Investigation On Floating Population' AIDS Related Knowledge, Attitude And Behavior In County Towns In Hebei Province And Evaluation On Effect Of The Comprehensive Control Measures

Objective: To understand present situation of floating population'AIDS related knowledge, attitude, practice in county town in Hebei province. To analyze the factors which affect the floating population'AIDS knowledge rate in county towns. To evaluate the effect of comprehensive control measures for AIDS prevent and control in floating population so as to provide theoretical basis for AIDS control in county towns'floating population.Methods: Construction workers and miners, which were representative in county towns'floating population in Hebei province, were selected as investigation object. Construction sites and mining areas which exist more than 3 months were selected randomly in county towns as investigation places. Floating population in investigation places were intervened by comprehensive control measures for 3 months. The effect of comprehensive control measures were evaluated by self control before and after the intervention. The forms of intervention contains publicity materials, picture poster, column of advertisement, special lectures, peer-education propaganda and so on.Questionnaires were used to collect the information of floating population'sociological characteristics and AIDS related knowledge, attitude and behavior in county towns.Results:1 the results of baseline survey1361 construction workers and 545 miners were investigated. The investigators'ages were mainly between 20 and 40. The educational level was low. 74.5% of the construction workers and 85.5% of the miners were under junior middle school levels. 82.0% of the construction workers'and 78.5% of the miners'salary were between 1000 and 2000. The average correcting rate of AIDS transmission route in construction workers was 66.1%; the average correcting rate of non-transmission route was 56.8%; The average correcting rate of AIDS general commonsense was 51.9%. The average correcting rate of AIDS transmission route in miners was 64.9%; the average correcting rate of non-transmission route was 63.3%; the average correcting rate of AIDS general commonsense was 59.4%. The AIDS knowledge rate in construction workers was 49.7% so as 61.5% in miners. Educational level was related to the AIDS knowledge rate. TV, broadcast, papers and books were the main ways which the construction workers got AIDS knowledge. TV, broadcast, publicity materials were the main ways which the miners got AIDS knowledge. publicity materials, peer communication, special lectures, picture poster and column of advertisement were the ways which the two groups like best.The AIDS discrimination rate in construction workers was 72.1%, and the rate in miners was 69.5%. 62.4% of the construction workers and 69.6% of the miners considered isolation management to AIDS patients and infected individuals. 30.1% of the construction workers and 21.6% of the miners considered that the AIDS patients and infected individuals were retribution. 30.1% of the construction workers and 36.7% of the miners considered that they would break off or reduce communication with their acquaintances if they infected AIDS.The rates of having sexual intercourse with commercial sex workers in the last 3 months were 15.2% and 7.7%. The rates of condom use in the last time of having sexual intercourse with commercial sex workers were 50.7% and 64.3%.2 evaluation on the effect of comprehensive control measuresThe rate of AIDS knowledge rate was 84.6% in construction workers and 87.1% in miners after intervention. There were statistic significant before and after intervention in all of the 15 questions. TV, publicity materials, picture poster and column of advertisement were the main ways which the floating population got AIDS knowledge after intervention. The AIDS discrimination rate in construction workers was 52.8% after intervention, and the rate in miners was 31.6%. The rates of people considered isolation management to AIDS patients and infected individuals decreased by 36.4% in construction workers and 59% in miners. The rates of people considered that the AIDS patients and infected individuals were retribution decreased by 26.5% in construction workers and 10.6% in miners. The rates of people considered that they would break off or reduce communication with their acquaintances if they infected AIDS decreased by 33.7% in construction workers and 11.8% in miners.The rates of people who had sexual intercourse with commercial sex workers in the last 3 months decreased by 7.9% in construction workers and 2.7% in miners. The rates of condom use in the last time when they had sexual intercourse with commercial sex workers increased by 29.9% in commercial sex workers and 27 in miners.Conclusion:1 The main educational level of the floating population(construction workers and miners) in county towns was junior middle school level. The ages were larger and the rate of married was higher than some big or middle cities.2 The average correcting rate of AIDS transmission route is higher than the rate of non-transmission route. People knew the knowledge about AIDS prevention least. Occupation and educational level were the main effects which affect the AIDS knowledge rate. Mass media was the main way they got AIDS knowledge.3 Because of the misunderstanding of AIDS in floating population, they had serious discrimination to AIDS patients and infected individuals, which affected the AIDS control and prevention.4 The rate of having commercial sexual behavior in construction workers was higher than in miners. The rate is higher than the floating population in big and middle cities. People have some self-protection consciousness. More than 50% of the objects used condoms when they had high risk sexual behavior. But there's a big gap with the requirement of"100% condom use" project.5 The floating population'AIDS knowledge rate increased through the comprehensive control measures. But the questions whose correcting rate were low before intervention were still low after intervention. Short-term intervention was hard to change some erroneous cognition absolutely.6 The rate of floating population who got AIDS knowledge through publicity materials, picture poster,column of advertisement,peer education had risen. Comprehensive control measures in the population through a variety of ways to promote the role of AIDS knowledge had been reflected. How to expand the sphere of influence is the next focus of the study.7 The population's attitude to AIDS had undergone positive changes after the intervention. Discrimination had been weakened. But there were still some concerns and fears.8 The implementation of comprehensive control measures can reduce the incidence of commercial sex behavior among the crowd, prompting people to use condoms when high-risk behavior occurs. It had no effect when the floating population had sexual behaviors with their fixed sexual partners. After the intervention, the incidence rate of high-risk behavior in county towns'floating construction workers was still higher than the similar populations in big cities. The comprehensive control measures must be long-tern and sustainability.