| Objectives (1)To know about the KAP (knowledge,attitude and practice) of the floating population in Nanjing area about STD/AIDS, and analyze the influencing factors.(2)To compare the effects of difference health education programs on STD/AIDS knowledge among floating population in Nanjing.Methods The subjects including the floating population in three factories,one building site,one university and one farm produce market were selected by cluster sampling. A questionnaire was designed and used to investigate the demological information of floating population and their KAP on STD/AIDS. One factor analysis and multivariant logistic regression were conducted to analyze the influencing factors. On the basis of the prevalence survey, the subjects were divided into 5 groups(4 interventions and 1 control group).The intervention groups were educationed with video, lecture, handbook and integrated intervention. The knowledge levels of each group before and after intervention,and those between groups were compared byχ2 test and GLM.Results (1)The awareness rate of 826 respondents about knowledge of STD was 57.58%. The results of multivariant logistic regression showed that the probability of high awareness rate among female respondents was 0.367 as high as that among male, the probability among higher educational level respondents 1.424 times as high as that among lower educational level respondents, the probability among respondents in their twenties and thirties 1.707 and 3.544 times respectively as high as that among respondents under twenty. No statistical significance was obtained in the awareness rates between people of different marital status.(2)The awareness rate of 826 respondents about knowledge of AIDS was 51.55%, that about aids transmission 83.82%, but that about non-AIDS transmission only 33.26%. The results of multivariant logistic regression showed that the probability of high awareness rate among female respondents was 0.516 as high as that among male, the probability among higher educational level respondents 1.211 times as high as that among lower educational level respondents, the probability among respondents in their twenties and thirties 1.918 and 1.343 times respectively as high as that among respondents under twenty.(3)The correctness rate of respondents about STD/AIDS attitude was 52.28%. 19.67% of respondents used condom while having sex every time and 42.62% used occasionally. Among them, 73.36%, 49.59% and 35.25% used condom respectively to contracept, prevent STD and prevent AIDS.(4)The respondents acquired the information about STD/AIDS through the traditional media such as TV, newspaper and magazine.(5)The awareness rates of video, lecture, handbook and integrated intervention groups about STD knowledge increased by 12.68%, 14.90%, 7.24%, and 12.35% respectively(P < 0.0001). The awareness rates of intervention groups were higher than that of control group(F value: 3.86, 18.29, and 5.66,P<0.05). The awareness rates of lecture,video groups were obviously higher than that of handbook group(F value: 4.20 and 8.19; P<0.05). No statistical significance was obtained in the awareness rate difference between the video and lecture group(F value: 0.57,P>0.05). The awareness rate of integrated group was increased gradually(χ2趋势=16.67,P<0.05).(6)The awareness rates of video, lecture, and handbook intervention groups about AIDS knowledge increased by 11.97%, 17.53%, 9.68% and 13.9% ( P<0.0001) respectively. The awareness rates of intervention groups were higher than that of control group(F value: 6.15, 19.78, and 5.84,P<0.05). The awareness rate of lecture group was higher than those of video and handbook groups(F value: 4.20 and 8.19;P<0.05). No statistical significance was obtained in the awareness rate difference between video and handbook groups(F value: 0.02,P>0.05). The awareness rate of integrated group was increased gradually(χ2趋势=7.02,P<0.05).(7) The correctness rates of video, lecture, and handbook intervention groups about STD and AIDS attitude increased by 7.50%, 10.21%, 9.44%, and 7.61% ( P<0.0001) respectively. No statistical significance was obtained in the correctness rate difference among the intervention groups(P>0.05). The correctness rate of integrated group was increased gradually(χ2趋势=4.73,P<0.05).(8)No statistical significance was obtained in the usage rates of condoms before and after intervention(P>0.05).Conclusion The awareness rate of the floating population in Nanjing area about STD/AIDS knowledge is low. Therefore, health education should be carried out urgently, especially among female and low educational level workers. It is an effective way to improve the knowledge about STD/AIDS among the floating population by lecture-weighted integrated health education. |
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