甘肃省皋兰县暗娼人群艾滋病防治知识和行为的干预效果分析

Eeffect Analysis on AIDS Knowledge and Behavior Intervened among Sex Workers in Gaolan County of Gansu Province

目的：了解甘肃省皋兰县2007~2009年娱乐场所暗娼艾滋病防治知识知晓情况及性行为改变情况,为项目的评估提供依据。方法：由经过培训的调查员用统一的艾滋病专项调查问卷对娱乐场所的暗娼进行艾滋病知识和行为状况调查。结果：皋兰县娱乐场所暗娼的艾滋病防治知识总知晓率从项目开展初期的12.67%（2008年1月）,达到目前的79.69%（2009年12月）;暗娼最近一个月在商业性性行为中或与固定性伴使用安全套（每次都用）的比例在3年中均呈上升趋势,但与固定性伴发生性行为时使用率较低。暗娼愿意接受干预的比例也在逐年增加。结论：暗娼的艾滋病知识水平的提高和全球基金艾滋病项目的开展促进了其行为改变,应充分利用当前优越的艾滋病防治政策环境,确保各项干预措施落到实处。

Objective：To identify the level of AIDS knowledge and behavior of CSWs（commercial sex workers）in GaoLan County from 2007 to 2009,and to provide evidence for further intervention. Methods：CSWs were investigated in the public places of entertainment with a structured questionnaire.Results：The awareness rate of AIDS knowledge of CSWs was increased from 12.67 %（January,2008） to 79.69%（December,2009）.The percentage of using condom when CSWs had commercial sex or had sex with fixed partners in the last month was significantly increased after health education,but the percentage of using condom with fixed partners was lower.Among the Unregistered prostitute,willingness rate of education was increased in the past three years.Conclusion：After intervention,the AIDS awareness has significantly improved among CSWs.Thus,the implementation intervention measures should be guaranteed.