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目的研究在娱乐场所暗娼人群(FSW)中如何有效开展艾滋病(AIDS)干预,为预防控制艾滋病提供依据。方法采用同伴教育者干预、专业人员面对面干预、发放宣传材料、安装安全套售套机等综合干预措施。干预前后通过行为问卷方式和梅毒检测进行干预效果评估。结果FSW的AIDS知识总知晓率从干预前的79.31%,提高到干预后的94.67%(P<0.01);最近一次与客人发生性关系时,安全套使用比例从干预前的64.84%,增加到干预后的96.45%(P<0.01);过去1个月与客人发生性关系时,安全套每次使用比例从干预前的56.04%,增加到干预后的67.46%(P<0.01)。梅毒检出率从干预前的2.99%,下降到干预后的0.67%(P<0.05)。结论AIDS综合干预措施是控制经性途径传播AIDS的有效手段,但需要形成长效工作机制,才能取得更好的效果。
Objective To study how to effectively carry out AIDS intervention in FSWs in entertainment venues to provide basis for prevention and control of AIDS. Methods Interventions of peer educators, face-to-face interviews with professionals, dissemination of promotional material and installation of condoms and other comprehensive interventions were conducted. Intervention before and after behavioral questionnaires and syphilis testing intervention effect assessment. Results The total awareness rate of AIDS among FSW increased from 79.31% before intervention to 94.67% after intervention (P <0.01). When the last time had sex with the guests, the proportion of condom use increased from 64.84% before intervention to intervention (P <0.01). After having sex with the guests in the past month, the ratio of each use of condoms increased from 56.04% before intervention to 67.46% after intervention (P <0.01). The detection rate of syphilis dropped from 2.99% before intervention to 0.67% after intervention (P <0.05). Conclusion AIDS comprehensive intervention is an effective means of controlling AIDS through sexual transmission, but long-term working mechanism needs to be formed to achieve better results.