摘要
目的 探讨基于达标理论的跟进教育对男男性行为者(MSM)关于人类免疫缺陷病毒(HIV)预防的干预效果。方法 将476名MSM随机分为试验组与对照组,分别给予常规健康教育、基于达标理论的跟进教育。采用χ^(2)检验比较HIV预防健康认知及行为特征。结果 干预3个月,试验组总体知晓改善率(28.57%)较对照组(19.75%)高(χ^(2)=5.056,P<0.05);干预结束后6个月,试验组近6个月每次肛交安全套使用、近6个月每次阴道交安全套使用、最近一次肛交安全套使用、最近一次阴道交安全套使用、从未通过交友软件寻找性伴侣、近6个月无商业性服务、近6个月未与3个以上男性伴侣发生性行为的改善率分别为57.32%、46.58%、45.12%、47.95%、32.31%、3.93%和15.28%,均高于对照组的41.03%、27.54%、32.05%、30.43%、23.32%、0.45%和6.73%,差异均有统计学意义(χ^(2)分别为8.489、5.497、5.755、4.554、4.548、4.823、8.409,P均<0.05)。结论 基于达标理论的跟进教育可有效改善MSM对HIV的预防健康认知与行为。
Objective To explore the effect of follow-up HIV prevention education among men who have sex with men(MSM)based on theory of goal attainment.Methods A total of 476 MSM were randomly divided into experimental group and control group,and they were received routine health education and follow-up education based on theory of goal attainment respectively.Their health cognition and behaviors of HIV prevention were compared by using X?test.Results Afterthe intervention for 3 months,the overall improvement rate of awareness in the experimental group(28.57%)was higher than that in the control group(19.75%)(X2=5.056,P<0.05).After 6 months of intervention terminal,the improvement rates of consistent use of condoms when anal sex in the recent 6 months,consistent use of condoms when vaginal sex in the recent 6 months,condom use in the last anal sex,condom use in the last vaginal sex,never looking for sexual partners through dating software,non-commercial sexual behavior in the recent 6 months and never having sex with more than 3 male partners in the recent 6 months in the experimental group(57.32%,46.58%,45.12%,47.95%,32.31%,3.93%and 15.28%respectively)were higher than those in the control group(41.03%,27.54%,32.05%,30.43%,23.32%,0.45%and 6.73%),and the differences were statistically significant(x2 values were 8.489,5.497,5.755,4.554,4.548,4.823 and 8.409 respectively,all P<0.05).Conclusions The follow-up HIV prevention education based on theory of goal attainment could effectively improve MSM's awareness of HIV prevention and health and behaviors.
作者
路艳
霍军丽
刘甜
LU Yan;HUO Junli;LIU Tian(The First Affiliated Hospital of Air Force Military Medical University,Xi'an 710032,China)
出处
《首都公共卫生》
2023年第5期279-282,共4页
Capital Journal of Public Health
关键词
达标理论
跟进教育
男男性行为者
健康认知
行为特征
Theory of goal attainment
Follow-up education
Men who have sex with men
Health cognition
Behavior
