娱乐场所职业人群HIV和梅毒监测及其艾滋病认知干预研究

Serological Surveillance of HIV and Syphilis and Efficacy of Cognitive Intervention on Knowledge of AIDS Among Occupational Population of Entertainment Places

目的了解娱乐场所职业人群艾滋病和梅毒感染现状,探讨对高危人群HIV认知干预效果。方法采用横断面调查方法对被调查对象进行HIV和梅毒血清学监测,对培训前后从业人员艾滋病认知率的变化频数进行统计学分析。结果19家娱乐场所共424名女性从业人员中,梅毒阳性率为0.94%,171名男性从业人员梅毒未能检出;全部被调查者HIV抗体均为阴性。培训干预前从业人员艾滋病认知率为57.20%,培训后其认知率提高至70.09%(P<0.001)。对"不戴安全套和艾滋病人口交可传播艾滋病"的认知项,培训后较培训前提高了24.28%(P<0.001)。结论娱乐场所女性从业人员是梅毒感染的高危险人群,对这一场所职业人群开展培训干预可明显提高其对预防艾滋病的认知能力。

Objective To investigate the epidemic status of HIV and syphilis among the occupational population of entertainment places, and to discuss the effect of intervention on knowledge of AIDS among the high risk population. Methods By cross-sectional investigation, the serological surveillance of HIV and syphilis among the occupational population of entertainment places was studied. The change of the awareness rate of AIDS knowledge among the entertainment workers was statistically analyzed before and after training. Results The positive rate of syphilis among 424 female sex workers from 19 entertainment places was 0.94 %, which was higher than that among 171 male employees （0 % ）. HIV antibodies were not detected in all the study subjects. After training, the awareness rate of preventive knowledge of HIV among entertainment sex workers after was 70.09%, which was higher than that before training （57.20%）, P〈0.001. After training, the awareness rate of knowledge about not using condoms and the oral sex could spread AIDS was 67.85 %, which was higher than that before training （43.57 % ）, P〈 0. 001. Conclusions The female sex workers of entertainment places are high- risk population for infection of syphilis, Developing intervention training to the entertainment sex workers can significantly enhance the level of preventive knowledge about AIDS among the occupational population of entertainment places.