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目的通过对辛集市娱乐场所暗娼艾滋病干预效果的评价,为该人群的艾滋病/性传播疾病预防干预提供依据。方法将选取娱乐场所暗娼人群的基本资料和行为学调查数据录入SPSS 17.0软件后进行整理、分析。结果干预前后分别调查暗娼各150人,干预前后收到有效问卷分别为105份和150份。干预前调查对象对艾滋病相关知识回答的正确率为38.10%~90.48%,干预后为69.33%~99.33%,差异有统计学意义(P<0.01);干预前最近1次与“客人”发生性关系时使用安全套的为57.14%,干预后为88.67%,差异有统计学意义(χ2=33.35,P<0.01);与“客人”发生性关系时每次均使用安全套的干预前为20.00%,干预后为62.00%,差异有统计学意义(P<0.01);与固定性伴发生性关系时从来不用安全套的干预前为61.9%,干预后为44.44%,差异有统计学意义(P<0.05);HIV自愿检测干预前后分别为16.67%、20.00%,差异无统计学意义(P>0.05);生殖器出现不适时,愿意去正规医院就医的,干预前后分别为53.33%、74.00%,差异有统计学意义(P<0.05)。结论加强健康教育和行为干预,能提高暗娼艾滋病防治知识知晓率,高危人群的行为有显著改变。
Objective To evaluate the effect of HIV / AIDS intervention among female sex workers in entertainment venues in Xinji City, and provide the basis for prevention and control of AIDS / STDs in this population. Methods The basic data and behavioral survey data of FSWs in entertainment venues were collected and analyzed by SPSS 17.0 software. Results Before and after the intervention, all 150 FSWs were investigated, and 105 valid questionnaires were received before and after the intervention. Before intervention, the correct rate of responding to HIV / AIDS related knowledge was 38.10% ~ 90.48%, and after intervention was 69.33% ~ 99.33%, the difference was statistically significant (P <0.01) The incidence of condom use was 57.14% and 88.67% respectively after intervention (χ2 = 33.35, P <0.01). Before condom use, there was a significant difference (20.00%) after intervention and 62.00% (62.00%) after intervention, respectively (P <0.01), 61.9% before intervention without condom and 44.44% after intervention, the difference was statistically significant (P0.05); HIV voluntary testing before and after intervention were 16.67%, 20.00%, respectively, the difference was not statistically significant (P> 0.05); before discomfort genitalia, willing to go to the regular hospital for medical treatment before and after intervention were 53.33%, 74.00 %, The difference was statistically significant (P <0.05). Conclusion Strengthening health education and behavioral intervention can improve the awareness rate of HIV / AIDS prevention and treatment among female sex workers and the behavior of high-risk groups has changed significantly.