The Study On HIV/AIDS Intervention Among Mobile Female Factory Workers And Qualitative Methods In HIV/AIDS Intervention

Objective To study the HIV/AIDS knowledge, attitudes, and practices (KAP) among mobile female factory workers , and explore the pilot HIV/AIDS education mode for mobile factory women and qualitative methods in HIV/AIDS intervention. Methods A cluster sampling was applied to select 2 light industrial factories as intervention group and and 2 factories as control group in Guangdong province, China. A series synthesis HIV/AIDS education measures were launched - including booklets, educational posters, flip charts, picture exhibition, videos, lecture - and subsequently evaluating the effects of prevention.In-depth interview was conducted before the intervention and anonymous structured questionnaire survey was conducted before and after the intervention. Focus group discussion was conducted in process evaluation. Results1. In-depth interview resultsTwenty in-depth interview were conducted. The participants expressed a very strong sense of shift from traditional to modem, and under the influnce of peer, premarital sex was popular. The main source female factory workers got information was magazines, no one discussioned it with peer.2. Quantum resultsAIDS knowledge increased remarkably and the attitudes towards HIV positive person changed after intervention. The correct rate to "Use condom correctly for sex can prevent HIV/AIDS" improved from 26.4% to 77.8%, to "Wash genitals after sexual intercourse can't prevent HIV/AIDS" improved from 24.1% to 52.1 %.67.80% of married women and 25.43% of single women reported premarital sex but only 25% had used a condom at their first time. Of the 189 who were sexually active 32.28% reported more then two sex partners, 11.63% reported non regular sexpartner, 5.29%reported One-night stando 13.83% planned to use condom in the future before the intervention and 36.68% after the intervention. 14.97% usually have a condom before the intervention and 27.63 % after the intervention. Conclusion1.The study showed that mobile female factory workers had no basic knowledge about HIV/AIDS. The sexual attitude was open. Premarital sex , extramarital sex , non-regular sex existed and condom usage was low. Mobile female worker were frail to HIV/AIDS. So it is urgently need to conduct the health education of HIV/AIDS in female factory workers -including improving the knowledge about HIV, engaging condom usage, risk behaviors reduction -to improve the consciousness and ability to protect themselves from the disease, and prevent the spread of HIV among them.2. The synthesis HIV/AIDS intervention mode for mobile female factory workers was effective and should be generalized. Booklets, flip charts and picture exhibition were suitable for the factory workers, videos and lecture was populor but it needed to collect the workers and take the time of production, so it has some difficult to consult.3. Qualitative research played an important role in the HIV intervention. In-depth interview was used to explore the social cultural characteristics associated with sexual attitude and lifestyles, and explane the quantum findings in order to tailor prevention messages accordingly.Focus group discussion played an important role in process evaluation. It was conducted to understand the details of paticipation in the education activities, the factors that influnce the participation, the suggestions of female workers about the education contents and measures. Then adjusted the intervention measures, frequency, strength accordingly to make the intervention more effective .