南京地区流动人口性病/艾滋病健康教育的干预研究
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摘要
目的(1)了解南京地区流动人口性病/艾滋病知识、态度、行为(KAP)现状及影响因素。(2)对南京地区流动人口进行不同方式的性病/艾滋病知识健康教育干预并比较效果。
方法整群抽取南京地区3家工厂、1个建筑工地、1所高校及1个农贸市场的流动人口,采用自行设计的调查问卷,进行人口学特征、性病/艾滋病KAP方面的问卷调查,了解其掌握水平,通过单因素分析与多元logistic回归分析其影响因素。在现况调查的基础上,将调查对象分为4个干预组和1个对照组,干预组分别采用录像、讲座、手册及复合方式进行健康教育,采用χ2检验、GLM方法比较各干预组干预前后及不同干预组间及对照组间性病/艾滋病知识的知晓率差异。
结果( 1)826名被调查者的性病相关知识知晓率为57.58%,多因素Logistic回归分析显示,女性得高分的比例是男性的0.367倍;文化程度每高一个等级者得高分的比例是低一个等级者的1.424倍;20岁～、30岁～年龄组高分比例分别是<20岁组的1.707、3.544倍;务工1.67年～,2.33年～,3.67年～者的高分比例是<1.67年者的1.901倍,1.453倍,1.911倍;婚姻状况与性病知识得分水平无统计学联系。
(2)被调查者艾滋病相关知识知晓率51.55%。艾滋病的主要传播途径知晓率高达83.82%,但对于非传播途径知晓率为33.26%。多因素Logistic回归分析显示:女性得高分的比例是男性的0.516倍;文化程度每增高一个等级,得高分的比例是低一个等级者的1.211倍;20岁～、30岁～年龄组高分比例分别是<20岁组1.918倍和1.343倍。
(3)被调查者预防性病/艾滋病相关态度正确率为52.28%。19.67%的被调查者每次使用安全套,42.62%偶尔使用,其中,用于避孕、预防性病和艾滋病目的者分别为73.36%、49.59%和35.25%。
(4)被调查者通过电视、报纸、杂志传统媒体获取相关信息。
(5)4个干预组(录像、讲座、手册、复合)干预后性病知识总知晓率较干预前分别上升12.68%、14.90%和7.24%、12.35%(P<0.0001)。录像组、讲座组、手册组性病知识总知晓率均高于对照组(F值分别为13.86、18.29、5.66,P<0.05)。讲座组与录像组的总知晓率显著高于手册组(F值分别为4.20、8.19,P<0.05),录像组与讲座组总知晓率差异无统计学意义(F值0.57,P>0.05)。复合干预组在干预前、单一方式干预后(录像、讲座或手册方式)、复合方式干预后性病知识知晓率分别是63.23%、72.19%、75.84%(χ2趋势=16.67,P<0.05)。
(6)4个干预组(录像、讲座、手册、复合)干预后,艾滋病相关知识总知晓率较干预前分别上升11.97%、17.53%和9.68%、13.9%(P<0.0001)。录像组、讲座组、手册组艾滋病知识知晓率均高于对照组(F值分别为6.15、19.78、5.84,P<0.05)。讲座组知晓率显著高于录像组、手册组(F值分别为7.82、9.37,P<0.05),录像组与手册组的知晓率差异无统计学意义(F值为0.02,P>0.05)。复合干预组在干预前、单一方式干预后(录像、讲座或手册方式)、复合方式干预后总知晓率分别是54.46%、64.18%、68.43%(χ2趋势=7.02,P<0.05)。
(7)4个干预组(录像、讲座、手册、复合)干预后态度正确率较干预前分别上升7.50%和10.21%、9.44%、7.61%(P<0.0001)。录像、讲座、手册三组的态度正确率差异均无统计学意义(P >0.05)。复合干预组在干预前、单一方式干预后(录像、讲座或手册方式)、复合方式干预后预防性病/艾滋病态度正确率分别是52.87%、59.13%、60.48%(χ2趋势= 4.73,P<0.05)。
(8)安全套的使用率各组干预后与干预前相比,干预后各组构成比无差异(P>0.05)。
结论南京地区流动人口中,性病/艾滋病知识较低,女性及低文化层次者更低,需要在流动人口中开展针对性的性病/艾滋病知识健康教育。在流动人口持续开展以讲座为主的多种方式结合的性病/艾滋病知识健康教育,可有效提高其知晓率。
Objectives (1)To know about the KAP (knowledge,attitude and practice) of the floating population in Nanjing area about STD/AIDS, and analyze the influencing factors.(2)To compare the effects of difference health education programs on STD/AIDS knowledge among floating population in Nanjing.
