论文部分内容阅读
目的了解启动艾滋病综合防治示范区项目后,丹阳市暗娼人群(FSWs)艾滋病行为干预效果,为今后制定艾滋病防治政策提供依据。方法在综合防治的基础上,针对暗娼人群采取以性病门诊为依托的行为干预模式,同时开展同伴教育、自愿咨询(VCT)以及就医转介等综合干预服务。对2010年和2011年暗娼流行病学调查数据及2004年示范区基线调查数据为基础进行干预效果分析。结果 2004、2010和2011年暗娼艾滋病知识知晓率分别为34.29%、93.89%和94.62%,最近一次发生性行为时安全套使用比例分别为36.19%、81.10%和83.99%,最近一个月发生性行为时每次都使用安全套的比例分别为11.43%、20.20%和17.98%。结论暗娼人群综合干预措施在控制艾滋病经性途径传播工作中发挥了重要的作用,但如何有效地促进暗娼高危行为的改变,提高行为干预工作的效果仍任重而道远。
Objective To understand the effects of HIV / AIDS behavioral intervention among FSWs in Danyang City after HIV / AIDS prevention and control demonstration project is started, and provide basis for future HIV / AIDS prevention and control policies. Methods On the basis of comprehensive prevention and treatment, a behavioral intervention model based on STD clinics was adopted for female sex workers. At the same time, integrated intervention services such as peer education, voluntary counseling (VCT) and referral to medical care were carried out. The effect of intervention on the epidemiological survey data of female sex workers in 2010 and 2011 and the baseline survey data of 2004 demonstration area was analyzed. Results The awareness rates of HIV / AIDS among female sex workers in 2004, 2010 and 2011 were 34.29%, 93.89% and 94.62% respectively. The proportion of condom use in the last sex was 36.19%, 81.10% and 83.99%, respectively. The proportion of condoms used each time was 11.43%, 20.20% and 17.98% respectively. Conclusions Integrated interventions for female sex workers play an important role in the control of sexual transmission of AIDS. However, it is still a long way to go about how to effectively improve the high-risk behavior of sex workers and improve the effectiveness of behavioral intervention.