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目的总结成都市成华区艾滋病高危人群社区健康教育工作方法,并评价其效果。方法立足成华区2007-2014年艾滋病定量监测数据及目标人群定性访谈资料,运用柯氏四级评估模型,评价暗娼(FSW)和吸毒者(DU)2类高危人群的健康教育工作自2009年下沉社区后的效果。结果 FSW、DU人群艾滋病知识知晓率在健康教育工作下沉社区后明显提升,经趋势卡方检验有统计学意义(χ~2=5.409,P<0.05;χ~2=6.459,P<0.05);无保护性行为、共用针具等高危行为改变明显。结论社区结合FSW、DU特点开展有针对性的外展宣传、安全套推广和同伴教育等健康教育工作是可行和有效的。
Objective To summarize the methods of community health education for adults at high risk of HIV / AIDS in Chenghua District, Chengdu City, and to evaluate their effects. Methods Based on the quantitative AIDS surveillance data of 2007-2014 in Chenghua District and the qualitative interview data of target population, we evaluated the health education work of two groups at high risk of FSW and DU from 2009 Shen community after the effect. Results The awareness rate of HIV / AIDS among FSW and DU population was significantly higher after health education subsidence community (χ ~ 2 = 5.409, P <0.05; χ ~ 2 = 6.459, P <0.05) ; Unprotected sex, sharing needles and other high-risk behavior changed significantly. Conclusion It is feasible and effective for the community to carry out health education such as outreach, condom promotion and peer education according to the characteristics of FSW and DU.