江苏省推广实施娱乐场所行为干预项目基线调查分析

Analysis of baseline survey on expanding behavior interventions programme at entertainment establishments in Jiangsu province

目的:了解项目推广实施前江苏省娱乐场所性服务小姐(FSWs)中艾滋病知识、态度水平和安全套使用情况,为项目今后评估提供依据。方法:在苏南、苏中、苏北各选择2个县(市、区)为调查点,每个点随机抽取FSWs 250名进行问卷调查和标本采集,并对部分娱乐场所业主进行个人深入访谈。结果:FSWs艾滋病预防知识知晓率平均为77.1%,获得知识的最佳途径是通过电视和医务工作者宣传;最近一次安全套使用率,与客人平均为76.3%,与固定性伴平均为28.1%;实验室检测沙眼衣原体平均感染率22.2%。业主虽普遍支持本项目,但对真正实施抱有顾虑。结论:娱乐场所FSWs艾滋病知识态度的提高并不能完全促进其行为改变。应充分利用当前优越的艾滋病防治政策环境,确保各项干预措施落到实处。

Objective ： To understand about AIDS knowledge, attitude and condom use among female sex workers （FSWs） at entertainment establishment before implementing expanding 100% condom use program in Jiangsu province as a base for program evaluation in the future. Methods： Qualitative and quantitative studies were used in the survey. Two counties （district） were selected separately in 3 areas where locate at southern, middle and northern Jiangsu province. Two hundred and fifty random samples of FSWs were surveyed with questionnaires and samples collection, some employers were interviewed deeply. Results： Rate of the awareness on AIDS knowledge was 77.1% in average. The good channels to obtain the knowledge were by TV and health workers＇ education. The reporting condom use rate with the last sex contact with clients was 76.3%, and with fixed partners was 28. 1% averagely. Laboratory test for Chlamydia infection rate was 22. 2%. In general, employers were agreed with this program, however, they kept hesitation as implementation in practice. Conclusion： The increase of the awareness on AIDS knowledge may not really promote behavior changes among FSWs. Therefore, taking use of priority policy on preventing AIDS currently so as to ensure setting a side the implementation on feet.