四川省艾滋病综合防治示范区暗娼干预效果分析

Effect of Intervention to Commercial Sex Workers in Comprehensive Prevention Demonstrative Area of Sichuan Province

目的了解四川省第二轮艾滋病综合防治示范区工作开展后,暗娼人群高危行为干预工作取得的效果及产生的影响,分析存在的问题,为下一步暗娼人群行为干预工作开展提供借鉴。方法收集2009、2011年四川省示范区信息网报、哨点监测数据、年度报表、总结等资料进行定量分析。结果示范区暗娼人群干预覆盖率逐年上升,从2009年的73.20%上升到2011年的95.71%;暗娼人群艾滋病基本知识知晓率从2009年的79.26%上升至2011年的90.75%;最近1次与客人发生性关系使用安全套比例从2009年的67.33%上升至2011年的89.62%,最近1个月与客人发生性关系坚持使用安全套比例从38.99%升至50%,以上比较均有统计学意义(P<0.01)。结论示范区构建了暗娼干预工作网络,形成干预工作机制,通过形式多样的宣传教育和行为干预降低了暗娼人群的感染和传播艾滋病病毒的危险性,提高了暗娼人群知识知晓率,扩大干预覆盖面,促进了行为改变。

Objective To understand the result and impact of the intervention to high risk behaviors among the commercial sex workers after the second round of the AIDS comprehensive prevention and control work carried out in Sichuan province,and analyze the existing problems,take the result as the reference for the further intervention work among the commercial sex workers.Methods Data from information network reporting system,sentinel surveillance,annual report,summary,etc.in the AIDS comprehensive prevention demonstrative area of Sichuan province in 2009 and 2011 were collected for quantitative analysis.Result The coverage rate of intervention among commercial sex workers in demonstration area increased year by year,up from 73.2% in 2009 to 95.71% in 2011.The awareness rate of AIDS-related knowledge among the commercial sex workers increased from 79.26% in 2009 to 90.75% in 2011.The rate of condom use among the commercial sex workers in the recent sex trade increased from 67.33% in 2009 to 89.62% in 2011.The rate of consistent condom use among commercial sex workers in the sex trade during the latest month increased from 38.99% to 50%.All the comparison above showed statistical significance（P〈0.01）.Conclusion The network of intervention among the commercial sex workers the demonstrative area was built,and the mechanism of intervention working was formed.Through various forms of publicity,education and behavioral intervention,the risk of HIV infection and transmission among the commercial sex workers was reduced,with the awareness rate increased,the coverage of interventions expanded,and behavior change promoted.