Knowledge-attitude-practice survey and mechanism on AIDS/STDs among migrant workers in the main urban area of Chengdu city
Objective To analyze the current situation,influencing factors and mechanism of knowledge-attitude-practice(KAP)regarding acquired immune deficiency syndrome(AIDS)/sexually transmitted diseases(STDs)a-mong migrant workers in Chengdu's main urban area,so as to provide a basis for the development of effective pre-vention and control policies for this group.Methods Convenience sampling and systematic sampling were used to collect demographic information and data on knowledge,attitudes,and sexual behavior characteristics of AIDS/STDs of the participants.The collected data were organized and statistically analyzed by EpiData 3.1 and SPSS 26.0 software.Additionally,a KAP path analysis model was constructed by using AMOS 24.0 software.Results A total of 257 valid questionnaires were obtained.The AIDS awareness rate was 55.6％,with a mean scores of(5.59±1.61).The awareness rate of STDs was 37.4％,with a mean scores of(9.05±3.00).Discrimination attitudes towards AIDS and STDs were reported by 58 participants(22.6％)and 44 participants(17.1％)respec-tively.The prevalence of high-risk sexual behavior was 3.50％.Men(OR=0.500,95％CI:0.279-0.897)ac-ted as deterrents to knowledge of AIDS.On the other hand,childlessness facilitated discrimination against AIDS(OR=2.748,95％CI:1.385-5.451)and STDs(OR=2.287,95％CI:1.084-4.825).There was lower likelihood of engaging in high-risk sexual behavior among migrant workers in Chengdu''s main urban area who were older(OR=0.854,95％CI:0.785-0.929).The occurrence of high-risk sexual behaviors was influenced both directly and indirectly by attitudes towards AIDS and related knowledge.There was a positive correlation between knowledge about AIDS and STDs and attitudes towards them(r=0.15,0.24,both P＜0.05),as well as between attitudes towards AIDS and attitudes towards STDs(r=0.57,P＜0.05).That is,the higher the scores of knowl-edge,the less likely one was to hold discrimination attitudes.Therefore,increasing the rate of knowledge awareness could reduce discrimination towards AIDS/STDs and the occurrence of high-risk sexual behaviors.Conclusion The level of AIDS/STDs knowledge among the migrant workers in Chengdu's main urban area is concerning.Inno-vative interventions should be intensified in key areas and populations.
万方数据
维普
