摘要： 目的 分析第三轮中国全球基金艾滋病(AIDS)项目宣传干预效果。 方法 调查分析各人群艾滋病知识知晓率及重点人群安全套的使用状况。 结果 通过项目执行,项目地区中学生、城乡居民HIV感染者或AIDS病人(PLWHA)和女性性服务者(FSW)的艾滋病知识知晓率分别由2004年底的13.25%,23.4%,45.82%和13.84%分别上升到2006年底的45.70%,44.91%,69.39%和48.00%(P＜0.001)。PLWHA的安全套使用率从2004年的39.8%上升到2006年的82.90%,FSW的安全套使用率维持在75%以上水平。 结论 通过项目的推动,项目地区各人群的知晓率明显提高,重点人群的行为得到改变;但在很高的服务覆盖下,各人群仍有50%以上的人不了解艾滋病经性传播知识,重点人群安全套的使用率仍需进一步提高,因此需要针对人群特点调整宣传干预方法及策略以提高效果。

Abstract: Objective To evaluate the effectiveness of health Promotion and intervention in China Global Fund AIDS program Round 3 counties. Methods Cluster random sampling inrestigation on HIV/AIDS related knowledge and condom use was conducted among mass population and most-at-high-risk population with the same methods used at the end of 2004,2005 and 2006. Results From 2004 to 2006,the percentage of middle school students,residents,PL WHA and FSW who both correctly identify ways of preventing the sexual transmission of HIV and reject major misconceptions abouth HIV transmission increased significantly from 13.25%,23.4%,45.82% and 13.84% to 45.70%,44.91%,69.39% and 48.00% respectively(P＜0.001).Percentage of PL WHA who using condoms consistently with a HIV negative partner in last 3 months increased dramatically from 39.8% to 82.9%(P＜0.001).Percentage of SWs who reported using condom with their most recent client of those surveyed having sex with and client in the last 12 months remained over 75%. Conclusion Although awareness of HIV/AIDS prevention among target population and condom use among PL WHA and SWs increased through campaign of health promotion and intervention in program counties,there are still more than half of target population who can't correctly identify ways of preventing the sexual transmission of HIV and reject major misconceptions abouth HIV transmission and condom use among PL WHA and FSW needs to be increased.Further health promotion and intervention campaign should be oriented to the needs of different target populations in program counties.