group, 96% of them agreed to wear condoms could reduce the spread of HIV, but 54.17% of them did not wear condoms in the first act. Conclusion The health education intervention can significantly increase university students’ awareness of AIDS.Multimedia lecture method increased more than others. At present the open concept to sex in university students and the lack of gay sexual knowledge make MSM become the high risk groups of HIV infection, which is necessary to strengthen education and screening.更多还原