合肥市集贸市场摊贩性病艾滋病干预研究及政策建议-社会医学与卫生事业管理专业论文.docxVIP

安徽医科大学硕士学位论文Studies 安徽医科大学硕士学位论文 Studies on STD，AIDS Intervention among Market Vendors in Hefei and Policy Suggestion Abstract Background Sexually transmitted disease(STD)has rapidly increased in China in recent decades．However,few studies were carried out to investigate the STD／AIDS knowledge，attitude and practice(KAP)in the population working in congregating trading markets(CTMs)． objeetive Based on the KAP of STD／AIDS and STD incidence among the market vendors，a series of targeted interventions were carried out and evaluated．A mode of STD／AIDS interventions suitable for the market vendors Was explored． Methods Three CTMs and their surrounding 10 private clinics in Hefei city was chose as intervention fields，and a series of comprehensive interventions was used to the market vendors who aged between l 8—64 and own a stall：health education targeted to the lacking of HIV／AIDS knowledge of general market vendors，STD medical service marketing targeted to those market vendors who had high risk attitude and sexual practice and STD symptomatic treatment targeted to the STD patients in private clinics． Data analysis Was done by using the SPSS．The methods of descriptive analysis．thc X2 testing and a binary logistic regression were utilized． Results A good result was achieved after health education．The rates of correctly answering questions about STD／AIDS varied between 37．4％-88．6％．which were about 10％higher than before(P0．01)．Their attitudes toward STD／HIV infected and sexual behavior also got better；The medical-care seeking behavior of high risk people was also strengthened，the rate of seeking medical service aRer occurring of STD—like symptoms increased from 43．7％to 57．9％rP0．05)．The satisfaction rate among patients in the clinics were increased from 85．O％to 93．O％(Po．05)；STD symptomatic treatments was proved to be an appropriate way of treating STD in grass-root level private clinics，the effective rates for treating three kinds of STD symptoms were above 2 安徽医科大学硕士学位论文93％．