论文部分内容阅读
目的通过在安源区湘东区对商业性服务人员(FSWs)实施一年的行为干预措施,提高FSWs艾滋病(AIDS)、性病(STD)知识知晓率,降低其危险行为。方法对FSWs开展以宣传教育、安全套推广、性病诊疗服务、自愿咨询检测和社区干预网络为主要内容的AIDS综合干预措施,通过比较研究对象干预前后的知识、态度和行为的改变及两区性病发病率来评价干预效果。结果干预前后分别调查140名和187名社区FSWs,研究对象对AIDS知识知晓率从干预前的38.50%提高到干预后的83.32%;最近1周的商业性行为中每次使用安全套的比例由干预前的34.29%%提高到64.71%(χ2=38.91,P<0.005);能正确使用男用安全套的比例由干预前的36.67%上升到66.67%(χ2=11.088,P=0.001);安源区干预当年性病发病率比上一年下降29.28%,湘东区下降9.80%;安源区FSWSHIV感染率为0.20%,湘东区FSWSHIV感染率为0.49%。结论采取综合干预措施能有效提高研究对象的AIDS防病知识和安全套使用率,从而降低其感染艾滋病病毒(HIV)及性病的危险性。
Objective To improve the knowledge and awareness of AIDS and STD in FSWs through one-year behavioral interventions on commercial service workers (FSWs) in Xiangdong District, Anyuan District. Methods The FSWs conducted comprehensive AIDS interventions focusing on education, condom promotion, STD clinics, voluntary counseling and testing and community intervention networks. By comparing the change of knowledge, attitude and behavior before and after intervention, and the incidence of STDs Rate to evaluate the effect of intervention. Results Before and after the intervention, 140 and 187 community-based FSWs were investigated. The awareness rate of AIDS knowledge among subjects was increased from 38.50% before intervention to 83.32% after intervention. In the last week, the proportion of condom use per commercial activity was (34.29%) increased to 64.71% (χ2 = 38.91, P <0.005); the proportion of male condoms correctly used increased from 36.67% before intervention to 66.67% (χ2 = 11.088, P = 0.001) In the same year, the incidence of STD decreased by 29.28% over the previous year and that of Xiangdong District by 9.80%. The infection rate of FSWSHIV in Anyuan District was 0.20% and the infection rate of FSWSHIV in Xiangdong District was 0.49%. Conclusion The comprehensive interventions can effectively increase AIDS prevention knowledge and condom use rate of the study subjects, thereby reducing the risk of HIV and STD infection.