Methods The subjects including the floating population in three factories,one building site,one university and one farm produce market were selected by cluster sampling. A questionnaire was designed and used to investigate the demological information of floating population and their KAP on STD/AIDS. One factor analysis and multivariant logistic regression were conducted to analyze the influencing factors. On the basis of the prevalence survey, the subjects were divided into 5 groups(4 interventions and 1 control group).The intervention groups were educationed with video, lecture, handbook and integrated intervention. The knowledge levels of each group before and after intervention,and those between groups were compared byχ2 test and GLM.
Results (1)The awareness rate of 826 respondents about knowledge of STD was 57.58%. The results of multivariant logistic regression showed that the probability of high awareness rate among female respondents was 0.367 as high as that among male, the probability among higher educational level respondents 1.424 times as high as that among lower educational level respondents, the probability among respondents in their twenties and thirties 1.707 and 3.544 times respectively as high as that among respondents under twenty. No statistical significance was obtained in the awareness rates between people of different marital status.
(2)The awareness rate of 826 respondents about knowledge of AIDS was 51.55%, that about aids transmission 83.82%, but that about non-AIDS transmission only 33.26%. The results of multivariant logistic regression showed that the probability of high awareness rate among female respondents was 0.516 as high as that among male, the probability among higher educational level respondents 1.211 times as high as that among lower educational level respondents, the probability among respondents in their twenties and thirties 1.918 and 1.343 times respectively as high as that among respondents under twenty.
(3)The correctness rate of respondents about STD/AIDS attitude was 52.28%. 19.67% of respondents used condom while having sex every time and 42.62% used occasionally. Among them, 73.36%, 49.59% and 35.25% used condom respectively to contracept, prevent STD and prevent AIDS.
(4)The respondents acquired the information about STD/AIDS through the traditional media such as TV, newspaper and magazine.
(5)The awareness rates of video, lecture, handbook and integrated intervention groups about STD knowledge increased by 12.68%, 14.90%, 7.24%, and 12.35% respectively(P < 0.0001). The awareness rates of intervention groups were higher than that of control group(F value: 3.86, 18.29, and 5.66,P<0.05). The awareness rates of lecture,video groups were obviously higher than that of handbook group(F value: 4.20 and 8.19; P<0.05). No statistical significance was obtained in the awareness rate difference between the video and lecture group(F value: 0.57,P>0.05). The awareness rate of integrated group was increased gradually(χ2趋势=16.67,P<0.05).
(6)The awareness rates of video, lecture, and handbook intervention groups about AIDS knowledge increased by 11.97%, 17.53%, 9.68% and 13.9% ( P<0.0001) respectively. The awareness rates of intervention groups were higher than that of control group(F value: 6.15, 19.78, and 5.84,P<0.05). The awareness rate of lecture group was higher than those of video and handbook groups(F value: 4.20 and 8.19;P<0.05). No statistical significance was obtained in the awareness rate difference between video and handbook groups(F value: 0.02,P>0.05). The awareness rate of integrated group was increased gradually(χ2趋势=7.02,P<0.05).
(7) The correctness rates of video, lecture, and handbook intervention groups about STD and AIDS attitude increased by 7.50%, 10.21%, 9.44%, and 7.61% ( P<0.0001) respectively. No statistical significance was obtained in the correctness rate difference among the intervention groups(P>0.05). The correctness rate of integrated group was increased gradually(χ2趋势=4.73,P<0.05).
(8)No statistical significance was obtained in the usage rates of condoms before and after intervention(P>0.05).
Conclusion The awareness rate of the floating population in Nanjing area about STD/AIDS knowledge is low. Therefore, health education should be carried out urgently, especially among female and low educational level workers. It is an effective way to improve the knowledge about STD/AIDS among the floating population by lecture-weighted integrated health education.
