摘要
目的:了解南昌市的女性性工作者(CSW)的艾滋病相关知识、态度和行为的变化情况,为制定和评估AIDS预防控制策略提供依据。方法:运用统一调查问卷,于干预前对娱乐场所内的CSW进行基线调查,并对她们进行以健康教育、安全套推广、改善求医行为为主要内容的综合干预,干预结束后再次对106名CSW进行调查以评价干预效果。结果:干预后CSW艾滋病预防知识知晓率有显著提高。性行为中安全套的使用率明显上升,在与非固定性伴性行为中,最近1次安全套的使用率由干预前的86.90%上升到干预后的97.17%(P<0.05);最近1周和最近1个月每次都用安全套的使用率分别由86.21%、84.83%上升为94.34%及92.45%(P值均<0.05)。在个人求医态度方面,自己购药比例和去私人诊所就诊比例下降,去公立医院就诊比例上升。结论:对娱乐场所内的CSW开展预防艾滋病的综合干预,能有效降低这些高危人群的艾滋病感染率。
Objective： To investigate change of the HIV/AIDS knowledge, attitude and sexual behavior among Commercial Sex Workers （CSWs） in Nanchang city and offer help for formulating and evaluating AIDS prevention and controlling strategy. Methods： The questionnaires was used to operate the base-line investigation in 145 CSWs before intervention, followed by systemic intervention such as healthy education, condom publicity, seek- doctor behavior amelioration. After intervention, the same questionnaires was used to investigate 106 CSWs to evaluate the effect. Results. The level of knowledge among CSWs and the rate of condom use in sex intercourse had significantly increased after intervention. In their sex activities with non - regular partners, the rate of condom use in last intercouse were 86.90 % before intervention and 97.17 % after intervention （P 〈 0.05）, the rate of condom use in last week were 86.21% and 94.34% respectively （P〈0.05） and the rate of condom use in last month were 84.83% and 92.45% respectively （P〈0.05） .As for seek- doctor attitude, the proportion of self-purchasing drugs and going private clinics decreased and the proportion of going public hospitals increased.Conclusion： We can efficiently decreased HIV/AIDS infection rate of CSWs through systemic intervention in entertainment place and can achieve good prevention and control effect.
出处
《现代预防医学》
CAS
北大核心
2005年第12期1717-1718,1721,共3页
Modern Preventive Medicine
关键词
女性性工作者
艾滋病
行为综合干预
Commercial Sex Worker （CSW）
AIDS
Behavioral systemic intervention
