A Baseline Research Of HIV/AIDS Integrated Intervention Among The Rural Community Population On Border Of Yunnan Province

Objective:To reveal the basic characteristics of the Rural Community Population on Border of Yunnan Province,Meanwhile in order to provide evidence for the establishment of the effective intervention measures which focus the rural community population by analyzing the risk factors of HIV infection among the crowds.Methods:Towards the border rural community population in Yunnan Province, community trial design are implemented by applying stratified sampling,including the PPS(probability-proportional to size,PPS)and SRS(simple random sampling), using the Behavioral Surveillance Surveys(BSS)questionnaire which is combined with the local status.Results:1.The character of the population in the frontier rural community:the average age of the research object is 32.45±8.90 years old,most of them are Han people(58.9%)and Yi people(29.6%),graduate from primary school or below primary school(89.8%),most are married(83.1%)and peasants(93.6%),and their per capita year income is below 1500 Yuan.The crowd who go out for a work are mostly young men(82.5%,47/57),engage in a job from building and factory,the number of the women who go out for a work is less(17.5%,10/57),and most of them engage in service trade.2.Awareness ratio of STD and HIV/AIDS:Only 59.2%have heard STD,the correct answer ratio of the STD symptoms also is low,from 11.7%to 23.3%,and of the STD prevention and therapy are 74.3%and 60.8%respectively. People who have heard STD can not answer the symptoms,prevention and therapy of STD,which reflects that there is a scarcity of knowledge at scope and depth.82.6% have heard HIV/AIDS,the correct answer ratio of HIV transmission ways is from 76.9%to 86.5%,55.8%people have answered HIV transmission ways correctly and entirely.The correct answer ratio of HIV non-transmission ways is from 8.6%to 32.7%,6.0%people have answered HIV non-transmission ways correctly and entirely. Only 3.8%people have answered HIV transmission ways and HIV non-transmission ways correctly and entirely.On the whole,the man's awareness ratio is higher than the woman's,the young's is higher than the older's,the Han people's is higher than Yi people's,the unmarried's is higher than the married's,the higher level culture's is better than the low's,the non-peasant occupation's is higher than the peasant's,the going out for a work's is higher than the non- going out for a work's,the higher income's is better than the low income's.3.The attitude about STD or HIV/AIDS: Towards the people who have infected STD or HIV,the local residents have some stigma attitude.There exists a certain degree of tolerance towards the man's/woman's sex behavior before marriage or extramarital marriage,moreover,man is more tolerated towards the man's/woman's sex behavior before marriage or extramarital than woman.4.Correlated dangerous behaviors:There exist dangerous behaviors about HIV/AIDS,such as sexual behavior before marriage or extramarital,many sex partners,using drugs and man sex with man.The usage of condom with the fixed sex partners is low,but the usage of condom with commercial sex worker/temporary sex partner is higher.Conclusion:1.Economy and traffics fall behind;information is obstructive in the frontier rural community.2.The local residents' culture level is low,their awareness ratio about STD and HIV/AIDS is not high.3.They have stigma attitude to people who infect STD/HIV.4.Meanwhile,the community residents have some dangerous actions also.5.Additionally,population with flowing and backward level of medical treatment,result in HIV spreading among the population.Therefore,according to the characters of the community,making intervention measures which are suitable to the local community,building community support environment,utilizing community resources thoroughly,raising awareness ratio about HIV/AIDS,reducing stigma about HIV/AIDS,improving their health belief,then changing the local residents' dangerous behaviors.