个旧市女性性工作者艾滋病综合行为干预研究

Integrated AIDS Behavioral Intervention Among Female Sex Workers in Gejiu City

目的探索女性性工作者的艾滋病成功综合行为干预模式.方法采用分层抽样,以建立性病诊疗服务门诊及规范性病诊疗服务为主要切入点,安全套推广为核心,结合宣传教育、同伴教育、开展外展服务等历时2a的综合行为干预,在干预前后进行问卷调查及性病患病率调查,以评估干预效果.结果干预后调查对象对艾滋病传播和预防认知水平有显著提高,最近一次及最近一个月与嫖客使用安全套的比例分别由干预前84.8%及60.7%增加到干预后99.0%及94.9%,性病患病率由干预前15.0%降至干预后7.0%,正确求医率及艾滋病自愿检测率显著提高.结论紧扣目标人群的需求,利用临床一线医务人员对女性性工作者开展的艾滋病综合行为干预具有良好的干预效果及适宜性.

Objective To explore a successful mode of integrated AIDS behavioral intervention among female sex workers. Methods Target crowd was selected by stratified sampling. The 2 years of integrated behavioral intervention was started by developing STDs clinics and service, focused on condom promotion and combined with public education, peer education and outreach services. Questionaire survey and investigation of STDs incidence were conducted before and after-intervention. Results After the intervention, the level of awareness of AIDS transmission and prevention was markedly improved, and condom use at last sex and in the last month sexual encounters with commercial sex clients increased form 84.8% to 99.0% and 60.7% to 94.9%, respectively. STDs prevalence decreased from 15.0% to 7.0%. The rates of right seeking medical help and HIV voluntary testing were significantly improved after the intervention. Conclusion The integrated AIDS behavioral intervention among female sex workers conducted by clinic doctors closely meet the demand of the target crowd and is effective and appropriate.