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目的评价在男男性工作者(money boy,MB)中开展性病艾滋病预防综合干预的效果。方法对沈阳、成都和南京3个城市,在干预现场,对接受干预的、有性交易或准备从事性交易的MB,开展面对面艾滋病性病预防知识宣传,调查干预活动前后的知识与行为,评价干预效果。结果基线调查有效问卷484份,终期调查获得有效问卷553份。MB的平均年龄分别是21.56岁和21.60岁,均以未婚为主。通过开发和发放宣传册,推广润滑剂和鼓励购买安全套,交流使用安全套保护健康的技巧,建立全国医疗服务网络,开展性病规范诊疗,并积极推荐到当地疾病预防控制中心接受自愿咨询检测(VCT)活动。干预后,MB的性病艾滋病知识知晓率由62.66%上升到91.94%;男男安全性行为有所提高;愿意到公立医院接受性病诊治者由53.9%上升到86.8%。结论对于MB的健康干预、有关安全性行为仍应以宣传和推荐安全套使用为重点。综合干预宣传可以引导MB正确选择性病的诊疗机构。
Objective To evaluate the effectiveness of a comprehensive HIV / AIDS prevention intervention in male and female sex workers (MBBs). Methods To conduct face-to-face publicity on STD prevention and control knowledge and behavior at pre-intervention sites in Shenyang, Chengdu and Nanjing cities in the intervention site, intervened, sexually transacted or ready to engage in sex trade, effect. Results There were 484 effective questionnaires in the baseline survey and 553 valid questionnaires in the final investigation. The average age of MB is 21.56 years old and 21.60 years old, both unmarried. Through developing and distributing brochures, promoting lubricants and encouraging the purchase of condoms, exchanging condom health tips, setting up a nationwide medical service network and conducting STD clinics, and actively recommended to the local CDC for voluntary counseling and testing (VCT) activity. After the intervention, the knowledge rate of STD / AIDS in MB increased from 62.66% to 91.94%; men’s safety behavior was improved; the number of those who were willing to go to public hospitals for STD increased from 53.9% to 86.8%. Conclusions For MB’s health intervention, safety behaviors should still be focused on promoting and recommending the use of condoms. Comprehensive interventions can guide the proper selection of MB treatment clinics.