眉山市东坡区“暗娼场所业主片区承包责任制”干预模式效果评价

Effects of the “Owner Contract Responsibility System in Entertainment Places” Interventional Mode in Dongpo District,Meishan City

目的了解眉山市东坡区暗娼人员艾滋病流行现状、艾滋病知识及相关行为特征,评价东坡区以疾控中心加"暗娼场所业主承包干预"为主体的暗娼人群干预模式效果,为制定干预措施和评价效果提供科学依据。方法以示范区工作开展为界,将数据整理为示范区前和示范区后,2012年数据为前,2015年数据为后,按照全国艾滋病哨点监测方案要求,采取整群抽样方法,纳入调查的暗娼在中心城区的按摩和茶馆进行面对面的问卷调查,并且采集静脉血进行HIV抗体、丙肝抗体和梅毒抗体检测。采用Epidata数据库录入数据,运用SPSS 21.0软件分析数据,通过定量分析来比较示范区工作前后的干预效果的不同,采用χ~2检验(双侧)并分析其原因。结果 2012年和2015年共监测暗娼800人、累计查出暗娼HIV8人、梅毒43人、丙肝15人,暗娼人员的艾滋病相关知识知晓率和行为形成率有所改善,知晓率由2012年的89.25%上升到2015年的99.00%。但暗娼坚持每次都使用安全套的比例较低。结论以疾控中心加"暗娼场所业主承包干预"为主体的暗娼人群干预具有较好的效果,干预模式具有可推广性。

Objective To understand the HIV/AIDS epidemic situation, HIV/AIDS knowledge and related be- havior characteristics among female sex workers in Dongpo District, Meishan City, and evaluate the effect of the intervention model that was based on CDC combined with the interventional mode of ＂owner contract responsibility system in entertainment places＂ . Methods According to the national AIDS surveillance program, female sex workers selected by the cluster sampling method were investigated with face-to-face questionnaires, and antibodies against HIV, HCV and Syphilis were detected before and after the demonstration zone was established. The data collected in 2012 were considered data before the demonstration zone was established, the data collected in 2015 were considered data after the demonstration zone was established. The data of 2012 and 2015 were compared to evaluate the effect of the intervention model. All data were input into EpiData and analyzed by chi -square test using SPSS 21.0. Results Eight hundred female sexual workers were enrolled, the numbers of sexual workers with positive HIV, HCV and Syphilis were 8, 15 and 43, respectively. The awareness rate of AIDS knowledge among female sex workers increased, and so did the health behavior formation rate. The awareness rates of AIDS knowledge were 89.25% and 99% in 2012 and 2015, re- spectively. However, the proportion of consistent condom use was still low. Conclusion The intervention model based on CDC combined with ＂owner contract responsibility system in entertainment places＂ has demonstrated remarkable effects and deserves popularization.