沧州市公共场所女性商业性性服务人员艾滋病性病行为干预效果评估

AIDS /STD behavior intervention measures and effect evaluation among female commercial sexual workers in public places of Cangzhou

目的在公共场所开展女性商业性性服务人员(FCSW)开展艾滋病性病干预的评估,探索有效干预手段。方法2009年8月-2010年8月,在沧州市公共场所(包括美容美发、洗浴、足疗、宾馆、按摩、KTV)内对经确认的FCSW人员开展DVD播放性病(STD)艾滋病(AIDS)知识及安全套使用技巧,进行互动小组活动及同伴教育等综合干预措施,在持续干预3个月及6个月后分别随机抽取部分人员进行问卷调查,对干预效果进行评估。结果随着干预措施的实施及持续,调查对象的认知和行为发生了明显的改变,最近3次及最近1个月与客人使用权用安全套的比例显著提高。结论通过对FCSW人员的行为干预,关键指标发生了明显改变,针对公共场所FCSW人员继续开展艾滋病性病综合干预是行之有效的,也是切实可行的。

Objective To assess the effectiveness of the AIDS/STD intervention and explore the effective behavior measures among the female commercial sexual workers （FSCW） . Methods From August 2008 to August 2009, Some of the FCSW were selected by a stratified random sampling strategy from Cangzhou public places （including beauty care salon, SPA, foot health care parlor, hotel, massage parlor, TV） a behavior interven- tion were applied to them through DVD education for knowledge and skills of AIDS/STD prevention and con- dom using, and group counseling and peer education. Follow - up investigations were carried out 3 months and 6 months after the intervention and the effectiveness were assessed. Results Significant differences were re- vealed in the knowledge and self - behavior with the extension of the intervention and the continuing interven- tion activities. The proportions of those who use condoms in the last 3 sexual activities and in the recent 1 month sexual activities were increased gradually. Conclusions The key index has been improve among the FC- SW through the behavior intervention which has been proved applicable and effective.