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目的了解清远市娱乐场所女性性工作者艾滋病防治知识、态度及行为的改变情况,评价干预措施效果。方法 2009年对清远市部分娱乐场所女性性工作者开展防病知识宣传、安全套推广等综合干预措施,干预前后分别进行艾滋病相关知识和安全性行为问卷调查,对干预前后效果进行分析和评价。结果干预前调查333人,干预后调查216人。接受干预后,调查对象的艾滋病相关知识总知晓率从干预前的68.47%提高到干预后的83.33%(P<0.01);最近1个月、最近1次商业性行为时每次使用安全套者所占比例分别从干预前的76.28%、89.79%提高到干预后的93.52%和98.15%(P<0.01);出现生殖道不适症状的比例和性病患病率从干预前的63.66%、42.04%下降到干预后的43.06%和31.02%,干预前后比较差异均有统计学意义(P<0.01)。结论通过综合干预可以有效地提高娱乐场所女性性工作者的艾滋病知识知晓率和安全性行为,应继续加强艾滋病知识的宣传和持续开展100%安全套推广使用工作。
Objective To understand the changes of AIDS prevention and control knowledge, attitude and behavior of female sex workers in entertainment places in Qingyuan City and evaluate the effect of intervention measures. Methods In 2009, some female sex workers in some places of entertainment in Qingyuan city were engaged in the publicity of disease prevention knowledge and condom promotion. Before and after the intervention, HIV / AIDS-related knowledge and safety behavior questionnaires were conducted respectively to analyze and evaluate the effect of interventions before and after intervention. Results 333 cases were investigated before intervention and 216 cases were investigated after intervention. After receiving the intervention, the total awareness rate of AIDS-related knowledge among the respondents increased from 68.47% before the intervention to 83.33% after the intervention (P <0.01). In the recent 1 month, every time the last commercial activity was conducted, (P <0.01). The prevalence of genital tract discomfort and the prevalence of STD decreased from 63.66% and 42.04% before intervention, respectively, to 76.28% and 89.79% before intervention and 93.52% and 98.15% respectively after intervention 43.06% and 31.02% after intervention, respectively. There were significant differences between before and after intervention (P <0.01). Conclusion Comprehensive interventions can effectively improve HIV / AIDS awareness and safety among female sex workers in entertainment venues, and should continue to promote awareness of HIV / AIDS and continue the promotion and use of 100% condoms.