方法整群抽取南京地区3家工厂、1个建筑工地、1所高校及1个农贸市场的流动人口,采用自行设计的调查问卷,进行人口学特征、性病/艾滋病KAP方面的问卷调查,了解其掌握水平,通过单因素分析与多元logistic回归分析其影响因素。在现况调查的基础上,将调查对象分为4个干预组和1个对照组,干预组分别采用录像、讲座、手册及复合方式进行健康教育,采用χ2检验、GLM方法比较各干预组干预前后及不同干预组间及对照组间性病/艾滋病知识的知晓率差异。
结果( 1)826名被调查者的性病相关知识知晓率为57.58%,多因素Logistic回归分析显示,女性得高分的比例是男性的0.367倍;文化程度每高一个等级者得高分的比例是低一个等级者的1.424倍;20岁～、30岁～年龄组高分比例分别是<20岁组的1.707、3.544倍;务工1.67年～,2.33年～,3.67年～者的高分比例是<1.67年者的1.901倍,1.453倍,1.911倍;婚姻状况与性病知识得分水平无统计学联系。
(2)被调查者艾滋病相关知识知晓率51.55%。艾滋病的主要传播途径知晓率高达83.82%,但对于非传播途径知晓率为33.26%。多因素Logistic回归分析显示:女性得高分的比例是男性的0.516倍;文化程度每增高一个等级,得高分的比例是低一个等级者的1.211倍;20岁～、30岁～年龄组高分比例分别是<20岁组1.918倍和1.343倍。
(3)被调查者预防性病/艾滋病相关态度正确率为52.28%。19.67%的被调查者每次使用安全套,42.62%偶尔使用,其中,用于避孕、预防性病和艾滋病目的者分别为73.36%、49.59%和35.25%。
(4)被调查者通过电视、报纸、杂志传统媒体获取相关信息。
(5)4个干预组(录像、讲座、手册、复合)干预后性病知识总知晓率较干预前分别上升12.68%、14.90%和7.24%、12.35%(P<0.0001)。录像组、讲座组、手册组性病知识总知晓率均高于对照组(F值分别为13.86、18.29、5.66,P<0.05)。讲座组与录像组的总知晓率显著高于手册组(F值分别为4.20、8.19,P<0.05),录像组与讲座组总知晓率差异无统计学意义(F值0.57,P>0.05)。复合干预组在干预前、单一方式干预后(录像、讲座或手册方式)、复合方式干预后性病知识知晓率分别是63.23%、72.19%、75.84%(χ2趋势=16.67,P<0.05)。
(6)4个干预组(录像、讲座、手册、复合)干预后,艾滋病相关知识总知晓率较干预前分别上升11.97%、17.53%和9.68%、13.9%(P<0.0001)。录像组、讲座组、手册组艾滋病知识知晓率均高于对照组(F值分别为6.15、19.78、5.84,P<0.05)。讲座组知晓率显著高于录像组、手册组(F值分别为7.82、9.37,P<0.05),录像组与手册组的知晓率差异无统计学意义(F值为0.02,P>0.05)。复合干预组在干预前、单一方式干预后(录像、讲座或手册方式)、复合方式干预后总知晓率分别是54.46%、64.18%、68.43%(χ2趋势=7.02,P<0.05)。
(7)4个干预组(录像、讲座、手册、复合)干预后态度正确率较干预前分别上升7.50%和10.21%、9.44%、7.61%(P<0.0001)。录像、讲座、手册三组的态度正确率差异均无统计学意义(P >0.05)。复合干预组在干预前、单一方式干预后(录像、讲座或手册方式)、复合方式干预后预防性病/艾滋病态度正确率分别是52.87%、59.13%、60.48%(χ2趋势= 4.73,P<0.05)。
(8)安全套的使用率各组干预后与干预前相比,干预后各组构成比无差异(P>0.05)。
结论南京地区流动人口中,性病/艾滋病知识较低,女性及低文化层次者更低,需要在流动人口中开展针对性的性病/艾滋病知识健康教育。在流动人口持续开展以讲座为主的多种方式结合的性病/艾滋病知识健康教育,可有效提高其知晓率。
Objectives (1)To know about the KAP (knowledge,attitude and practice) of the floating population in Nanjing area about STD/AIDS, and analyze the influencing factors.(2)To compare the effects of difference health education programs on STD/AIDS knowledge among floating population in Nanjing.
Methods The subjects including the floating population in three factories,one building site,one university and one farm produce market were selected by cluster sampling. A questionnaire was designed and used to investigate the demological information of floating population and their KAP on STD/AIDS. One factor analysis and multivariant logistic regression were conducted to analyze the influencing factors. On the basis of the prevalence survey, the subjects were divided into 5 groups(4 interventions and 1 control group).The intervention groups were educationed with video, lecture, handbook and integrated intervention. The knowledge levels of each group before and after intervention,and those between groups were compared byχ2 test and GLM.
