女性性服务者艾滋病高危行为干预效果分析

Evaluation on AIDS risk behavioral intervention among female commercial sex workers in public entertainment places

目的探讨对公共娱乐场所的女性性服务者进行健康教育、安全套促进等艾滋病(AIDS)高危行为干预的有效模式,为在该人群中全面推广100%安全套活动提供理论基础和方法。方法采用流行病学干预研究方法,在公共娱乐场所进行综合性干预活动,对女性性服务者进行干预前后知识、态度、行为的问卷调查,了解干预对其知识、态度和行为的影响,以及安全套使用率的变化情况,评估综合干预的可行性及有效性。结果干预前后女性性服务者的艾滋病知识、态度和行为发生了显著变化,认为使用安全套可以预防艾滋病的从70.8%提高到94.6%(P<0.01);最近一次商业性服务中安全套使用率从80.6%上升到97.3%(P<0.05)。结论干预结果表明,在我国公共娱乐场所全面推广100%安全套使用活动切实可行且有效。

Objective To explore a practicable model of AIDS risk behavioral intervention to provide health education and condom using promotion among female commercial sex workers in public entertainment places, and provide theoretic basis and new method for 100 % condom using promotion among target population. Methods Epidemiological intervention study design was used and comprehensive intervention approaches were conducted. A KABP survey and rate of condom using were carried out before and post - intervention among female commercial sex workers in 3 different levels of public entertainment places. Results The knowledge, attitude and behaviors of female commercial sex workers changed significantly. The rate of believing - condom using was a way of HIV prevention increasing from 70.8 % to 94.6 % （ P 〈 0.01 ）. The rate of the latest condom using during commercial sex increased from 80.6 % to 97.3 % （ P 〈 0.01 ）. Conclusion The implementation of 100 % condom using promotion program is definitely feasible among female commercial sex workers in China.