摘要
目的综合评价我国流动人口艾滋病预防干预效果,为在流动人口中进行艾滋病预防干预提供依据。方法计算机检索中国生物医学文献光盘数据库(CBM)、万方数据库、维普数据库(VIP)、PubMed,并结合文献追溯的方法,收集1997～2006年在国内外公开发表的关于中国流动人口艾滋病预防干预研究的文献。文献研究类型为自身前后对照的干预性研究,干预手段为健康教育。使用RevMan4.2软件,选择艾滋病传播知识、预防知识和对艾滋病人态度三个方面的各一个指标进行Meta分析。用RD作为效应指标,对纳入研究进行一致性检验后,采取固定效应模型或随机效应模型进行综合定量分析。结果干预后,研究对象对"艾滋病是否由性传播"、"正确使用安全套是否能预防艾滋病"的知晓率和"对艾滋病人和一般人一样"的态度转变率,分别提高了16%(0.10,0.22)、22%(0.17,0.28)和19%(0.13,0.25)。结论在中国,对流动人口进行艾滋病健康教育能收到较好的预防效果。
Objective To evaluate the effect of a health education for preventing HIV/AIDS in floating population. Methods A computerized literature search was carried out in PubMed, CBM （Chinese Biomedical Database）, CNKI （Chinese National Knowledge Infrastructure）, Wanfang （Chinese） and VIP （Chinese） databases to collect articles published between 1996 and 2006 concerning the effect of a HIV/AIDS education intervention in floating population. We also checked the reference lists of relevant articles. The study type was self-control intervention study. Meta-analyses were performed to assess 3 outcomes of the intervention, i.e. knowledge about HIV transmission, means of prevention and attitudes towards HIV/AIDS patients. Fixed and random effect models were employed to combine results after a heterogeneity test, with rate difference （RD） used as the indicator of intervention effect. Results The analysis showed that the RD for knowing the sexual transmission route of HIV, the RD for knowing the effect of condoms for HIV prevention, and the RD for changing attitudes towards HIV/AIDS patients, i.e. treating them as ordinary people, were increased by 16% （0.10, 0.22）, 22% （0.17, 0.28） and 19% （0.13, 0.25）, respectively. Conclusion Health education for preventing HIV/AIDS is effective in changing knowledge and attitudes in floating population.
出处
《中国循证医学杂志》
CSCD
2008年第5期322-327,共6页
Chinese Journal of Evidence-based Medicine
基金
全球基金中国艾滋病项目
项目编号2006-ZY-23