Results (1)The awareness rate of 826 respondents about knowledge of STD was 57.58%. The results of multivariant logistic regression showed that the probability of high awareness rate among female respondents was 0.367 as high as that among male, the probability among higher educational level respondents 1.424 times as high as that among lower educational level respondents, the probability among respondents in their twenties and thirties 1.707 and 3.544 times respectively as high as that among respondents under twenty. No statistical significance was obtained in the awareness rates between people of different marital status.
(2)The awareness rate of 826 respondents about knowledge of AIDS was 51.55%, that about aids transmission 83.82%, but that about non-AIDS transmission only 33.26%. The results of multivariant logistic regression showed that the probability of high awareness rate among female respondents was 0.516 as high as that among male, the probability among higher educational level respondents 1.211 times as high as that among lower educational level respondents, the probability among respondents in their twenties and thirties 1.918 and 1.343 times respectively as high as that among respondents under twenty.
(3)The correctness rate of respondents about STD/AIDS attitude was 52.28%. 19.67% of respondents used condom while having sex every time and 42.62% used occasionally. Among them, 73.36%, 49.59% and 35.25% used condom respectively to contracept, prevent STD and prevent AIDS.
(4)The respondents acquired the information about STD/AIDS through the traditional media such as TV, newspaper and magazine.
(5)The awareness rates of video, lecture, handbook and integrated intervention groups about STD knowledge increased by 12.68%, 14.90%, 7.24%, and 12.35% respectively(P < 0.0001). The awareness rates of intervention groups were higher than that of control group(F value: 3.86, 18.29, and 5.66,P<0.05). The awareness rates of lecture,video groups were obviously higher than that of handbook group(F value: 4.20 and 8.19; P<0.05). No statistical significance was obtained in the awareness rate difference between the video and lecture group(F value: 0.57,P>0.05). The awareness rate of integrated group was increased gradually(χ2趋势=16.67,P<0.05).
(6)The awareness rates of video, lecture, and handbook intervention groups about AIDS knowledge increased by 11.97%, 17.53%, 9.68% and 13.9% ( P<0.0001) respectively. The awareness rates of intervention groups were higher than that of control group(F value: 6.15, 19.78, and 5.84,P<0.05). The awareness rate of lecture group was higher than those of video and handbook groups(F value: 4.20 and 8.19;P<0.05). No statistical significance was obtained in the awareness rate difference between video and handbook groups(F value: 0.02,P>0.05). The awareness rate of integrated group was increased gradually(χ2趋势=7.02,P<0.05).
(7) The correctness rates of video, lecture, and handbook intervention groups about STD and AIDS attitude increased by 7.50%, 10.21%, 9.44%, and 7.61% ( P<0.0001) respectively. No statistical significance was obtained in the correctness rate difference among the intervention groups(P>0.05). The correctness rate of integrated group was increased gradually(χ2趋势=4.73,P<0.05).
(8)No statistical significance was obtained in the usage rates of condoms before and after intervention(P>0.05).
Conclusion The awareness rate of the floating population in Nanjing area about STD/AIDS knowledge is low. Therefore, health education should be carried out urgently, especially among female and low educational level workers. It is an effective way to improve the knowledge about STD/AIDS among the floating population by lecture-weighted integrated health education.
引文
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[27]Alfred McAlister,Wayne johnson,Carolyn Guenther-rey,et al.Behavioral journalism for HIV prevention:Community newsletters influence risk-related attitudes and behavior[J].Journalism and Mass Communication Quarterly,2000,77(1):143-160
[28]徐缓,贾中华,郭际东,等.采用双向指标评价公众预防艾滋病知识知晓程度[J].中国健康教育,2004,20(3):199-202
[29]葛凤琴.我国流动人口感染性病艾滋病的相关特点及健康教育模式[J].中国健康教育,2007,23(7):544-545
[30]闻明球.太仓市流动人口性病/艾滋病知识、态度和行为调查[J].江苏卫生事业管理,2005,16(86):66-68
[31]杨美霞,李申生,宋小莺,等.上海市徐汇区流动人口AIDS/STD知识态度行为影响因素调查[J].中国艾滋病性病,2006,12(3):228-230
[32]李端,肖丹,闫永平,等.安康市流动人口艾滋病相关知识、态度和行为调查[J].中华疾病控制杂志,2008,12(6):543-545
[33]蔺秀云,方晓义,林丹华,等.北京市农村流动人口的HIV/STD高危性行为和知识分析[J].中国艾滋病性病,2006,12(5):426-428
[34]李承希,董青,赵根明,等.性别对流动人口性病与艾滋病相关知识及态度的影响[J].上海预防医学杂志,2003,15(1):32-33
[29]庞淑兰,尹素凤,关维俊等.200名乡镇企业女工性病艾滋病知识及态度调查.中国妇幼保健,2005.20:2256-2258
[35]石福艳,裴泓波,樊景春.外出务工人员艾滋病知识、态度及影响因素分析[J].中国公共卫生,2008,24(1),5-6
[36]苏炳华等.新药临床试验统计分析进展[M].上海科学技术文献出版社.P50
[37]徐韬,胡俊峰,侯培森.艾滋病健康教育研究进展[J].中国健康教育,2002,18(2):111-114.
