| Background: Off-farm workers are one of the floating population and become the infection routes to the spread of AIDS. Among which, the majority of males are more easy to be threatened by the HIV transmission. Their actions are seldom restricted by the conservative concept of the remote rural areas. Now there are several reports indicated that the risk of sexual behavior among the floating population were in rising trend. AIDS and other sexual transmitted diseases may become an enormous impact for the economic development in China as it may threaten most of the people. This topic is aimed at the health education and the health promotion, through the investigation of the awareness of HIV/AIDS among off-farm workers at construction site in Beijing. Find out the extent of awareness of AIDS among the building workers and their basic behavior characteristics, use comprehensive intervention methods so as to prevent the spread of AIDS. It'll play a very important role on it.Objective: To study on health condition and the awareness of HIV/AIDS among off-farm workers at construction sites as well as the correlated factors to develop effective strategy for HIV/AIDS prevention and control.Methods: The target is those off-farm workers which are nonlocal registered permanent residence and live in Beijing for over 6 months, have stable jobs. two construction sites was selected, in the principle of informed consent, we had a field investigation to 371 Off-farm workers, The site survey included the situation of general demographic in migrant workers, the percentage of awareness of HIV and sexual transmitted diseases, and the effective means of getting knowledge for preventing those diseases, and their attitude towards sexual behavior. we had a serological testing for HIV and sexually transmitted infection for those Off-farm workers.Results:1. 371 Off-farm workers, the average age in Beijing is higher than others, so as the proportion of married. They left home long and have low education. The disease they suffered is most those three: cold, dysentery and dermatosis, but most of them are healthy, and no one thinks that the HIV/AIDS is the first hazard in their life. 2. Those people who appeared venereal symptoms would go to the specialized in hospital actively to accept HIV and venereal testing. This is indicates that AIDS should be prevented through propaganda, at least they can aware that they should take safety steps after had sexual touch with those high-risk people. When venereal symptoms appear they can go hospital actively and accept the HIV and venereal testing.3. The knowledge-related about AIDS prevent, the attitude to AIDS and the behaviors shows, although those people who has the understanding of AIDS, and got some knowledge about it. But most of them still seldom know the way of disseminated. Only 63.4% of them know something about it. It is under the level of 70% which was regulated by the State Council "The Planning Action to Inhibit .And Preventing AIDS in China" (2006-2010). In the report it says "our target is that, to 2007 over 70% of floating population should have awareness about AIDS prevention." It shows that now still have a part of crowd who have no knowledge of AIDS prevention and control.4. The result of analysis of social demography characteristic and single factor x~2 of AIDS prevention and control shows that, there are obvious differences among the investigation object by the age and the knowledge of AIDS prevent and control (x~2=14.858, P<0.05) , The multi-factor Logisitic regression analysis result indicated that elevates along with the age, AIDS prevents and controls knowledge knowing rate to reduce (OR=1.759; 95% CI 1.295,2.388) ; A crowd had detected than not venereal diseases, AIDS knowledge about 6.193 reduced (OR=6.193; 95 % CI 0.635,60.406) ;Married than single AIDS knowledge about 0.570 times higher OR=0.570;95%CI 0.396,0.820) . Live together with the immobility of the crowd partner with AIDS knowledge using condoms no significant differences in survival. Sexual orientation and prostitution and AIDS knowledge miss rate was not statistically significant.5. The public media is the main way of getting AIDS knowledge by those construction workers, they hope mostly to get AIDS knowledge is from the broadcast, newspapers, books and free propaganda papers, few people would get from doctor. This result indicates that they hope mostly to get AIDS knowledge in the easiest way..Conclusion: To prevent and control the spread of HIV/AIDS among the Off-farm workers in construction field, has caused social broad attention. Therefore, we should strengthen the education and promotion of AIDS prevention, focusing on construction sites, which has more common misunderstanding, in order to develop and improve the knowledge about HIV/AIDS prevention. |
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