中盖艾滋病项目覆盖区域中高危人群干预效果的评价分析

Analysis of intervention effect among high risk groups of project AAAC in Wuhan

目的评价高危人群干预措施效果,为制定相关政策和资源分配提供依据。方法对中盖项目中高危人群和普通人群进行KABP调查,进行对比分析。结果国家M&E框架知晓率达到87.92%,UNGASS知晓率达到83.33%。对比2次问卷调查结果,高危人群的知晓率有明显提高(P<0.05)。女性涉性人员中"最近一次商业性行为安全套使用率"由2007年的92%提高到2010年的95%,"最近一个月商业性行为安全套使用率"由68%提高到77%;静脉吸毒人群中"最近一次共用注射针具比例"由2007年的17.86%下降到10%,"最近一个月共用注射针具比例"由26.42%下降到15%;男男性行为者中"最近一次与男性伴性行为安全套使用率"由69.1%提高到80%,"最近一个月与男性伴性行为安全套使用率"由45.5%提高到77%。结论武汉中盖艾滋病项目的开展提高了高危人群的艾滋病知识知晓率,改善了他们的高危行为,效果非常明显。

Objective Through the evaluation of the intervention effect in the high risk group,to provide evidence for policy development and resource allocation. Methods KABP investigation and comparison analysis were performed in the high-risk groups of the Project AAAC and the general population. Results National M E framework of awareness reached 87.92%,UNGASS awareness,83.33%.Comparing the results of the two questionnaires,the awareness of the high-risk population increased significantly（P 0.05）： in female sex workers,＂a recent rate of condom use in commercial sex＂ increased from 92%（2007） to 95%（2010）,＂the latest month rate of condom use in commercial sex＂ increased from 68% to 77%.＂Recent sharing proportion of injection needles＂ among the intra-venous drug users＂ decreased from 17.86%（2007） to 10%.＂Sharing proportion of the injection needles in last month ＂ decreased from 26.42% to 15%;＂Condom use rate in the recent Sex＂ among MSM increased from 69.1% to 80%.＂Condom use rate having sex in last month＂ among MSM increased from 45.5% to 77%. Conclusions The implementation of Project AAAC in Wuhan has enhanced the knowledge level of AIDS risk groups and improved their high-risk behavior,the effect is very obvious.