亳州市谯城区娱乐场所暗娼艾滋病知识与态度及行为干预效果评价

Analysis on knowledge,attitude and behaviors of AIDS among CSWs in Qiaocheng County

目的了解亳州市谯城区2006～2008年娱乐场所暗娼艾滋病防治知识、态度及行为的改变情况,评价干预措施效果。方法由经过培训的调查员用统一的艾滋病专项调查问卷进行不记名的面对面访谈,对娱乐场所的暗娼进行艾滋病相关知识及行为调查。结果谯城区娱乐场所暗娼的艾滋病相关知识知晓率在干预后有所上升,愿意继续同艾滋病病人交往的比例由2006年的41.3%上升到2008年的86.8%;在商业性性行为中,最近3个月每次都用安全套的比例有明显上升,两次调查间差异有统计学意义(χ2=14.330,P<0.001);在与固定性伴发生性行为时,最近1次和最近1个月每次都用安全套的频率明显增加且差异有统计学意义(χ2=17.496,P<0.001,χ2=21.492,P<0.001)。结论采用综合干预措施后,暗娼艾滋病知识知晓率和安全套使用率均升高。应继续加强艾滋病非传播/传播途径知识的宣传,继续开展100%安全套推广使用工作。

Objective To investigate the effect of health education of AIDS prevention as an intervention measure on CSWs from 2006 to 2008.Methods The knowledge and behaviour of AIDS among CSWs were investigated with a structured questionnaire.Results The awareness rates of AIDS knowledge of CSWs was enhanced.In 2008,CSWs were more willing to contact patients with AIDS.The percentage of using condemn when they had commercial sex in the last three months was significantly higher after health education(χ2=14.330,P<0.001),and the percentage of using condemn with fixed partners raised both in the last month and last three months.Conclusion After comprehensive intervention,the AIDS awareness rate and condom use rate were significantly enhanced in CSWs.The interventions and 100% condom use project should therefore be carried on.