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目的通过对唐县干预实施过程的分析总结,探讨县级娱乐服务场所暗娼(CSW)的干预措施。方法收集整理唐县干预实施过程中的相关资料,总结干预的方法步骤,分析影响干预的相关因素,提出干预工作中遇到的问题和解决的方法对策。结果78.57%的高危场所接受干预,其中高、中档娱乐服务场所接受干预率为100%,低档场所接受干预率62.5%。CSW接受干预人数占96.66%。与基线调查统计结果相比,CSW艾滋病知识知晓率从60%上升到95%,其中高、中档场所CSW艾滋病知识知晓率为100%,低档场所CSW知晓率为82.5%;安全套使用率由50%上升到86%,其中高、中档场所CSW安全套使用率均为100%,低档场所CSW安全套使用率为53.1%。接受HIV初筛检测率为49.53%。培养了一支同伴教育宣传员队伍。结论“依据出租车司机线索,直接拜访老板,逐一走访高危场所,培养同伴教育宣传员,定期外展现场干预与定期集中培训交流相结合”的唐县CSW干预模式,启动、推动了唐县的干预工作,使干预工作能够循环、持续、深入进行,在高危人群CSW中宣传普及艾滋病防治知识、推广100%安全套使用技术、营造社会支持环境等方面起到了重要的作用,有效防止了当地艾滋病的传播。
Objective To analyze and summarize the implementation process of intervention in Tang County to explore intervention measures of CSW at county-level entertainment venues. Methods Collecting relevant information in the implementation of Tangxian intervention, summarizing the methodological steps of the intervention, analyzing the relevant factors affecting the intervention, putting forward the problems encountered in the intervention and the solutions and countermeasures. Results 78.57% of the high-risk places were intervened. Among them, the intervention rates for high and mid-range entertainment venues were 100% and the low-grade places for intervention were 62.5%. The number of CSW interventions accounted for 96.66%. Compared with the baseline survey results, the awareness rate of AIDS knowledge in CSW increased from 60% to 95%. The awareness rate of CSW AIDS in high and mid-range places was 100%, that of low-end places was 82.5%, and that of condoms was 50% To 86%. The utilization rate of CSW condoms in both high and mid-range sites was 100%, while the utilization rate of CSW condoms in low-grade sites was 53.1%. HIV screening test was 49.53%. A team of peer educators has been trained. Conclusion The intervention mode of CSW in Tang County based on the taxi driver clues, direct visit to the boss, one by one visit to high-risk places, fostering companion education promoters, regular outreach on-site interventions and regular intensive training exchange was initiated and promoted Interventions so that the intervention can be carried out in a continuous, continuous and intensive manner. It plays an important role in disseminating AIDS prevention and control knowledge, promoting 100% condom use technologies and creating a social supporting environment in CSW at high risk, effectively preventing local AIDS spread.