艾滋病/性病影响因素及社区与临床干预规程研究
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摘要
目的 探索系统分析艾滋病／性病影响因素的理论模型，并以此模型为基础调查重要而又被忽视的艾滋病／性病影响因素，以及设计、应用并完善两种疾病的社区与临床干预规程与技术。
方法 首先在充分综合现有干预研究与实践的基础上，采用软系统分析方法构建出一个综合分析艾滋病／性病影响因素的理论模型。然后以该理论模型为线索选择依恋模式及性格特征这两大因素进行了较为深入的调查研究，以探讨它们与艾滋病／性病相关知识、态度和行为的关系，调查采用自填式结构化问卷，对象为安徽医科大学的在校本科生的一个整群(以小班为单位)随机样本(共1262人)。再以所提出的理论模型和相关调查为基础，采用理论分析和专家咨询相结合的方法研究制定艾滋病／性病社区干预标准体系与评价量表，并通过函调的方式应用该量表对我国120个县(市)的社区干预工作进行评价。最后以理论模型为指导并综合现有最佳实践，设计能将艾滋病／性病临床治疗与行为干预有效整合为一体的规程与技术，培训医生应用这些规程与技术并评价培训与应用效果。
结果 (1)通过理论模型研究构建了一个BEO概念模型，它是一个可无限细分的层
Objectives This series of studies aims at developing a conceptual framework for understanding determinants of HIV/STI epidemics and using this model to guide identification of potentially important not yet fully researched factors relating to the epidemics and the development and application of standard community and clinical interventions against the diseases.
Methods Firstly, a theoretical model of HIV/STI determinants was constructed using soft-systems thinking based upon comprehensive review of existing researches and intervention practices regarding the diseases. Then, helped by this model, a survey into the relationships between personality and attachment styles and HIV/STI-related knowledge, attitudes and practices (KAP) was carried out among 1262 undergraduate students selected from the then current enrollees of Anhui Medical University via randomized cluster sampling. The survey utilized a self-administered questionnaire consisting of proven personality and attachment inventories and structured questions about HIV/STI-related KAP. Thirdly, a standard protocol for implementing and an inventory for rapid assessment of community-wide responses to HIV/STI were developed under the guidance of the conceptual framework mentioned above and by employing, again, soft-systems thinking. In addition, the evaluation inventory was
方法 首先在充分综合现有干预研究与实践的基础上，采用软系统分析方法构建出一个综合分析艾滋病／性病影响因素的理论模型。然后以该理论模型为线索选择依恋模式及性格特征这两大因素进行了较为深入的调查研究，以探讨它们与艾滋病／性病相关知识、态度和行为的关系，调查采用自填式结构化问卷，对象为安徽医科大学的在校本科生的一个整群(以小班为单位)随机样本(共1262人)。再以所提出的理论模型和相关调查为基础，采用理论分析和专家咨询相结合的方法研究制定艾滋病／性病社区干预标准体系与评价量表，并通过函调的方式应用该量表对我国120个县(市)的社区干预工作进行评价。最后以理论模型为指导并综合现有最佳实践，设计能将艾滋病／性病临床治疗与行为干预有效整合为一体的规程与技术，培训医生应用这些规程与技术并评价培训与应用效果。
结果 (1)通过理论模型研究构建了一个BEO概念模型，它是一个可无限细分的层
Objectives This series of studies aims at developing a conceptual framework for understanding determinants of HIV/STI epidemics and using this model to guide identification of potentially important not yet fully researched factors relating to the epidemics and the development and application of standard community and clinical interventions against the diseases.
Methods Firstly, a theoretical model of HIV/STI determinants was constructed using soft-systems thinking based upon comprehensive review of existing researches and intervention practices regarding the diseases. Then, helped by this model, a survey into the relationships between personality and attachment styles and HIV/STI-related knowledge, attitudes and practices (KAP) was carried out among 1262 undergraduate students selected from the then current enrollees of Anhui Medical University via randomized cluster sampling. The survey utilized a self-administered questionnaire consisting of proven personality and attachment inventories and structured questions about HIV/STI-related KAP. Thirdly, a standard protocol for implementing and an inventory for rapid assessment of community-wide responses to HIV/STI were developed under the guidance of the conceptual framework mentioned above and by employing, again, soft-systems thinking. In addition, the evaluation inventory was
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