摘要
目的了解六安市娱乐服务场所CSW的艾滋病相关知识、态度和性行为的变化情况,为制定性病艾滋病的防制策略提供依据。方法使用统一CSW调查问卷,干预前,对娱乐场所内性服务工作者采用面对面的深入访谈和流行病学调查,并对她们进行健康教育/安全套推广/提供VCT服务为主要内容的综合干预。干预前后,使用调查问卷分别进行调查,评估干预效果。结果不同娱乐场所和干预前后,CSW最近1次商业性行为安全套使用率分别为62.4%、80.1%(P(0.005),艾滋病的相关知识知晓率也有显著提高。结论在娱乐场所开展预防艾滋病的综合干预,能有效提高CSW安全套使用率,预防艾滋病向一般人群传播。
Objective To identify the changes of AIDS knowledge, attitude and practice ( KAP) among commercial sex workers (CSWs) in entertainment sites in Luhn city in order to provide information for making decision on AIDS prevention and control strategies. Methods After indepth interviews and structured questionnaire interviews, intervention activities including heath education, condom promotion, voluntary counseling and testing (VCT) services, were implemented among CSWs in entertainment sites in Lu'an city. An assessment was conducted after intervention using the same questionnaire. Resuits The KAP level was different among different sites and the KAP level at post - intervention was higher than pre - in- tervention. The condom use rates at last commercial sex were 95.7% and 56.3% among CSWs at hotel/bath center ( high level) and beauty bar/small hotel ( low level) respectively { P 〈0. 005 }. The condom use rates at last commercial sex were 62.4% and 80.1% at baseline and post - intervention respectively I P 〈 0.005 ). Conclusions The condom use rate was low among CSWs at low level sites, such as beauty bars and small hotels. The comprehensive intervention could effectively raise AIDS KAP among CSWs in Lu'an city.
出处
《安徽预防医学杂志》
2009年第1期39-41,共3页
Anhui Journal of Preventive Medicine