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目的为了解呼图壁县娱乐场所女性性服务人员(FSW)安全套使用项目执行的效果,对项目进行终期评估。方法对20家呼图壁县城区和312国道天龙水泥厂、八十八公里处娱乐服务场所共150名FSW开展艾滋病(AIDS)知识、行为学问卷调查,并抽取5 ml静脉血进行HIV抗体和梅毒检测。结果 FSW大多数来自外省市,文化程度以初中及以下为主。艾滋病预防知识的知晓率从干预前78.06%上升到97.77%;与客人发生性关系时,最近一次安全套使用比例从干预前的64.58%上升到100.00%;过去一个月内安全套每次使用比例从干预前的56.82%上升到94.00%;HIV阳性率干预前后均为0%;梅毒阳性率从干预前的4.67%下降到0%。结论呼图壁县娱乐场所通过实施女性性服务人员安全套使用项目,使娱乐场所FSW具有一定的预防意识,降低了感染艾滋病病毒(HIV)的风险,为有效阻止经性途径传播艾滋病/性病打下了一定的基础。
OBJECTIVE To assess the effectiveness of the implementation of the condom use program for women sex workers (FSW) in entertainment places in Tupi County, a final assessment of the project was conducted. Methods A total of 150 FSWs in 20 Hutubi County urban districts and Tianlong Cement Plant of National Highway 312 and 88 km of entertainment venues were investigated for AIDS knowledge and behavior and 5 ml of venous blood was drawn for HIV antibody and Syphilis testing. Results Most of the FSW came from other provinces and cities, and their educational attainment was mainly junior secondary and below. AIDS awareness increased from 78.06% before intervention to 97.77%; with the guests, the proportion of the latest condom use increased from 64.58% before intervention to 100.00%; the proportion of condom use during the past month was higher than that from intervention The former 56.82% increased to 94.00%; the positive rate of HIV was 0% before and after intervention; the positive rate of syphilis decreased from 4.67% before intervention to 0%. Conclusions Hutubi County’s entertainment venues implemented a program of condom use for female sex workers to make FSW in entertainment establish a certain degree of prevention awareness and reduce the risk of HIV infection so as to effectively prevent sexual transmission of AIDS / STDs A certain basis.