[38]高惠璇主编.SAS系统SAS/STAT软件使用手册[M].北京:中国统计出版社.2003,第312-318页.
[39]倪宗瓒.卫生统计学[M].第4版,北京:人民卫生出版社.2001,第62页. [40]黄辉,黄若楠,杨瑞雪,等.广州市外来务工人员艾滋病干预效果评价[J].中国健康教育,2007,23(5):371-373
[41]李小宁,陈连生,陈潇潇,等.流动人口不同方式艾滋病健康教育的效果评价[J].中国健康教育,2006,22(9):650-653
[42]陈潇潇,卫平民,黄明豪,等.流动人口多种艾滋病健康教育方法的干预效果及知识遗忘的研究[J].现代预防医学,2007,34 (2):397-400
[1]吴荣涛.我国艾滋病流行状况和控制策略[J].中国艾滋病性病,2007,13(6): 598-600.
[2]国务院防治艾滋病工作委员会办公室.中国艾滋病防治联合评估报告(2007). http://www.unaids.org.cn/cn/index/map.asp
[3]China Ministry of Health.A joint assessment of HIV/AIDS prevention treatment and care in China[R].2003, Dec.l
[4]曾毅.宣传教育与干预是控制艾滋病流行的主要策略[J].中国健康教育,2003,19(11):846-848
[5]刘树芳,许锐恒,王声涌等.工厂外来女工艾滋病干预前后分析[J].中国公共卫生,2004.20(8):945-946
[6] Ronald Skeldon. Population Mobility and HIV Vulnerability in South East Asia:An Assessment and Analysis[M].UNDP Bangkok SOUth East Asia HIV and Development Project,2000
[7]卫生部.预防艾滋病性病宣传教育原则.卫疾控发[1998]第1号,1998
[8]国务院.中国遏制与防治艾滋病行动计划(2006—2010)http://www.sdpc.gov.cn/fzgh/ghwb/115zxgh/P020070924566987209246.pdf
[9]Chen XS, Yin YP, Liang GJ, et al. Sexually transmitted infections among female sex workers in Yunnan, China[J].AIDS Patient Care and STDS, 2005, 19(12): 853-860
[10] Zhao R, Gao H, Shi X,etc.Sexually transmitted disease / HIV and heterosexual risk among miners in townships of Yunnan Province, China[J]. AIDS Patient Care and STDs. 2005; 19 (12) :848-852.
[11]高建华.当前流动人口艾滋病流行特征和防控建议[J].中国预防医学杂志, 2008,9(5):447-448
[12]Zheng Z, Zhou Y,Zheng L,et al. Sexual behavior and contraceptive use among unmarried,young women migrant workers in five cities in China[J].Reproductive Health Matters,2001,9(17):118-127.
[13]林丹华,方晓义,李晓铭,等.中国流动人口艾滋病问题及预防干预[J].中国艾滋病性病,2005,11(2):158-160.
[14]汤后林,吕繁.桥梁人群在艾滋病病毒传播中的作用[J].中华流行病学杂志, 2007, 28 (2): 192-194.
[15]Li X, Fang X, Lin D, et al. HIV / STD risk behaviors and perceptions among rural-to-urban migrants in China[J]. AIDS Education and Prevention, 2004;16(6):538-556.
[16]张为民,李希如,叶礼奇,等.中国流动人口状况分析[J].经济研究参考,1998,51:2-18.
