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目的通过比较艾滋病防治与生殖健康服务干预前中后期社区娱乐场所女性性工作者(FSW)的艾滋病知识、行为、态度变化,对干预的效果进行评价。方法在开展干预前对FSW进行基线调查,之后进行综合干预,干预方法为:①在性病、妇科及计生门诊对就诊的FSW进行咨询宣传。②下到娱乐场所对FSW开展宣传、安全套发放、咨询检测等,于2008年和2009年进行现场问卷调查,比较实施干预前中后期FSW的艾滋病知识知晓率、安全套使用率、出现性病症状比例及就医行为变化等,评价干预效果。结果社区娱乐场所女性性工作者的艾滋病知识知晓率(即8个指标问题中答对6个)显著提高(χ2=130.994,P<0.01);发生商业性性关系时安全套使用率也有所提高(χ2=150.647,P1<0.01);2008年出现过性病相关症状的比例低于2006年(χ2=9.560,P1<0.05);2009年接受艾滋病咨询检测却显著提高(χ2=191.860,P2<0.01)。结论在性病、妇科及计生门诊开展免费咨询检测宣传和到娱乐场所开展外展活动,可以促进女性性工作者提高艾滋病知识知晓率、安全套使用率,降低性病症状的发生率。
Objective To evaluate the effect of intervention by comparing HIV knowledge, behaviors and attitudes of female sex workers (FSW) in community entertainment venues before and after AIDS prevention and control and reproductive health service intervention. Methods The baseline survey of FSW was carried out before the intervention was carried out. After that, comprehensive intervention was carried out. The intervention methods were as follows: (1) To consult and publicize the FSW in the STD, gynecology and family planning clinic. (2) Conduct publicity on the FSW, condom distribution and counseling and testing in entertainment venues. Conduct on-site questionnaires in 2008 and 2009 to compare FSW HIV / AIDS awareness rate, condom use rate, proportion of STD symptoms, Medical behavior changes, evaluate the effect of intervention. Results The awareness rate of HIV / AIDS among female sex workers in community entertainment venues (ie 6 out of 8 indicators) was significantly higher (χ2 = 130.994, P <0.01); condom use was also increased in commercial sex (χ2 = 150.647, P1 <0.01). In 2008, the proportion of STD-related symptoms was lower than that of 2006 (χ2 = 9.560, P1 <0.05). In 2009, AIDS counseling and testing were significantly increased (χ2 = 191.860, P <0.01). Conclusions The free counseling, testing, propaganda and outreach to entertainment venues in STDs, gynecology and family planning clinics can promote female sex workers’ awareness of HIV / AIDS and condom use, and reduce the incidence of STD symptoms.