上海市公安局收容教育所暗娼艾滋病知识行为干预效果

Intervention Effect of AIDS Related Knowledge and Behavior among Female Sex Workers in Reeducation Center of Public Security Bureau in Shanghai City

目的探讨上海市公安局收容教育所暗娼性病/艾滋病（STD/AIDS）相关知识的知晓情况,通过出入所知晓率的比较,对收教所内宣教、干预效果进行初步评估。方法按照国家统一制定的国家级暗娼综合点调查表,同时结合上海市宝山区健康教育性病相关知识条目开展调查：收集人口学资料、STD/AIDS相关知识条目等信息。在2008、2009年新入所学员中随机抽取196名开展出入所自身对照调查。结果 196名接受出入所调查的暗娼中,已婚者85人,占43.4%;未婚者78人,占39.8%;同居者1人,占0.5%;离异丧偶者32人,占16.3%。20岁以下18人,占9.2%;20-29岁89人,占45.4%;30-39岁70人,占35.7%;40岁以上19人,占9.7%。入所时暗娼艾滋病知识知晓率为76.2%,出所时知晓率为98.2%,经卡方检验,差异有统计学意义（P〈0.01）。结论入所时暗娼人群中艾滋病知识知晓率偏低,但通过在收教所内的多次干预,该人群中艾滋病防治知识知晓率有了明显提高,提示健康宣教在艾滋病性病防治工作中的重要性。

[Objective]To investigate the awareness of knowledge related to STD / AIDS among female sex workers（FSWs） in reeducation center of public security bureau of Shanghai City,and preliminary evaluate the intervention effects in reeducation center through comparison of the awareness rate of FSWs into center and out center.[Methods]The investigation was based on the FSW questionnaire designed by national unity combined with the items of STD related knowledge in Baoshan District.The demographic data,STD / AIDS related knowledge and behavior and other information were collected.A total of 196 new students were selected randomly for set self-control study during 2008 to 2009.[Results]Of 196 respondents,85（43.4%） were married,78（39.8%） were unmarried,1（0.5%） was cohabitant,32（16.3%） were divorced or widowed.FSWs below age of 20 accounted for 9.2%,20~29-year-old accounted for 45.4%,30~39-year-old accounted for 35.7%,over 40-year-old accounted for 9.7%.The awareness rate of AIDS knowledge among FSWs into center was 76.2%,that among FSWs out center was 98.2%,the difference was significant by chi-square tests（P0.01）.[Conclusion]The awareness rate of AIDS knowledge in FSWs were low before they into center,but after education intervention for several times,it has improved significantly which indicates that health education plays an important role in STD / AIDS control.