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首页> 外文期刊>BMC Public Health >Awareness of HIV/AIDS and its routes of transmission as well as access to health knowledge among rural residents in Western China: a cross-sectional study
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Awareness of HIV/AIDS and its routes of transmission as well as access to health knowledge among rural residents in Western China: a cross-sectional study

机译：意识艾滋病毒/艾滋病及其传输路线以及中国西部农村居民的健康知识：横断面研究

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BACKGROUND:The purpose of this study was to evaluate the coverage of HIV health education among rural residents in western China by ascertaining their awareness of HIV/AIDS and its transmission routes, and to investigate how these residents receive health information.METHODS:A survey was conducted through stratified clustered sampling at 99 county hospitals in 11 provinces in western China. Information was collected on awareness of HIV/AIDS and its transmission routes, as well as residents' access to health knowledge. Chi-square analysis was used to analyse the differences in HIV/AIDS awareness (knowing of the existence of HIV/AIDS, hereinafter referred to as "HIV awareness rate") between different subgroups categorized by demographic status, regional factors, and different methods of access to health knowledge. To further analyse the effects of access to health knowledge on HIV awareness, a logistic regression model was established. The relationship between access to health knowledge and transmission routes was also examined using chi-square analysis.RESULTS:The HIV awareness rate of the total 9274 participants was 80.9%. There were statistically significant differences between subgroups classified by age (χ2?=?482.118, p0.001), education (χ2?=?853.465, p0.001), occupation (χ2?=?340.553, p0.001), income (χ2?=?186.448, p0.001), cumulative HIV cases according to province (χ2?=?59.513, p0.001), per capita annual net income of rural households according to province (χ2?=?64.676, p0.001), proportion of minority population according to province (χ2?=?94.898, p0.001), direct access to health knowledge (medical staff: χ2?=?419.775, p0.001; mass media: χ2?=?740.238, p0.001; family members: χ2?=?12.189, p0.001; socializing: χ2?=?48.780, p0.001; health education activities: χ2?=?154.400, p0.001), and indirect access to health knowledge (having a non-communicable disease with medical instructions χ2?=?78.709, p0.001; physical examinations: χ2?=?135.679, p0.001). The logistic regression model showed that education and mass media had the strongest impacts on HIV awareness among all methods of access. Participants had the least awareness of HIV's mother-to-child transmission route.CONCLUSION:The HIV awareness rate indicated that previous HIV health education covered 80% of the rural population in western China. Mass media should take greater responsibility in HIV health education for the general population, and special attention should be paid to the elderly, the most impoverished population, minority community as well as the mother-to-child transmission route.
机译：背景：本研究的目的是通过确定其对艾滋病毒/艾滋病及其传输路线的认识，并调查这些居民如何获得健康信息的核心健康教育的覆盖范围。方法：调查通过在中国西部11个省份的99家县城医院的分层集群抽样进行。收集信息的认识和其传输路线以及居民获得健康知识的认识。 Chi-Square分析用于分析艾滋病毒/艾滋病意识的差异（知道艾滋病毒/艾滋病的存在，以下称为“HIV意识率”）在由人口统计状态，区域因素和不同方法分类的不同亚组之间进行“HIV意识率”）获得健康知识。为了进一步分析获取健康知识对HIV意识的影响，建立了一种逻辑回归模型。还使用Chi-Square分析检查了对健康知识和传输路线之间的关系。结果：9274名参与者的HIV意识率为80.9％。逐年分类的亚组之间存在统计学意义（χ2？= 482.118，P <0.001），教育（χ2？=？853.465，P <0.001），职业（χ2？=？340.553，P <0.001），收入（ χ2？= 186.448，p <0.001），累积艾滋病毒病例根据省份（χ2？=？59.513，P <0.001），根据省份的农村家庭人均年净收入（χ2？=？64.676，P <0.001据省（χ2？= 94.898，p <0.001），直接获取健康知识（医务人员：χ2？= 419.775，p <0.001;大众媒体：χ2？= 2？= 29.238，p <0.001;家庭成员：χ2？= 12.189，P <0.001;社交：χ2？= 48.780，P <0.001;健康教育活动：χ2？=？154.400，P <0.001），以及间接进入健康知识（具有医疗指令的非传染性疾病χ2？=？78.709，P <0.001;体检：χ2？=？135.679，P <0.001）。 Logistic回归模型表明，教育和大众媒体对所有访问方法中的艾滋病感知感受最强。参与者对艾滋病毒的母婴传输途径的认识最不意识。结论：HIV意识率表明，以前的艾滋病毒健康教育涵盖了中国西部农村人口的80％。大众媒体应对艾滋病病毒健康教育对一般人群进行更大的责任，应特别注意老人，最贫困的人口，少数民族社区以及母婴传输路线。

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