目的了解目前中国静脉吸毒艾滋病高流行社区中社区成员对在当地吸毒人群中开展艾滋病防治项目的态度与支持情况。方法在四川省选择开展艾滋病防治工作的社区,研究人员使用制定好的定性访谈提纲对不同类型的访谈对象进行个人深入访谈。访谈对象为吸毒者、吸毒者家属、社区居民与居委会工作者和相关行政部门工作者。结果本次定性研究共访谈27人,不同层次的社区成员对艾滋病问题持比较宽容的态度,并愿意开展长期的HIV/AIDS防治工作,虽然对吸毒者存在一些矛盾的心理,但绝大多数人都支持在社区内开展艾滋病防治项目,一方面希望帮助更多吸毒者戒毒,另一方面希望预防与控制艾滋病等疾病的传播。结论社区内已经形成了较好的开展艾滋病防治项目的支持环境,建议通过建立社区顾问委员会(CAB),采取多种形式加强社区各界成员的合作并使之成为研究者和研究对象之间重要的桥梁。
Objective To investigate the community members' attitude and support to HIV/AIDS prevention and care projects among HIV high prevalence community in Liangshan of Siehuan Province, so as to develop suitable community strategy for the high prevalence areas of HIV irfection in China. Methods From May to June, 2004, in-depth interview was conducted to community members including drug users, family members of drug users, cadres of communities and administrations by researchers with designed syllabus. The materials was analyzed by coding and classify. Results Twenty-seven residents and cadres of administrations were interviewed to assess community support about conducting HIV/AIDS prevention and care projects in communities. Most of interviewees took the positive attitude to HIV/AIDS prevention and care projects and long term projects were very welcomed in communities. Although residents took ambivalent attitude to drug users, they still wanted to help them to be off the habit so as to control the spread of HIV infection in community. Conclusion Good support circumstances was developing. Community advisory board (CAB) needed to be set up to strengthen the cooperation of community members and to be a bridge between researchers and participants.