【作者】 朱敏贞；

【导师】 胡志； 刘宏杰；

【作者基本信息】 安徽医科大学 ， 社会医学与卫生事业管理， 2005， 硕士

【摘要】 目的:在对安徽省某农村地区的结婚登记人员开展艾滋病(AIDS)的知识、态度和行为基线调查的基础上,对他们采取单纯性艾滋病咨询的干预措施,评价干预效果及其影响因素,为政府制定艾滋病防治政策提供科学依据。 对象与方法:选取利辛县的民政局婚姻登记处作为干预现场,以前来登记结婚的农村新婚夫妇为调查对象。使用SPSS统计软件分析数据,主要采用描述性分析、T检验、X~2检验、Logistic回归等分析方法。 结果:对登记结婚的新婚人员开展艾滋病咨询的干预研究取得了良好的效果。(1)干预前后,调查对象对HIV/AIDS传播的相关知识问题的平均得分由6.77分提高到11.17分(P<0.001);调查对象对艾滋病家庭内传播的认识发生显著改变,认为和感染了HIV病毒的配偶生孩子,配偶会将病毒传染给自己和孩子的比例分别由咨询干预前的75.6%、77.4%上升到干预后的84.6%、87.6%(P<0.001)。(2) 干预前后,调查对象对HIV/AIDS相关的歧视和担忧等态度都有明显改善;但调查对象对自己及配偶对HIV/AIDS易感性的预测没有太大的差异(P>0.05)。(3) 调查对象中的64.6%的男性和52.1%的女性有过婚前性行为,其中有12.6%的男性和6.9%的女性承认有多性伴;干预后认为自己不会有婚外性行为及如果和其他人发生性关系会使用安全套的人比干预前明显增多(P<0.001)。(4) 在咨询干预前,72.2%的调查对象认为没有必要进行婚前的HIV病毒检测,咨询后上升为81%(P<0.001);干预后的结果告知意愿也有明显提高。(5) 超过90%以上的调查对象对咨询干预感到满意,满意度主要受HIV/AIDS知识掌握程度及一些主观因素的影响。 结论和建议:我们的干预结果证明单纯性的艾滋病咨询可以作为预防婚内HIV病毒的性传播和垂直传播的重要手段,应该把婚前艾滋病咨询纳入到政府防控艾滋病的规划中去。同时要加强对农村妇女及农村流动人口的健康教育,并逐步推广更多还原

【Abstract】 Objective Based on the HIV/AIDS KABP baseline study on one rural area of Anhui province, a single session of HIV counseling was taken, and its effect was evaluated so as to provide evidence for the government to make HIV/AIDS prevention related policies.Methods The study was conducted at the Center for Certificate Issue where marriage licenses are issued by the County Department of Civil Affairs in Lixin county. Only the license applicants from rural villages were chosen as the study population. Using SPSS statistical analysis software to analyze the study data. Descriptive analysis, T-test, X~2 test, and Logistic regression analysis were the main analysis methods utilized.Result A good outcome has achieved after HIV/AIDS counseling to the new registered couple:(1) An average points of 11.17 was got on the HIV/AIDS transmission knowledge test to the previously 6.77 points after the intervention (p value<0.001); a significant change has happened on the research population’s understanding of inter-family transmission of HIV, the percent of thinking that get married with a HIV carrier will cause the virus transmitted to themselves and children has risen from 75.6 %、77.4 % to now 84.6 % 、 87.6% respectively.(2) The attitude of discrimination and concern towards HIV/AIDS carrier has changed obviously, but the difference of the study population’s prediction of their vulnerability更多还原