[17]健仁.我国流动人口的主要特征[J].党建研究,2006(3):58
[18]高建华.当前流动人口艾滋病流行特征和防控建议[J].中国预防医学杂志,2008,5:447-448
[19]刘玉.中国流动人口的时空特征及其发展态势[J].中国人口,2008,18(1):139-144
[20] Hein Mallee.In defense of migration: recent Chinese studies on rural population mobility[J].China Information,1995,10(34):108-140
[21]李荣时.对当前我国流动人口的认识和思考[J].人口研究, 1996, 1: 10-15
[22]朱传耿,顾朝林,张伟,等.中国城市流动人口的特征分析[J].人口学刊, 2001, 2: 3-5
[23]黄润龙.流动人口的数量及其分布特征研究[J].西北人口,2006(2):15-19
[24]武俊青,王瑞平,周颖,等.流动人口艾滋病传播与流行危险因素文献分析综述[J].人口与发展,2008,14(5):105-109
[25]张开金,周玲,梁国钧,等.流动人口性病/艾滋病知识、态度和行为调查[J].中国公共卫生, 2005, 21(7):857-858.
[26]李承希,董青,赵根明.浦东新区流动人口性病/艾滋病知晓现状及影响因素[J].中华预防医学杂志,2003,37(5):324
[27]董青,李承希,赵根明.上海浦东新区流动人口性病/艾滋病知晓现状及影响因素分析[J].复旦学报(医学版),2003,30(4):325-329
[28]许辉,王育斌,宋世震.建筑工人预防艾滋病知识行为调查及健康教育干预研究[J].公共卫生与预防医学,2006,17(5):127-128
[29]周建波,孙业恒,郝加虎,等.铁路工地流动人口艾滋病知识、态度、行为调查[J].中华流行病学杂志,2007,28(6):567-570
[30]李端,肖丹,闫永平,等.安康市流动人口艾滋病相关知识、态度和行为调查[J].中华疾病控制杂志,2008,12(6):543-545
[31]石福艳,裴泓波,樊景春.外出务工人员艾滋病知识、态度及影响因素分析[J].中国公共卫生,2008,24(1):5-6
[32]徐缓.中国流动人口的艾滋病预防和控制,2001,7(6):376-378
[33]虞晨,孙业桓,孙良,等.我国流动人口艾滋病预防干预效果的Meta分析[J].中国循证医学杂志,2008,8(5):322～327
[34]陈潇潇,卫平民,黄明豪,等.流动人口多种艾滋病健康教育方法的干预效果及知识遗忘的研究[J].现代预防医学,2007,34 (2):397-400
[35]李小宁,陈连生,陈潇潇,等.流动人口不同方式艾滋病健康教育的效果评价[J].中国健康教育,2006,22(9):650-65
[36]钟海波.流动人口艾滋病健康教育效果评价[J].实用预防医学,2006,13(1): 108-109
[37]金必辉,钟栗,许毅,等.四川省青年农民预防艾滋病健康教育方法及效果评价研究[J].中国健康教育,1998,14(4):36-39
[2]国务院防治艾滋病工作委员会办公室.中国艾滋病防治联合评估报告(2007). http://www.unaids.org.cn/cn/index/map.asp
[3]China Ministry of Health.A joint assessment of HIV/AIDS prevention treatment and care in China[R].2003, Dec.l
[4]曾毅.宣传教育与干预是控制艾滋病流行的主要策略[J].中国健康教育,2003,19(11):846-848
[5]刘树芳,许锐恒,王声涌等.工厂外来女工艾滋病干预前后分析[J].中国公共卫生,2004.20(8):945-946
[6] Ronald Skeldon. Population Mobility and HIV Vulnerability in South East Asia:An Assessment and Analysis[M].UNDP Bangkok SOUth East Asia HIV and Development Project,2000
[7]卫生部.预防艾滋病性病宣传教育原则.卫疾控发[1998]第1号,1998
[8]国务院.中国遏制与防治艾滋病行动计划(2006—2010)http://www.sdpc.gov.cn/fzgh/ghwb/115zxgh/P020070924566987209246.pdf
[9]Chen XS, Yin YP, Liang GJ, et al. Sexually transmitted infections among female sex workers in Yunnan, China[J].AIDS Patient Care and STDS, 2005, 19(12): 853-860
[10] Zhao R, Gao H, Shi X,etc.Sexually transmitted disease / HIV and heterosexual risk among miners in townships of Yunnan Province, China[J]. AIDS Patient Care and STDs. 2005; 19 (12) :848-852.
