摘要
目的:系统评价我国性病/艾滋病防治综合干预策略在女性性工作者人群中实施的效果.方法:计算机检索2013年以前Pubmed,万方数据库、CNKI数据库发表的女性性工作者性病/艾滋病预防干预的文献,筛选至少有前后对照的干预项目.用Stata12.0进行统计分析.结果:共纳入38篇文献,纳入文献有一定的发表偏倚.Meta分析结果显示,“性交可以传播性病/艾滋病”的知晓率,纳入18篇文献,汇总后的知晓率差异为干预后高于干预前(mean ES=0.102,95% CI,0.073-0.132).“安全套可以预防性病/艾滋病传播”的知晓率,纳入31项研究,干预后的知晓率较干预前高21.9%,95% CI为0.165 ~0.272.回答“最近一次使用安全套”为是的频率:干预后比干预前上升了18.5%,95% CI为0.138 ~0.232.“选择去正规医院就诊性病/艾滋病”的频率:干预后比干预前提高了20.7%(95% CI为0.103~0.311).“性病/艾滋病的感染率”,干预后较干预前平均降低8.1%(95%CI-0.120,-0.040).结论:性病/艾滋病综合干预策略对提高女性性工作者的知识水平、安全性行为和正确就医行为,以及降低性病/艾滋病感染率方面具有一定的效果.
Objectives: To evaluate the efficacy of STI/AIDS prevention and control strategies for female sex workers in China. Methods: Based on the principles and methods of Cochrane systematic reviews, we searched literature from Pubmed, Wangfang and CNKI before 2013 relating to the STD/AIDS prevention and control strategies for female sex workers, and included only those researches with pre and post intervention comparison. Stata 12. 0 was applied to do the data analysis. Results: A total of 38 studies were included. Some of them have publication bias. Meta - analysis results showed that the awareness rate of knowledge that "STI/AIDS could be transmitted through sexual in- tercourse" was improved after intervention ( mean ES = 0. 102,95% CI, 0. 073 - 0. 132). Thirty - one studies were chosen to evaluate the awareness rate of knowing "condom use could prevent STD/AIDS", and the rate increased by 21.9% after the intervention (95% CI:0. 165 -0. 272). Comparing pre and post intervention, the rate for choosing to better hospital for the treatment of STD/AIDS was improved by 20. 7% (95% CI:0. 103 -0. 311 ). The infection rate for STD/AIDS decreased by 8. 1% (95%CI: -0. 120, -0. 040). Conclusion: Current evidence indicated that comprehensive STD/AIDS prevention and control strategies were effective for female sex workers.
出处
《中国性科学》
2014年第2期58-68,共11页
Chinese Journal of Human Sexuality
基金
2012年中国全球基金资助项目(CSO-2012-研45)
关键词
性病
艾滋病
女性性工作者
综合干预
系统评价
STD/AIDS
Female sex workers
Comprehensive intervention
Systematic review