云南省瑞丽市娱乐场所性服务小姐艾滋病预防行为干预前后效果评价

Evaluation on Effects of Behavior Intervention of AIDS Prevention in Female Sex Workers at Entertainment Places in Ruili City,Yunnan

目的了解云南省瑞丽市娱乐场所女性性工作者在开展艾滋病预防行为干预前后相关知识、态度、行为状况以及HIV感染状况的变化，并对其实施效果及可行性进行评价。方法2005年9月-2008年9月，采用以外展、同伴教育、培训为主的干预活动，对瑞丽市55家娱乐场所592名女性性工作者进行艾滋病预防行为干预及HIV检测。结果经过历时2年的干预，干预对象对艾滋病的传播途径、预防措施、正确使用安全套的知晓率从40．1％，38．9％，60．5％分别上升到98．0％，95．0％，99．0％；最近3次性行为均使用安全套率从42．8％上升到95．6％，最近1个月每次性行为都使用安全套率从40．2％上升到90．8％，每次性行为都用安全套率31．8％上升到90．2％；HIV感染率从6．5％降到2．5％。结论2年来的干预措施有效可行，干预效果明显。

Objective To know the knowledge, attitude, behavior and infection of HIV in female sex workers at entertainment places in Ruili City before and after the intervention of AIDS prevention, accordingly to evaluate the effect and feasibility, so as to provide scientific reference for formulating prevention methods. Methods From September 2005 to September 2008, interventions such as outreach services, companion education and training activities were taken to carry out behavior intervention and detection for HIV in 592 female sex workers at 55 entertainment places in Ruili City. Results Through two - year intervention, the awareness rates of transmission route, preventive measures, correct usage of condoms increased from 40. 1%, 38.9% and 60.5% to 98.0%, 95.0% and 99.0%. The rate of condom usage in the latest 3 sex behaviors increased from 42.8% to 95.6%. The rate of condom usage for every sex behavior in the latest month increased from 40.2% to 90.8% ; and the rate of condom usage for each sex behavior increased from 31.8% to 90.2%. The infection rate of HIV decreased from 6.5% to 2.5%. Conclusions This research revealed that the subject crowd is willing and able to learn the knowledge of AIDS, and can change their dangerous behavior. The two -year intervention is proved to be effective and feasible with obvious effects. It is suggested to enhance the intervention in the future and to increase the discharge rate of free condom, improve the medical environment.