[11]高建华.当前流动人口艾滋病流行特征和防控建议[J].中国预防医学杂志, 2008,9(5):447-448
[12]Zheng Z, Zhou Y,Zheng L,et al. Sexual behavior and contraceptive use among unmarried,young women migrant workers in five cities in China[J].Reproductive Health Matters,2001,9(17):118-127.
[13]林丹华,方晓义,李晓铭,等.中国流动人口艾滋病问题及预防干预[J].中国艾滋病性病,2005,11(2):158-160.
[14]汤后林,吕繁.桥梁人群在艾滋病病毒传播中的作用[J].中华流行病学杂志, 2007, 28 (2): 192-194.
[15]Li X, Fang X, Lin D, et al. HIV / STD risk behaviors and perceptions among rural-to-urban migrants in China[J]. AIDS Education and Prevention, 2004;16(6):538-556.
[16]许辉,王育斌,宋世震.建筑工人预防艾滋病知识行为调查及健康教育干预研究[J].公共卫生与预防医学,2006,17(5):127-128
[17]张开金,周玲,梁国钧,等.流动人口性病/艾滋病知识、态度和行为调查[J].中国公共卫生,2005,21(7):857-858
[18]周建波,孙业恒,郝加虎,等.铁路工地流动人口艾滋病知识、态度、行为调查[J].中华流行病学杂志,2007,28(6):567-570
[19]许亚平,沈云良,严丽英,等.浙江省吸毒人群性病/艾滋病健康教育效果分析[J].中国公共卫生,2004,20(3):371-372
[20]万巧琴,李湘萍,肖顺贞,等.吸毒人群艾滋病个体化健康教育效果的评价与分析[J].中国健康教育,2006,22(10):781-783
[21]唐鸿,李大斌,白体君,等.娱乐场所服务小姐性病艾滋病健康教育效果评价[J].川北医学院学报,2003,18(1):75-77
[22]何波,农丽萍,周月姣,等.在性服务小姐中开展预防艾滋病健康教育及安全套使用效果评估[J].广西预防医学,2006,12(1):56-58
[23]虞晨,孙业桓,孙良,等.我国流动人口艾滋病预防干预效果的Meta分析[J].中国循证医学杂志,2008,8(5):322～327
[24]张为民,李希如,叶礼奇,等.中国流动人口状况分析[J].经济研究参考,1998,51:2-18.
[25]周建波,张秀军,孙业桓.中国流动人口性病/艾滋病的流行现状及预防控制[J].国际流行病传染病学杂志, 2006,(33)6:425-429
[26]Christina M Mitchell, Carol E Kaufman. Structure of HIV knowledge, attitudes, and behaviors among American Indian young adults[J].AIDS Education & Prevention, 2002,14(5):401-418.
[27]Alfred McAlister,Wayne johnson,Carolyn Guenther-rey,et al.Behavioral journalism for HIV prevention:Community newsletters influence risk-related attitudes and behavior[J].Journalism and Mass Communication Quarterly,2000,77(1):143-160
[28]徐缓,贾中华,郭际东,等.采用双向指标评价公众预防艾滋病知识知晓程度[J].中国健康教育,2004,20(3):199-202
[29]葛凤琴.我国流动人口感染性病艾滋病的相关特点及健康教育模式[J].中国健康教育,2007,23(7):544-545
[30]闻明球.太仓市流动人口性病/艾滋病知识、态度和行为调查[J].江苏卫生事业管理,2005,16(86):66-68
[31]杨美霞,李申生,宋小莺,等.上海市徐汇区流动人口AIDS/STD知识态度行为影响因素调查[J].中国艾滋病性病,2006,12(3):228-230
[32]李端,肖丹,闫永平,等.安康市流动人口艾滋病相关知识、态度和行为调查[J].中华疾病控制杂志,2008,12(6):543-545
[33]蔺秀云,方晓义,林丹华,等.北京市农村流动人口的HIV/STD高危性行为和知识分析[J].中国艾滋病性病,2006,12(5):426-428
[34]李承希,董青,赵根明,等.性别对流动人口性病与艾滋病相关知识及态度的影响[J].上海预防医学杂志,2003,15(1):32-33
[29]庞淑兰,尹素凤,关维俊等.200名乡镇企业女工性病艾滋病知识及态度调查.中国妇幼保健,2005.20:2256-2258
[35]石福艳,裴泓波,樊景春.外出务工人员艾滋病知识、态度及影响因素分析[J].中国公共卫生,2008,24(1),5-6
[36]苏炳华等.新药临床试验统计分析进展[M].上海科学技术文献出版社.P50
[37]徐韬,胡俊峰,侯培森.艾滋病健康教育研究进展[J].中国健康教育,2002,18(2):111-114.
