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目的评价暗娼单纯干预及暗娼和嫖客的双向干预效果,探索干预模式。方法通过当地三轮车协会及娱乐场所业主动员研究对象参与,开展为期1年的健康教育和干预。对双向干预的暗娼和嫖客以及单纯干预的暗娼艾滋病相关知识知晓情况及相关行为进行干预前后调查。结果干预前单纯干预点与双向干预点地区暗娼艾滋病3种传播途径知晓率分别为38.38%和58.04%,全部问题回答正确率分别为21.21%和27.68%,主动检测HIV分别为7.78%和4.46%;嫖客最近1次与暗娼性交安全套使用率仅56.58%,自备安全套仅有6.97%。干预后,双向干预点暗娼及嫖客在“3种传播途径”正确回答率、最近1次安全套使用率、HIV检测率均有提高;双向点的暗娼问题全部回答正确、正确回答3种传播途径、HIV检测、最近1次安全套使用率分别为37.25%、91.50%、16.00%和83%,均高于单纯干预点。结论开展双向干预,同时将暗娼和嫖客作为重点人群干预,可以提高干预效果。
Objective To evaluate the effect of intervention by sex workers and female clients on the two-way intervention. Methods Through the participation of local tricycle associations and owners of entertainment venues, a one-year health education and intervention was conducted. Intervenes before and after the interrogation of AIDS-related knowledge and related behaviors of commercial sex workers and their clients who intervened bidirectionally and intervened only. Results The awareness rates of three routes of HIV transmission among female sex workers were 38.38% and 58.04%, respectively. The correct answers to all questions were 21.21% and 27.68% respectively. The rates of active HIV testing were 7.78% and 4.46% respectively, ; The clients who used sex condom during the last time with sex workers only used 56.58% of the time, and only 6.97% provided their own condoms. After the intervention, the two-way interventions of commercial sex workers and clients in the “three kinds of transmission” the correct answer rate, the recent condom use rate, HIV detection rates have increased; two-way point of the full answer to the question of sex workers, the correct answer to three kinds of transmission Way, HIV testing, the most recent condom use rates were 37.25%, 91.50%, 16.00% and 83%, were higher than the simple intervention point. Conclusions The two-way intervention, while the sex workers and clients as a key intervention group, can improve the intervention effect.