Study Of Comprehensive Control Measures Of AIDS Intervention In Hainan Province, China

Study BackgroundAIDS has spread in 189 countries in the world quickly after it was found in the United States in 1981.In China,220 thousand HIV carriers have been reported up to now, among which 20 thousand have died,and the number of infection estimated has reached 700 thousand.In the past the emphasis of AIDS control in Hainan was put on developed economic and tourism areas such as Haikou and Sanya City.The control measures not only prevented AIDS from transmition in the province but also provided good experience for health education of AIDS prevention.But the AIDS prevention is very weak in the rural areas,especially undeveloped economy,culture and life style areas just like Li Minority villages.So it is imperative to take AIDS control measures fit for Li Minorities because the former methods of AIDS health education could not be effective in this population.Objectives of Study1.To increase the knowledge of AIDS prevention and the rate of condom use of the drug users by health education;to decrease the rate of sharing syringe in drug users by exchange and selling of syringe in the market.2.To explore the measures of AIDS control to sex workers coming from rural areas and cut off the transmittion route of HIV from the source,and understand knowledge level and behavior characteristics of AIDS of floating population in Li Minority areas.3.To explore the tactics of AIDS control in undeveloped rural areas through training village doctors,companion education in the population having active sex activities and teaching knowledge of AIDS prevention in the middle schools.4.To understand the current situation of the knowledge of condom use by investigating the consumption condition of the condom use and promotion information in the hotels of tourism region.5.To establish the system of selling condom in the market and cut off transmittion route of AIDS by sexual activities through spreading the use of condom in the entertainment places.Material and Method1.514 study objectives were mandatory and voluntary drug users stoping drug use in the house of detention and were detected the HIV,HCV,HBsAg and syphilis.2.251 study objectives were floating population aged from 15 to 49 having stayed beyond three months in Qiongzhong County and Wanning City.3.5 villages selected randomly from Qicha Town in Changjiang County and Nanqiao Town in Wanning City respectively were intervented by comprehensive health education of AIDS and STD prevention by training the rural doctors and the middle school students in the study areas.4.100 rooms were observed everyday.Two condoms and two kinds of promotion information were placed per room.5.420 sex workers distributed in the entertainment places of urban areas in Danzhou City were examined for HIV infection.Results1.Vein injection was accounted for 33.85%in the drug use,in which 24.7%sharing syringes.The positive rates of anti-HCV antibody and HBsAg were higher than the oral drug users remarkably.66.51%of the drug users did not use condoms in sexual activities.1 HIV positive was found in the drug users.2.The correct answer rates of AIDS and STD prevention in the villagers were from 6.42%to 84.40%.There were only 10 villagers using condoms in sexual activities, accounting for 9.09%,and 6 persons using condoms in the last month,accounting for 5.46%,and 11 could get condoms conveniently,accounting for 10.00%.3.The correct answer rates of AIDS knowledges of village doctors increased 5.42-63.64 percents after training of the program.The correct answer rates of questions increased 25.63-75.63 percents after training the middle school students of AIDS prevention,in which transmission route and preventive measures of AIDS increased 75.63 and 70.42 percents respectively.4.8000 condoms were put in the hotels.The consumption rate was 19.61%and the use rate was 4.38%.The condom consumption rate per room was 39.23%.5.The infection rates of NG,CT and syphilis of sex workers decreased from 11.03%, 7.58%and 3.57%to 1.27%,0.00%and 1.27%respectively after interventions.No HIV positive was found.The rate of condom use of the sex workers in the last sexual activity increased from 14.25%to 90.45%.Conclusion1.Sharing syringes and sexual activities without using condoms are the mian high risk factors of AIDS infection in drug users.2.Li Minorities are weak population affected by AIDS easily because of lack of knowledges of AIDS prevention.3.Health education of village doctors and middle school students will be long-term measure of AIDS control in Li Minority.4.Placing the condoms and the promotion information in the hotels does protective effects to certain population.5.Popularizing condom use in entertainment places can decrease the rates of AIDS and STD infection.Creative points of the study 1.Firstly using methods of copanion education,exchange and selling of syringe in markets in Hainan Province which can change the former single and uninteresting health education.The method can help drug users to understand harms of drug use and AIDS and to change the high risk behaviours.2.Firstly putting the condoms in the room of hotels to prevent AIDS in Hainan Province.The method can not only prevent AIDS and STD infection effectively but also change incorrect sexual behaviours of Li Minorities.