芜湖市暗娼人群艾滋病行为干预效果研究

Study of effects of HIV intervention in female sex workers in Wuhui

目的采用国家级艾滋病哨点监测结果对暗娼人群艾滋病行为干预效果进行评估,及时发现问题,为提高干预成效提供依据。方法在芜湖市开展针对暗娼的艾滋病综合干预工作,依据《全国艾滋病哨点监测方案》,每年开展哨点监测工作,收集有关行为干预情况、艾滋病知识、行为改变等数据,利用监测数据评估行为干预效果。结果 6年共调查暗娼2 394人,发现HIV阳性1例;梅毒感染率2009年以后迅速上升,2011年达到9.63%,是2009年的2.5倍;暗娼接受干预措施服务率、艾滋病知晓率、最近一次安全套使用率、最近一月每次坚持使用安全套率从2006年的46.95%、65.99%、88.58%、60.15%提高到2011年的93.58%、95.06%、88.64%、66.91%;随着接受干预服务率的提高,暗娼人群艾滋病知晓率也相应提高。结论芜湖市现有的干预模式没有有效促进暗娼人群使用安全套的行为改变,应探索更为有效的干预模式。

Objective To evaluate the effects of HIV intervention in female sex workers（FSW）,and provide the basis for enhancing the effects of HIV intervention in FSW.Methods HIV intervention was carried out in FSW in Wuhu city obeying the ＂The national HIV/AIDS sentinel surveillance Program＂,and the information of intervention status,HIV knowledge and behavior change and so on was collect to assess the effects of the intervention.Results A total of 2394 FSW were researched during 2006-2011,1 of whom was HIV positive.The prevalence of syphilis rose quickly since 2009,and it was 9.63% in 2011,2.5 times of the rate in 2009.The rate of intervention received in FSW,rate of HIV knowledge,rate of the latest time of condom use,and the rate of the latest month of condom use rose from 46.95%,65.99%,88.58%,60.15% in 2009 to 93.58%,95.06%,88.64%,and 66.91% in 2011.The rate of HIV knowledge rose by the raise of intervention rate,but the rate of condom use had no significant relation with it.Conclusions The existing intervention mode could effectively promote the change of condom use in FSW of Wuhu,indicating that we should explore the more effective mode of intervention.