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[目的]提高暗娼艾滋病防治知识水平,增进自我保护意识,降低艾滋病的危害。[方法]2005年,采用方便抽样法在济南市历城区28家娱乐场所对部分暗娼进行艾滋病知识健康教育干预,并评价其效果。[结果]干预前调查194人,干预后调查203人。干预后,调查对象除个别问题外,对有关艾滋病知识的知晓率均有明显的增高(P<0.01或P<0.05);接受过HIV检测者所占比例由干预前的4.12%增加到19.70%;干预后为了预防艾滋病/性病均愿意坚持使用安全套;最近1次商业性行为时使用安全套者所占比例干预前为56.85%,干预后为95.57%(P<0.01);最近1个月商业性行为时每次使用安全套者所占比例干预前为35.10%,干预后为96.95%(P<0.01)。[结论]在暗娼中开展健康教育干预工作,可以提高该人群艾滋病防治知识知晓率和安全套使用率。
[Objective] To improve the HIV / AIDS prevention and treatment knowledge level among sexworkers, enhance self-protection awareness and reduce the harm of AIDS. [Methods] In 2005, 28 preschool places of entertainment in Jinan City were used to carry out HIV / AIDS health education intervention for some sex workers and the effect was evaluated. [Results] 194 people were investigated before intervention and 203 persons after intervention. After the intervention, except for some problems, the rate of awareness of HIV / AIDS among the respondents was significantly higher (P <0.01 or P <0.05); the proportion of those who received HIV testing increased from 4.12% before intervention to 19.70% ; After the intervention in order to prevent AIDS / STD are willing to adhere to the use of condoms; the proportion of patients using condom during the last commercial sex intervention was 56.85%, 95.57% after intervention (P <0.01); the last 1 month commercial The proportion of those who used condoms during each course of intervention was 35.10% before intervention and 96.95% after intervention (P <0.01). [Conclusion] To carry out health education intervention among commercial sex workers can improve the population awareness rate of AIDS prevention and control and condom use rate.