某市男男性行为青年学生大众意见领袖艾滋病干预效果

目的评价某市青年学生男性同性性行为人群(men who have sex with men, MSM)中大众意见领袖(popular opinion leader, POL)的艾滋病预防与领导力干预即刻效果,为开展艾滋病健康教育提供参考。方法 2018年5—6月,采取以生活技能为基础的参与式方式,对招募的某市54名青年学生MSM中的POL进行艾滋病预防、领导力的干预,并于干预前、后采取统一的问卷评价干预效果。结果干预后,艾滋病预防能力部分,信息方面得分由(36.30±7.30)分提高到(42.09±3.43)分(P<0.01);动机方面,安全套使用经验与态度得分由(5.43±1.19)分提高到(5.83±1.24)分(P<0.05);行为技巧方面,安全套使用技巧得分由(4.30±1.04)分提高到(4.85±0.53)分,安全套使用自我效能得分由(55.85±12.40)分提高到(61.48±8.01)分,自主HIV检测能力得分由(4.11±1.09)分提高到(4.65±0.52)分,性行为前避免饮酒的能力得分由(3.74±1.19)分提高到(4.13±0.91)分,患病后正确求医的能力得分由(9.33±1.32)分提高到(9.69±0.77)分(P值均<0.05)。领导力部分,同伴地位得分从(26.96±5.55)分提高到(29.81±6.68)分,主动交流能力得分从(21.35±5.76)分提高到(24.43±4.17)分(P值均<0.01);干预前后心理社会能力得分分别为(77.96±13.42)(80.89±12.42)分(P<0.05)。结论以信息—动机—行为技巧模型为指导,生活技能为基础的干预对提高POL的艾滋病预防能力和领导力有效。

Evaluation of immediate effectiveness of intervention on HIV prevention and leadership of POL among young male students who have sex with men in a city

Objective To evaluate the immediate effectiveness of intervention on HIV prevention and leadership of POL among young male students who have sex with men in a city, and to provide reference for health education of AIDS. Methods A life-skills based participatory approach was adopted to intervene the AIDS prevention and leadership of 54 POL in young male students who have sex with men in a city. A unified questionnaire was adopted before and after the intervention to investigate and evaluate the effects. Results After intervention, the scores of AIDS prevention information increased from(36.30±7.30) points to(42.09±3.43) points(P<0.01). In terms of motivation, the scores of experience and attitude of condom-using were increased from(5.43±1.19) points to(5.83±1.24) points(P<0.05). As for the behavioral skills, the scores of condom-use skills increased from(4.30±1.04) points to(4.85±0.53) points(P<0.01), the scores of condom self-efficacy increased from(55.85±12.40) points to(61.48±8.01) points(P<0.01), the scores of autonomic HIV testing ability increased from(4.11±1.09) points to(4.65±0.52) points(P<0.01), the ability to avoid alcohol consumption before sexual behavior increased from(3.74±1.19) points to(4.13±0.91) points(P<0.05), and the ability to correctly seek medical advice after illness increased from(9.33±1.32) points to(9.69±0.77) points(P<0.05). In the part of the leadership, the scores of peer status increased from(26.96±5.55) points to(29.81±6.68) points(P<0.01), the scores of active communication ability increased from(21.35±5.76) points to(24.43±4.17) points(P<0.01), and the scores of psychosocial ability increased from(77.96±13.42) points to(80.89±12.42) points(P<0.05). Conclusion Life-skill-based intervention, which is guided by Information-Motivation-Behavioral skills model, is effective in improving AIDS prevention and leadership.