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目的探索印证常规网络报告的暗娼人群干预数据的方法和策略。方法选取云南省德宏州3个不同行政区分别采用指纹POS机记录、HIV/梅毒检测和第三方现场抽样调查等3种不同策略以印证常规网络报告的暗娼人群干预数据。结果⑴指纹POS机记录策略:芒市在项目实施期间通过指纹POS机记录的暗娼干预人数为711人;而同期的常规网络干预报表记录的月均干预人次数为398人次,与指纹POS机记录的差异大。(2)HIV/梅毒检测策略:盈江县在项目实施期间实际接受HIV和梅毒检测的暗娼人数为284人,而同期的常规网络干预报表记录的月均干预人数即达314人,高于实际检测人数。(3)第三方现场抽样调查策略:独立第三方在瑞丽市以常规网络干预报表中记录的全部40个娱乐场所为抽样框架,分层随机抽样调查了9个娱乐场所中的43名暗娼,其中最近一年内HIV检测率为90.7%(39/43),与同期国家哨点客户端数据库显示的瑞丽市暗娼人群最近一年90%的HIV检测率一致(χ2=1.38,P=0.71)。结论有必要根据实际情况采取其中一种或几种不同策略组合来开展暗娼人群高危行为干预报表数据印证和评价工作。
Objective To explore ways and strategies for intervepting the data of female sex workers in routine network reporting. Methods Three different strategies of fingerprint POS, HIV / syphilis detection and third-party field sampling were adopted in three different administrative regions of Dehong prefecture in Yunnan Province to confirm the intervened data of FSWs reported by routine network. Results ⑴Sprint POS machine record strategy: During the project implementation, Mangshi recorded 711 interviews with female clients through fingerprint POS machines. In the same period, the monthly average number of interventions recorded by regular network interviews was 398, The difference is big. (2) HIV / syphilis detection strategy: The number of female sex workers who actually received HIV and syphilis testing in Yingjiang County during the project implementation was 284, while the average number of monthly interventions recorded by routine network intervention statements during the same period reached 314, which was higher than the actual Test the number. (3) Third-party on-site sample survey strategy: Independent third parties surveyed all 40 entertainment venues recorded in the regular network intervention statements of Ruili City as the sampling frame, and stratified random sampling surveyed 43 commercial sex workers in 9 entertainment venues The HIV detection rate in the recent year was 90.7% (39/43), which was 90% of the HIV detection rate in the recent year (χ2 = 1.38, P = 0.71) in the same year in the national sentinel client database. Conclusion It is necessary to adopt one or more different strategies according to the actual situation to carry out data validation and evaluation of high risk behavioral interventions for female sex workers.