A Study Of Knowledge, Attitudes, Practice And Intervention Effect For Out-of School Yonth In County Of Aids Endemic Areas

Background:The trend of AIDS(Acquired Immunodeficiency Syndrome) has spread into the rural-urban, high-risk groups to the general population from the spread of rapid growth.For the out-of-school youth in a county in AIDS epidemic area, high risk of HIV infection, AIDS is also the bridge population that spread out from the endemic areas,.So far, health education and behavioral intervention is the only "vaccine" curb HIV (human immunodeficiency virus) infection in the current.In this study, survey the AIDS KAP (Knowledge, Attitude, Practice) and the influencing factors on the out-of-school youth in a county in AIDS epidemic area, is based on the Sixth Round of Global Fund China AIDS Project in Henan,and carried out Interventions to the target population, to compared the intervention.Objective:Understanding the AIDS KAP (Knowledge, Attitude, Practice) and the influencing factors of the out-of-school youth in a county in AIDS epidemic area,; to compared the intervention. For the development of AIDS prevention and provide basis comprehensive intervention model out-of-school youth in a county in AIDS epidemic area.Method:Find the aged 15-24, living in the county's unemployed youth and the county for a particular job in less than one year for the baseline survey in kaifeng city. According to the case of the baseline survey, carry out health promotion,including flyers and posters , one to one health education, peer education, expert knowledge of AIDS prevention counseling intervention.to the target population . After the intervention attended at least one activity of the target population for the terminal survey. Awareness of AIDS cases and the percentile scores; frequency analysis, weighted analysis, Logistic regression analysis and chi-square test were used to analyze the Knowledge changes before and after intervention about AIDS among out-of-school children, Discussion basic situation and the intervention effect for the AIDS knowledge, attitude and behavior of out-of-school children in the county of AIDS endemic areas.ResultsIn:In the county of AIDS epidemic, 187 out-of-school adolescents AIDS percentile composite score of 60 points or less accounted for 34.2%; 60 to 80 accounted for 35.8%; 80 or above accounted for 27.2%. Score accounted for 2.7%; The top three sources of AIDS knowledge for out-of-school followed by television, newspapers, magazines and networks, want of knowledge of AIDS followed by television channels, networks and newspapers.3.7% of out-of-school youth, "If relatives have AIDS " will be his "acquaintance", 24.6% of people choose "avoid as far as possible", 71.7% of young people will "take the initiative to help "; 8.6% of youth, "a friend or If students have AIDS "will be his" acquaintance ", 16.0% of young people choose " avoid as far as possible ", 75.4% of young people will " take the initiative to help. "Unmarried young people are not able to get condoms outside the top three reasons are: First, sorry to buy (41.9%); second, no nearby (38.7%); the third time is not convenient (29.0%).Unmarried young people to use condoms outside of the mesh, 83.8% of the people "in order to contraception "; 27.0% of the people "in order to prevent sexually transmitted diseases or AIDS "; 24.3% of the people "to try fresh. "108 answers between reproductive health of women and the spread of AIDS in youth, 38.0% of women that are related, 62.2% thought that there is no relationship or do not know.The health of out-of-school children need to learn knowledge on a weighted total score in the order of: first, a healthy lifestyle and behavior; second, basic knowledge of AIDS; and third, prevention and treatment of common diseases.Both accepted and acceptable baseline survey of school children surveyed terminal AIDS knowledge composite score percentile composite score percentile terminal survey average of 31.0 points higher than the baseline survey; scores between the standard deviation of 25.6 points; score standard error of the mean difference is 3.8.relatives of AIDS treatment may have to change the attitude to the evil 6.5%; goodness change 26.1%; attitude does not change accounts for 67.4%.Both the baseline survey also accept the terminal to accept investigators, treatment of AIDS may have relatives, friends or classmates have a positive attitude to improve.Accepts both the baseline survey also investigated the sexual partners receiving terminal is not "0" for 10 young people before and after the intervention activities, "occasional use" situation of condoms from 70% to 40%; "regular use" condoms cases increased from 20% to 40%; "each time with" the case of condoms increased from 10% to 20%. Conclusion:The out-of-school youth in county in AIDS endemic areas, the low level of AIDS knowledge; discrimination against AIDS patients; widespread acts of multiple sexual partners, low condom use sex.Strengthen the propaganda of AIDS knowledge, increase publicity frequency; strengthen the publicity of AIDS non-transmission;Interventions to AIDS knowledge, attitude and behavior effect is obvious to the out-of-school youth in county in AIDS endemic areas.Establish an effective multi-sectoral collaboration and community participation mechanisms for AIDS education; the frequency of interventions, coverage and diversity of forms of intervention is to improve the effectiveness of the important factors.