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目的 探讨开展减少暗娼由性服务而引起的健康风险干预的策略与方法及其效果。方法 采用预防干预和治疗服务相结合的策略措施 ,建立妇女健康中心 (WHC) ,一方面深入服务场所 ,利用行为改变理论为暗娼及业主提供多种形式的健康教育、咨询服务 ,引导正确的求医行为和推广安全套的使用 ;另一方面在WHC和诊所内提供性病病征处理服务。结果 妇女性病 /艾滋病知识水平、患病意识及正确的求医行为和安全套的使用率逐年有了不同程度的提高。大部分妇女已处于行为改变的知识掌握阶段 ,但患病意识及正确的求医行为和安全套的使用率还处于较低水平。结论 预防与治疗相结合的策略与方法在暗娼性病艾滋病干预活动中是可行有效的。
Objective To explore strategies and methods to reduce health risk caused by sexual services of female sex workers and their effects. Methods To establish a women’s health center (WHC) based on the combination of preventive interventions and treatment services, and to provide in-depth services on the one hand to provide various forms of health education and counseling services to commercial sex workers and employers using behavioral change theory to guide correct seeking Medical practices and promotion of condom use; on the other hand, treatment services for STDs are provided at WHC and clinics. Results The level of awareness of STD / AIDS, awareness of illness and correct behavior of seeking medical treatment and condom use by women have been increasing year by year. Most women are already in the know-how stage of behavioral change but their prevalence and right to seek medical treatment and condom use are still low. Conclusion The combination of prevention and treatment strategies and methods is feasible and effective in STD and HIV intervention of commercial sex workers.