社区小组驻点式干预模式对男男性行为人群的干预效果评价

Effecte valuation of stationary point intervention model among men who have sex with men

目的评价社区小组驻点式干预模式对男男性行为人群的干预效果。方法在北京市东城区选取一家男男性行为人群聚集的洗浴中心,实施为期1年的社区小组驻点式干预。干预前后分别对场所的顾客进行关于艾滋病知识知晓率、高危性行为变化、接受艾滋病干预服务的意愿情况进行比较,评价干预效果。结果实施社区小组驻点式干预1年后,该人群艾滋病知识知晓率由干预前的85.25%,上升为干预后的95.50%;最近1年安全套使用情况中,从未使用比例由7.00%下降为1.00%;每次都用的比例由52.00%上升至79.00%;接受艾滋病知识宣传及安全套发放比例由77.00%上升至95.00%;接受艾滋病咨询与检测比例由66.00%上升至92.00%;接受同伴教育比例由33.00%上升至91.00%。上述指标在干预前后的变化差异均有统计学意义(P<0.05)。结论社区小组驻点式干预模式提高了男男性行为人群艾滋病防治知识知晓率,减少了其高危性行为发生,是一种较为有效的干预模式。

Objective To explore and evaluate the effects of stationary point intervention model conducted by com- munity based organization （CBO） to the men who have sex with men （MSM）. Methods A stationary point intervention model was implemented in a MSM bath center during Jan. 2013 to Dec. 2013. Investigations related to acquired immune defi- ciency syndrome （AIDS） prevention knowledge and behaviors of AIDS prevention were conducted among participants before and after the intervention. Results After one-year intervention, the awareness rate of knowledge about AIDS prevention was increased from 85.25% to 95.50%. The ratio of never-use condom with male in the past year was decreased from 7.00% to 1.00%, the ratio of always-use condom with male in the past year was increased from 52. 00% to 79. 00%. The levelof ac- quiring AIDS-related service and intervention was improved significantly, and the percentage of acquiring condom was in- creased from 77.00% to 95.00%. The percentage of acquiring peer education was increased from 33.00% to 91.00%. The percentage of acquiring counseling and testing of HIV was increased from 66. 00% to 92.00%. The above index showed sig- nificant statistical difference between before and after the intervention （ P 〈 0. 05 ）. Conclusion Stationary point interven- tion model was an effective intervention model contributing to an increase in knowledge of AIDS prevention and decreasing high risk behavior in MSM population.