男男性工作者的艾滋病综合干预效果评价

Effectiveness of comprehensive interventions for STD/HIV/AIDS prevention among male sex workers

目的评价在男男性工作者(money boy,MB)中开展性病艾滋病预防综合干预的效果。方法对沈阳、成都和南京3个城市,在干预现场,对接受干预的、有性交易或准备从事性交易的MB,开展面对面艾滋病性病预防知识宣传,调查干预活动前后的知识与行为,评价干预效果。结果基线调查有效问卷484份,终期调查获得有效问卷553份。MB的平均年龄分别是21.56岁和21.60岁,均以未婚为主。通过开发和发放宣传册,推广润滑剂和鼓励购买安全套,交流使用安全套保护健康的技巧,建立全国医疗服务网络,开展性病规范诊疗,并积极推荐到当地疾病预防控制中心接受自愿咨询检测(VCT)活动。干预后,MB的性病艾滋病知识知晓率由62.66%上升到91.94%;男男安全性行为有所提高;愿意到公立医院接受性病诊治者由53.9%上升到86.8%。结论对于MB的健康干预、有关安全性行为仍应以宣传和推荐安全套使用为重点。综合干预宣传可以引导MB正确选择性病的诊疗机构。

Objective To study the effectiveness of comprehensive interventions for STD/HIV/AIDS prevention among male sex workers （money boys, MBs）. Methods The knowledge of STD/HIV/AIDS was promoted through on-the spot dialogue with the people who were engaged or would be engaged in sex trade in cities of Shenyang, Chengdu and Nanjing. Educational materials were developed and disseminated, and the use of water-soluble lu- bricants and condoms was encouraged. The skills of using condoms were shared. A national network of medical services was established to provide normative diagnosis and treatment of STD, and MBs were recommended to visit local CDC for voluntary counseling and testing （VCT）. Their awareness of STD/HIV/AIDS prevention and behaviors were analyzed before and after the interventions, and the effectiveness of the intervention was assessed. Results Four hundred and eighty-four valid questionnaires at baseline survey and 553 valid questionnaires at the end-stage survey were received respectively. The subjects under the baseline and end-stage survey were mostly unmarried, and their average ages were 21.56 and 21.60 years, respectively. The awareness of of STD/HIV/AIDS prevention increased from 62.66% to 91.94% after the intervention. Their sex safety improved. The rate of the subjects who were willing to visit public hospitals for SID treatment and diagnosis increased from 53.9% to 86.8%. Conclusions Health interventions for MBs cannot be ignored. Promotion of safe sex and condom use should be taken as a key approach. The comprehensive intervention can guide MBs to seek appropriate medical treatment and diagnosis in STD clinics.