[38]高惠璇主编.SAS系统SAS/STAT软件使用手册[M].北京:中国统计出版社.2003,第312-318页.
[39]倪宗瓒.卫生统计学[M].第4版,北京:人民卫生出版社.2001,第62页. [40]黄辉,黄若楠,杨瑞雪,等.广州市外来务工人员艾滋病干预效果评价[J].中国健康教育,2007,23(5):371-373
[41]李小宁,陈连生,陈潇潇,等.流动人口不同方式艾滋病健康教育的效果评价[J].中国健康教育,2006,22(9):650-653
[42]陈潇潇,卫平民,黄明豪,等.流动人口多种艾滋病健康教育方法的干预效果及知识遗忘的研究[J].现代预防医学,2007,34 (2):397-400
[1]吴荣涛.我国艾滋病流行状况和控制策略[J].中国艾滋病性病,2007,13(6): 598-600.
[2]国务院防治艾滋病工作委员会办公室.中国艾滋病防治联合评估报告(2007). http://www.unaids.org.cn/cn/index/map.asp
[3]China Ministry of Health.A joint assessment of HIV/AIDS prevention treatment and care in China[R].2003, Dec.l
[4]曾毅.宣传教育与干预是控制艾滋病流行的主要策略[J].中国健康教育,2003,19(11):846-848
[5]刘树芳,许锐恒,王声涌等.工厂外来女工艾滋病干预前后分析[J].中国公共卫生,2004.20(8):945-946
[6] Ronald Skeldon. Population Mobility and HIV Vulnerability in South East Asia:An Assessment and Analysis[M].UNDP Bangkok SOUth East Asia HIV and Development Project,2000
[7]卫生部.预防艾滋病性病宣传教育原则.卫疾控发[1998]第1号,1998
[8]国务院.中国遏制与防治艾滋病行动计划(2006—2010)http://www.sdpc.gov.cn/fzgh/ghwb/115zxgh/P020070924566987209246.pdf
[9]Chen XS, Yin YP, Liang GJ, et al. Sexually transmitted infections among female sex workers in Yunnan, China[J].AIDS Patient Care and STDS, 2005, 19(12): 853-860
[10] Zhao R, Gao H, Shi X,etc.Sexually transmitted disease / HIV and heterosexual risk among miners in townships of Yunnan Province, China[J]. AIDS Patient Care and STDs. 2005; 19 (12) :848-852.
[11]高建华.当前流动人口艾滋病流行特征和防控建议[J].中国预防医学杂志, 2008,9(5):447-448
[12]Zheng Z, Zhou Y,Zheng L,et al. Sexual behavior and contraceptive use among unmarried,young women migrant workers in five cities in China[J].Reproductive Health Matters,2001,9(17):118-127.
[13]林丹华,方晓义,李晓铭,等.中国流动人口艾滋病问题及预防干预[J].中国艾滋病性病,2005,11(2):158-160.
[14]汤后林,吕繁.桥梁人群在艾滋病病毒传播中的作用[J].中华流行病学杂志, 2007, 28 (2): 192-194.
[15]Li X, Fang X, Lin D, et al. HIV / STD risk behaviors and perceptions among rural-to-urban migrants in China[J]. AIDS Education and Prevention, 2004;16(6):538-556.
[16]张为民,李希如,叶礼奇,等.中国流动人口状况分析[J].经济研究参考,1998,51:2-18.
[17]健仁.我国流动人口的主要特征[J].党建研究,2006(3):58
[18]高建华.当前流动人口艾滋病流行特征和防控建议[J].中国预防医学杂志,2008,5:447-448
[19]刘玉.中国流动人口的时空特征及其发展态势[J].中国人口,2008,18(1):139-144
[20] Hein Mallee.In defense of migration: recent Chinese studies on rural population mobility[J].China Information,1995,10(34):108-140
[21]李荣时.对当前我国流动人口的认识和思考[J].人口研究, 1996, 1: 10-15
[22]朱传耿,顾朝林,张伟,等.中国城市流动人口的特征分析[J].人口学刊, 2001, 2: 3-5
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