克拉玛依市娱乐场所暗娼人群AIDS综合干预效果评价

Effectiveness evaluation of AIDS related integrated interventions among female sex workers in entertainment settings in Karamay city

目的研究在娱乐场所暗娼人群(FSW)中如何有效开展艾滋病(AIDS)干预,为预防控制艾滋病提供依据。方法采用同伴教育者干预、专业人员面对面干预、发放宣传材料、安装安全套售套机等综合干预措施。干预前后通过行为问卷方式和梅毒检测进行干预效果评估。结果FSW的AIDS知识总知晓率从干预前的79.31%,提高到干预后的94.67%(P<0.01);最近一次与客人发生性关系时,安全套使用比例从干预前的64.84%,增加到干预后的96.45%(P<0.01);过去1个月与客人发生性关系时,安全套每次使用比例从干预前的56.04%,增加到干预后的67.46%(P<0.01)。梅毒检出率从干预前的2.99%,下降到干预后的0.67%(P<0.05)。结论AIDS综合干预措施是控制经性途径传播AIDS的有效手段,但需要形成长效工作机制,才能取得更好的效果。

Objective To explore the effectiveness of AIDS related interventions among FSWs in entertainment set- tings in Karamay city and to provide scientific evidences for AIDS prevention and control. Methods A series of integrated interventions including peer education, professionals＇ face-to-face interviews, distribution of educational materials as well as installation of condom selling machines were used to investigate HIV infection risk among FSWs, and at the same time anonymous questionnaire and syphilis serological tests were carried out before and after the intervention to assess the effects of the interventions. Result After integrated interventions, the knowledge coverage on disease, especially on HIV was sig- nificantly increased for all the respondents （P 〈 0.01, from 79.31% to 94.67% ） .The rate of using condom in the last commercial sex trade in the past month increased from 64.84 % to 96.45 % ; 67.46 % of the respondents used condoms in their every sex activity, versus 56.04 % before the interventions （P （ 0.01 ）, and the detection rate of syphilis was re- duced from 2.99 % to 0.67 %. Conclusion AIDS related integrated interventions are effective to control AIDS transmis- sion by sex, which should be sustained as a long term working model.