目的:了解武汉市高校低年级学生对艾滋病(AIDS)自愿咨询检测(VCT)服务的认知情况.方法:采用整群抽样的方法,对武汉市13所高校1615名大一、大二学生进行VCT服务认知情况的匿名问卷调查.结果:44.9％的学生知晓VCT服务,54.7％的学生有意愿利用VCT服务.多因素Logistic回归(Wald 向前法)分析显示,知晓VCT服务(OR=1.304)、认为发生不安全性行为后应主动寻求VCT服务(OR=2.630)、认为通过接受免费VCT服务可以知晓自己是否感染AIDS(OR=1.667)的学生VCT服务的利用率更高.认为自身与AIDS距离较近(OR=1.719)的HIV感染风险意识高的学生、男性学生(OR=1.298)以及周围同学接受过VCT服务(OR=2.697)的学生更愿意利用VCT服务.结论:应加强对VCT服务的宣传,提高高校低年级学生VCT服务认知水平和感染HIV的风险意识,转变其对AIDS 的恐惧和歧视心理,提高其HIV检测率.

Objective To analysis HIV/AIDS related knowledge,attitudes,behaviors and influencing factors a mong lower grade college students in Wuhan City,and provide scientific evidence for health education among young students.Methods A self-questionnaire survey was conducted among 908 students who entered college in 2014 and 2015 in 9 colleges by using convenience sampling method.Statistics analysis were performed by chi-square test and logistics regression.Results The HIV/AIDS awareness rate of lower grade college students was 66.1％,66.6％ of them had fear of AIDS,49.1％ of them had lower score of anti-discrimination and compassion,39.1％ of them agreed with premarital sex.The influencing factors of awareness of premarital sex among classmates were gender (OR =1.662),nationality (OR =0.449),love experience (OR =2.224),fear of AIDS (OR =1.707),attitude to premarital sex (OR =3.739).The influencing factors of condom use intention were residence (OR =1.569),HIV/AIDS awareness (OR--0.407),AIDS distance perception (OR =0.630),attitude topremarital sex (OR =0.664).Conclusion The lower grade college students had lower HIV/AIDS awareness rate with a certain degree of discrimination to people living with HIV/AIDS.The students who agreed with premarital sex had lower condom use intentionand more acceptance of existence among classmates,and greater likelihood of AIDS high-risk behavior.It needs to carry out effective interventions integrated sex education and AIDS prevention education for young students.

Objective To evaluate and analyse the effects of 100% condom use program(100%CUP)in Hubei Province,and to bring forward some suggestions for adjustment,so as to provide referential information for the subsequent work.Methods Questionnaire survey was conducted to contrast the sex worker's items of knowledge,attitude and behavior,practice(KABP)before and after the integrated intervention.Results One year after the implementation of 100% CUP,awareness of the knowledge of STD/AIDS prevention increased obviously(χ2>13,P<0.01),and rate of expressing the will of using condoms in future increased from 88.0% to 95.4%(χ2=210.10,P<0.01).The reported rate of condom use at the last commercial sex increased from 68.5% to 83.0%(χ2=315.34,P<0.01)and rate of consistent condom use in every commercial sex during the past month increased from 32.3% to 48.4%(χ2=298.10,P<0.01).The proportion of searching for public health service increased from 38.8% to 42.4%.The number of condoms distributed increased 18.6%.Conclusions The 100% CUP proves to be feasible and effective in Hubei Province.Some pertinent strategies and measures should be brought forward to increase the coverage and effects of 100% CUP.

湖北省自1988年发现首例艾滋病病毒(HIV)感染者,现已进入快速增长期;艾滋病流行涉及面广,累及人群主要为青壮年,具有明显的地域聚集性,正在由重点人群向一般人群扩散,由农村地区向城市地区扩散,累积的大量感染者正在集中发病和死亡.

Objective To know about the knowledge and attitude to AIDS among the female sex workers(FSWs) in entertainment places(EPs) in Hubei Province.Methods The structured questionnaire survey was conducted among the 6052 FSWs from 48 districts located in Hubei province.Results Only 33.7% of the interviewed FSWs knew the correct answers about AIDS knowledge.62.7% knew the three main transmitted ways of AIDS.81.0% of them considered AIDS could be prevented by correct condom use.Condom use rate in commercial sex was low.68.5% FSWs admitted using condoms in latest commercial sex.Only 32.3% used it in every commercial sex during the past month.There existed the knowledge and behavior divided phenomena.FSWs in different characters had varied ways to acquire condoms and attitude of dealing with STD(P<0.001).Conclusion Condom use program in EPs should be implemented to promote FSWs to change their high risk behavior.Health education campaign and intervention work should be carried out through training,outreach and peer education.

为了解武汉市城区居民目前的健康教育状况，采用整群随机抽样的方法抽取了武汉市7城区的7个社区中的610名居民，进行健康知识、健康行为问卷调查。结果为城区居民最喜欢的传播途径是电视，其次是书刊；危害居民健康的主要疾病是高血压、心脑血管疾病及肝炎。文化程度、职业、年龄、婚姻状况、性别、家庭人口数等直接影响健康知识、健康行为。提示：加强社区健康教育与文化教育的相结合等将是今后社区健康教育的重点内容和努力方向。