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目的探索依托流出地乡村医生开展外出农民工艾滋病干预模式,为国家制定和落实农民工艾滋病防治相关政策提供依据。方法通过配额连续抽样方法抽取仪陇县柴井乡117名外出农民工,由当地17名乡村医生通过电话、短信、信件等方法开展为期3个月的艾滋病宣传干预,比较干预前后农民工艾滋病相关知识、态度及行为状况,访谈乡村医生对开展该项工作的看法,对该项工作的可行性进行评估。结果外出农民工AIDS相关知识知晓率从干预前的48.7%提高到干预后95.1%,差异有统计学意义(P<0.01);非婚性行为从干预前41.0%下降到到干预后的23.2%,差异有统计学意义(P<0.01);开展干预工作的乡村医生及外出农民工均认同通过电话、短信、信件对外出的农民工开展艾滋病宣传干预的工作模式。结论以流出地乡村医生通过电话、短信等方式开展艾滋病知识宣传及行为干预模式可行有效,能够被干预双方接受。
Objective To explore the mode of HIV / AIDS intervention among rural migrant workers based on the outflowing village doctors and provide evidence for the government to formulate and implement policies on AIDS prevention and control for migrant workers. Methods A total of 117 migrant workers from Chai Township, Yilong County were drawn by quota continuous sampling method, and three rural AIDS practitioners conducted a three-month AIDS intervention by phone, SMS and letters from 17 local doctors. Knowledge, attitude and behavior of rural doctors to interview the views of rural doctors to carry out this work to assess the feasibility of the work. Results The awareness rate of AIDS related knowledge about migrant workers going out migrant workers increased from 48.7% before intervention to 95.1% after intervention, the difference was statistically significant (P <0.01); the rate of non-marital behavior decreased from 41.0% before intervention to 23.2% after intervention (P <0.01). Both rural doctors and migrant workers who took part in the interventions agreed that the work mode of AIDS prevention and intervention for migrant workers going out by phone, SMS and letters was acceptable. Conclusion It is feasible and effective for village physicians in outflow to carry out HIV / AIDS knowledge dissemination and behavioral intervention through telephone and SMS, which can be accepted by both interventions.