| Objective The purpose of this study was to take comprehensive intervention measuresbased on labor export network and left-behind children’s homes among male peasantworkers in the poor mountainous areas on the basis of the baseline study of the AIDSrelated knowledge, attitudes, current behavioral situation of them and then to estimatethe intervention effects and to discuss the behavioral intervention mode of preventingAIDS among male migrants the poor mountainous areas.Methods A cluster-sampling method was used to select male peasant workers in twotowns from10towns where have left-behind children’ Homes in Yuexi country ofAnhui Province. A KAP questionnaire was used to collect the data among the malepeasant workers of age between20-59, publicity and education on the interventionsubjects, peer education and other intervention measures were carried out on the basisof the baseline survey, and then survey follow-up and assessment were made. Data wereindependently entered twice using Epi Data software (version3.1). All data wereanalyzed using SPSS11.5(SPSS, Chicago, IL, USA). P-value for statistical significancewas all0.05. Calculate the awareness rate and the scores of knowledge based on thenumbers of the right answers on the questionnaires, analyze the changing situation ofthe awareness rate of AIDS knowledge，the attitude to HIV/AIDS, condom knowledge，high-risk behaviors related to AIDS and condom use of male migrants before and afterthe intervention by means of chi-square test analysis statistical methods.Results85.0%of male peasant workers ever heard of AIDS, and their AIDS related knowledge was mainly got from TV, newspaper, magazine, accounting for38.1%,15.3%and11.1%respectively.85.6%of them would like to receive AIDS relatededucation, TV (30.0%) was the most preferred way to receive AIDS related knowledgeand the propaganda of medical worker (13.1%) and publicity photographs (12.9%) werein second and third place, respectively. The total awareness rate of AIDS knowledgewas64.0%, in which the awareness rates of the basic knowledge, the transmissionroutes, the non-transmission and the prevention knowledge were55.7%、78.0%、43.8%and74.1%, respectively. The correct answer fill rate of the condom related knowledgewas64.3%-84.9%.11.8%of participants reported having premarital sex or sex outsidemarriage and9.6%reported having had multiple sex partners and the use of the condomwas55.1%when they had sex with their multiple sex partners. The male migrantworkers who had premarital or extramarital sex accounted for10.1%, multiple sexpartners accounted for8.7%after the intervention, compared to those beforeintervention, the incidence of high-risk behavior had decreased but the difference wasnot statistically significant. The condom use rate was80%in multiple sexual partnersafter the intervention, compared with the use rate before intervention there wasstatistical significance (χ2=7.703，P=0.008). The rate of those male peasant workers,who used condoms for the last1month, was raised from21.6%to28.6%, and wasstatistically significant (χ2=170.766，P=0.000).Conclusions The knowledge rate of condom and HIV knowledge was limited andsome of male peasant workers in the study sample were engaged in high risk sexualbehavior and most had never used condoms. This study indicated that it was effectiveand practical to carry out health education and behavioral intervention for male peasantworkers in the poor mountainous areas relying on labor export network and left-behindchildren’s Homes. |
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