Knowledge, Attitude And Related Behavior Investigation And Effect Evaluation About AIDS In Countryside Area In Herbei Province

Objective: Through the investigation and study, understand the knowing rate of relate knowledge about AIDS, the main way of gaining relate knowledge, and existing barrier in the cognition aspect in Hebei Province countryside area; understand the basic situation about AIDS related society/behavior of countryside 'area crowd of countryside 'area; the discrimination reason to the HIV infected person and AIDS patients, enhancing the degree of showing loving concern to the AIDS patients through the way of public education ; receptivity of the HIV infected person, the patient and the family member ,and the reason of no accepting treatment; Find the most effective way and the manner about the health education, provides the basis for the health education strategy of preventing and treating AIDS.Methods:In May 2006 - April 2007 we developed investigation successively two times to 5 global AIDS project counties in Hebei Province. The investigation used the multi-stage random sampling and anonymous questionnaire survey which including the knowledge, attitude and behaviour questions about AIDS. The questionnaire used the way of answering paper independently, providing and collecting by investigators on the spot. Uni-factor analysis and multiple regression analysis were used to explore their influencing factors.Results:We investigated separately 1764 and 1494 the countryside residents, and 466 countryside middle-school students. First time the respond rate respectively of the countryside residents to the sexually transmitting, the blood dissemination, the maternal infant transmission way is 87.24%, 72.62% and 87.53%, the second is 85.48%, 77.31%, 92.03%, compare two investigations, the knowing rate of the peasants in every county to the AIDS transmitting way has statistics significance ,and before and after intervention. Two times investigations the highest knowing rate of several non-dissemination ways is 96.05%, the lowest is 71.77%, achieves the national plan standard. The knowing condition about AIDS prevention and the related knowledge is very irregular between every county, changes is also big before and after the intervention, and the knowing situation around the intervention to AIDS etiology's knowledge is lower than 55%, and before intervention the knowing rate to the vaccine of preventing AIDS and whether AIDS can be cured is respectively 41.97% and 53.33%. After the intervention, all these achieve or to the close national plan standard, respectively is 68.94% and 63.32%. The knowing situation of countryside middle-school students is higher than the common villagers, the knowing rate to the sexual transmission, the blood transmission and the maternal infant transmission is respectively 95.11%, 88.00%, 92.44%. But the knowing rate to the situation that the mosquito biting does not transmit AIDS and there is no prevention AIDS vaccine is low , respectively is 67.56% and 60.44%.People who think whether the AIDS infected person and the patients can start the work, the study and the social activity, and their children may go to school around the intervention surpass 65% before and after intervention; before intervention 59.98% people think that we should not limit the infected person and patient's activity, after the intervention, the rate increases to 70.38%; people who want to communicate with the AIDS infected person or the patients accounts for 62.59% before intervention, and 68.73% after intervention; 81.58% people are willing to help the infected person and give them sympathy before intervention, and 91.89% after intervention.88.34% people are willing to accept the treatment if they infect AIDS, but if the family member infect AIDS , only 29.35% people are willing to advise them to accept the treatment. Between the reasons of accepting treatment, the proportion of people who think that is the same whether cure or not cure is biggest, the next is that they think economic condition does not permit for the cure, finally they are afraid to be known by others. In the aspect of preventing AIDS measure, surpasses half of the countryside resident (54.15%) choose the use condom. The resource that the countryside residents obtain AIDS knowledge is mainly the television, the broadcast, the publicity materials, about 74.03% of all, but understanding through the network does not have nearly. People who choose the way through TV understanding related knowledge are the most, 30.33%, others are in turn participating in the scene propaganda activity, training, looking at the newspaper, the provided special propaganda material, and listening to the broadcast.Conclusion:1 The total knowing rate of the countryside residents and the countryside middle-school students with regard to the 3 main routes of transmission and non- transmission all achieve the national standard, but between various counties the knowing rate is very different, and all lower on knowledge about AIDS etiology, prevention and so on.2 The knowing rate after the intervention is higher than that before, this confirmed that different health education form can enhance the crowd knowing rate to different degree, and have a certain effect to preventing AIDS. But to the different way its intervention effect is different, several effects from good to badly in turn are: broadcasting the multimedia compact discs or the video recording, expert lecture, distributing publicity materials and setting up exhibition plaque.3 Most villagers show loving concern to AIDS infected person and the patients, and willing to help them.4 certainly most people are willing to accept the treatment if they themselves infect AIDS, but if their families infect, only a few will advise them to accept treatment. It is the main effective factor that AIDS can not cure, moreover the cost is very expensive at present.5 Surpasses half of countryside residents choose using condom in sexual behavior, but the proportion is not high.6 At present the source of AIDS knowledge that the countryside residents obtain from is mainly the television, the broadcast, the publicity materials. The propaganda ways that the villagers hoped using are in turn: TV, participating in the scene propaganda activity, training, to looking at the newspaper, special propaganda material, listen to the broadcast.7 The result of Logistic regression model showed that age, marriage, education level, children condition are significant factors affecting the cognition rate.8 According to the findings, propose the following policy suggestion:1)Strengthen the health education, fully understand the harm of AIDS, raise the public safety consciousness; 2) Strengthen the propaganda of AIDS knowledge in the countryside and the special frail crowd; 3) Strengthen the network construction of AIDS propagandize, supply the related information about AIDS promptly for the city and countryside resident; 4) Increase the scientific research investment, implement the project of AIDS intervention; 5) protect the AIDS patient's right fully; 6)Enhance the cooperation mechanism of many departments.