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目的了解中国全球基金艾滋病项目地区暗娼艾滋病综合干预效果,为今后制定相关干预措施提供科学依据。方法银川市、吴忠市于2006年7月采取分层抽样的方法对两市高、中、低档的娱乐场所的815年暗娼进行了一次艾滋病相关知识及危险水平调查和血清学监测,随后两年内针对相同场所开展持续的规律的综合干预工作(外展工作包括艾滋病防治知识宣传、安全套推广、同伴教育、自愿咨询检测等),2008年7月对相同场所的802名暗娼进行相同问卷和血清学监测。结果银川市、吴忠市暗娼人群对艾滋病相关知识的知晓率由基线调查前的66.01%上升到中期评估调查的90.40%;最近一次商业性行为安全套使用率由基线调查的48.71%上升到中期评估调查的90.26%;综合接受干预服务状况较基线调查结果有所提高(P<0.01)。结论结合当地实际情况和暗娼人群需求,在暗娼人群中开展的艾滋病综合干预服务工作有效模式,可以进一步在全区范围内推广。
Objective To understand the effects of comprehensive HIV / AIDS intervention among female sex workers in the HIV / AIDS project area in China and to provide a scientific basis for future interventions. Methods In July 2006, Yinchuan and Wuzhong conducted a stratified sampling method to conduct HIV / AIDS-related knowledge and risk level surveys and serological surveillance on 815 commercial sex workers in high, middle and low places of entertainment in the two cities in the following two years In July 2008, the same questionnaires and serological tests were conducted on 802 female sex workers in the same locality in July 2008 in accordance with the regular and regular comprehensive interventions (outreach work including HIV / AIDS prevention and information publicity, condom promotion, peer education, voluntary counseling and testing, etc.) monitor. Results The awareness rate of AIDS-related knowledge among FSWs in Yinchuan and Wuzhong rose from 66.01% before baseline survey to 90.40% in the mid-term survey. The recent rate of condom use in commercial sex increased from 48.71% of the baseline survey to the mid-term assessment survey 90.26% of the total; Intervention service status improved from baseline (P <0.01). Conclusion According to the local actual situation and the needs of female sex workers, the integrated mode of HIV / AIDS interventions among FSWs can be further promoted in the whole region.