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目的了解FSW人群的艾滋病防治知识、态度、行为状况,探索FSW人群综合干预模式,提高干预效果。方法通过进入高危场所接触目标人群,开展一对一访谈,填写调查问卷并征得其同意,采集血液样品用于检测艾滋病病毒(HIV)、梅毒(TP)及丙型肝炎(HCV)。结果 205名受访者艾滋病知识知晓率95.12%,性行为安全套使用率97.07%。接受艾滋病干预措施比率99.51%,检出梅毒9例、丙肝1例,HIV未检出。205名受访者中接受艾滋病检测并知晓结果的186人,达到90.73%。结论虽然FSW人群接受干预服务率、艾滋病知识知晓率,最近一次安全套使用率均较高,但持续使用安全套比率较低,而且梅毒患病率有所提高,显示仅仅通过高频次行为干预并不能降低其疾病的感染率,如何有效提高安全套的持续使用率,是下一步工作中面临的主要问题。
Objective To understand the knowledge, attitude and behavior of HIV / AIDS prevention and treatment in FSW population and explore the comprehensive intervention mode of FSW population to improve the intervention effect. METHODS: One-on-one interviews were conducted by touching the target population at high-risk locations, completing questionnaires and obtaining consent, and blood samples were collected for the detection of HIV, TP and HCV. Results The respondents’ knowledge rate of AIDS was 95.12% and that of sexual condom use was 97.07%. The rate of HIV / AIDS intervention was 99.51%. Nine cases of syphilis and one case of hepatitis C were detected. HIV was not detected. Of the 205 respondents, 186 were HIV-positive and 90% were aware of the results. Conclusions Although the rate of intervention services, awareness of AIDS and the most recent condom use are high in the FSW population, the condom use rate is lower and the prevalence of syphilis is higher, indicating that intervention in high frequency subscales does not Reduce the infection rate of their diseases and how to effectively increase the condom’s continuous use rate are the major problems in the next step of work.