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目的探索有效遏制艾滋病病毒(HIV)通过性服务人群向一般人群传播的方法,为预防控制艾滋病(AIDS)提供科学依据。方法对嘉峪关市娱乐场所性服务人员进行AIDS健康教育和行为干预,采用随机抽样、调查问卷方法收集相关信息,进行干预前后效果比较。结果AIDS预防基本知识知晓率干预后(96.96%)明显高于干预前(26.91%),但“非传播途径”干预后的全部答对比例仍然很低(60.61%);干预后最近一次商业性行为安全套使用率(82.68%)较干预前(30.09%)有明显提高。结论对娱乐场所性服务人员开展面对面的健康教育和干预,能有效提高她们艾滋病防治知识知晓率和安全套使用率,但如何建立长期可持续发展的干预机制有待进一步探索。
Objective To explore ways to effectively prevent the transmission of HIV from sexual services to the general population and to provide a scientific basis for the prevention and control of AIDS. Methods AIDS health education and behavioral intervention were conducted for sex workers in entertainment facilities in Jiayuguan City. Random sampling and questionnaires were used to collect relevant information, and the results were compared before and after intervention. Results The awareness rate of AIDS prevention was significantly higher after intervention (96.96%) than before intervention (26.91%), but the proportion of all responses after non-intervention was still low (60.61%). The most recent commercial activity after intervention The condom use rate (82.68%) was significantly higher than that before the intervention (30.09%). Conclusions The face-to-face health education and intervention for sexual service personnel in entertainment venues can effectively improve their awareness of AIDS prevention and control and the rate of condom use. However, how to establish long-term sustainable development intervention remains to be further explored.