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Health Education and Effect Evaluation of HIV Sexually Transmitted Blocking in Villages with High Prevalence Rate of AIDS

Author: ZhaoXiangMei
Tutor: ZhangWeiDong
School: Zhengzhou University
Course: Epidemiology and Biostatistics,
Keywords: AIDS Health Education Sexually transmitted block Condoms
CLC: R193
Type: Master's thesis
Year: 2009
Downloads: 31
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Abstract

Introduction about 1995 in Henan, Anhui, Shanxi, Shaanxi, Hubei and other paid blood donors in central China, especially in the the apheresis plasma of blood donors detected in HIV-infected persons. 2004, in order to fully grasp the AIDS epidemic, the history of paid blood donors in Henan Province to carry out the census, more accurate identification of the AIDS epidemic in the province. Since the first reported in 1995 in rural Henan Province in blood donors infected with HIV since the rapid increase in the number of people living with HIV in Henan Province. However, with the 1997 Government to take tough measures such as administrative intervention to close the illegal blood banks prohibit single plasma blood; 1998 through the \screening, and thereafter, the blood donation or transfusion-transmitted HIV is no longer the main way of HIV transmission by blood-borne HIV virus has been effectively controlled. In the new form, the main route of transmission of HIV in Henan Province has undergone great changes. The existence of a large village in the high incidence of blood-borne AIDS AIDS source of infection will spread further to the village, outside the village, mainly through sexual transmission. In order to understand the blood-borne AIDS in Henan Province high incidence of status of Village sexually transmitted blocked, targeted health education and HIV transmission-blocking high-risk behavior intervention, the intervention in a rural area in Henan Province, to explore the crowd AIDS health education, as well as the best form of health education should be taken and means for AIDS prevention and control work carried out in the crowd further basic materials, to better control the spread of HIV. Materials and Methods 1. Study: Shangcai County of all HIV-positive rate greater than 10% of the village are numbered using a simple random sampling method to extract the 13 villages as the implementation of the scene. The selected village Married target population. After the baseline survey on the study coordinator assistance and education and group discussion guided mode increases health education, two months after the study intervention survey. 3 survey data to test using x, t test, and logistic regression analysis and other methods for statistical analysis. Results 1. General: a baseline survey's target of 1755 people, including 574 men, 1181 women, mean age (42.32 ± 9.27) years; intervention the effect survey's target of 1733 people, including 565 men, 1168 women, mean age (42.36 ± 9.26) years. Detection before 2.HIV intervention rate was 93.3% to 99.1% after the intervention, the difference was statistically significant. Couple before and after the intervention HIV1 Yin Yang larger proportion, before the intervention was 43.3%, 40.1% after the intervention were higher than the double negative, the Shuangyang couple. Before and after the intervention to 30-year-old age group were the highest HIV-positive rate of 37.4% and 37.1%, respectively. Intervention before a yin yang couple of 640 cases, 658 cases after the intervention, the age distribution on both the 30 - year-old up to 39.1% before the intervention, after the intervention of 37.5%, education level do not attend school and primary school accounted for 67.7% and 68.8%, marital status in the first marriage constitute than the maximum, 94.7% and 94.1%, respectively. 5.1 yin yang couple before the intervention condom each time with a rate of 67.1% after the intervention per-use rate of 77.7%, the difference was statistically significant (x 2 = 17.22, P <0.05). 6 under the age of 50 in a yin yang couple condom use is relatively high, and intervention before and after the difference was statistically significant (x 2 = 7.00, P <0.05). (7) before and after the intervention primary school education and do not attend school and junior high school and junior high school or more cultural level of condom use differences were statistically significant (x ~~ 2 = 10.27, P <0.05 and) x 2 = 11.77, P <0.05). Univariate and multivariate logistic regression analysis: the results of single factor: gender, their own AIDS yin and yang and yin and yang of the spouse AIDS OR value is less than 1, respectively 0.66,0.23,0.50 these three factors are protective factors, the education OR value is greater than 1, the risk factors; by multivariate unconditional logistic regression analysis to control for possible confounders, the results showed that age, education level, their own AIDS yin and yang and the spouse AIDS yin and yang and condom use . 9.HIV route of transmission: eat together with HIV patients, to occur sexual relations, but full use of condoms and HIV patients, shaking hands with HIV patients will not spread HIV, significant changes in the rate of correct answers before and after the intervention, after the intervention of the correct rate significantly improve, the differences were statistically significant. 10 The intervention specifically for post-exposure prevention of health education, the first post-exposure prophylaxis education in the region, 641 people know the meaning of post-exposure prophylaxis after the intervention, the awareness rate was 37.0%, after exposure is known to find which unit 1139 consultation, awareness of 65.7%, the know after exposure Tel or know where I can get 895 people, the awareness rate was 51.6%. The conclusion of this study health education model as compared to the other modes more systematic, more effective, more efficient, and have achieved a significant effect. 2 The health education model has effectively improved the Yin Yang couples used condoms. In future work should be conducted to condom promotion efforts to increase condom use. Study but also improve the understanding of AIDS from the ultimate goal, but there is still a certain gap. Intervention crowd is not enough to understand the meaning of post-exposure prophylaxis and measures to be taken.

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