论文部分内容阅读
目的了解和分析湖北省推广实施100%安全套使用项目(CUP)3年来,女性商业性行为者(CSW)的艾滋病(AIDS)相关知识、态度、行为现况和效果,提出今后干预工作重点及对策。方法对该省推广实施100%CUP3年的18个县(市、区),按照分层方便抽样方法,抽取200名CSW进行访谈式匿名问卷调查。结果被调查者平均年龄为22岁,来自农村的占56.2%,小学及文盲占20.6%,初中占60.3%,高中及以上占19.1%,不同类型场所调查对象文化程度差异有统计学意义(χ2=17.769,P=0.023)。CSW对AIDS知识知晓正确率与3年前比较有显著提高;最近一次与客人发生性行为时使用安全套的占98.4%(2004年基线调查结果为68.5%),最近一个月与客人发生性行为时每次都使用安全套的占91.4%。结论湖北省推广实施100%CUP3年来,CSW艾滋病相关知识、态度、行为改变明显,但仍需针对低档场所加大干预力度。
Objectives To understand and analyze AIDS-related knowledge, attitudes, behaviors and effects of female commercial sex workers (CSW) in Hubei Province in the past three years since the promotion of 100% condom use project (CUP), and to put forward the key points and countermeasures for future interventions . Methods A total of 18 counties (cities and districts) of 100% CUP for 3 years were popularized in this province. According to the stratified and convenient sampling method, 200 CSWs were interviewed for anonymous questionnaires. Results The average age of respondents was 22 years old, 56.2% from rural areas, 20.6% from primary school and illiterate, 60.3% from junior high school and 19.1% from high school and above. There were significant differences in educational level among different types of places (χ2 = 17.769, P = 0.023). The correct rate of CSW knowledge of AIDS was significantly improved compared with that of three years ago. The most recent condom use was 98.4% (68.5% of baseline survey in 2004), and the most recent month when having sex with guests Each time they use condoms accounted for 91.4%. Conclusions Hubei Province promoted the implementation of 100% CUP for 3 years. The relevant knowledge, attitudes and behavior of HIV / AIDS in CSW have changed obviously. However, it is still necessary to intensify the intervention in low-grade places.