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[目的]了解福州市娱乐场所女性性服务工作者的艾滋病相关知识及行为特征,评价在娱乐场所开展预防艾滋病的干预效果。[方法]对福州市某区20家娱乐场所的女性性服务工作者开展综合干预,包括同伴教育、性病/艾滋病知识的咨询及宣传教育、行为干预等;干预前后进行知识、态度、行为问卷调查并进行统计分析。[结果]女性性服务工作者最近1个月与客人发生性关系时每次使用安全套的比例从干预前的51.6%上升到干预后的86.2%;最近1次与客人发生性行为时使用安全套的比例从83.1%上升到93.8%。与固定性伴发生性行为时使用安全套的比例从37.6%上升到67.9%,从未使用安全套比例从55.6%下降到26.5%。女性性服务工作者正确求医就诊率从干预前的52.3%上升到干预后的67.3%。[结论]研究使用的干预方法对娱乐场所服务小姐性病/艾滋病相关知识的认知和安全性行为是行之有效的,对遏制性病、艾滋病由高危人群向一般人群的蔓延有重要作用。
[Objective] To understand AIDS related knowledge and behavior characteristics of female sex workers in entertainment venues in Fuzhou and evaluate the effect of AIDS prevention intervention in entertainment venues. [Methods] To carry out comprehensive interventions on female sex workers in 20 entertainment venues in a certain district of Fuzhou, including peer education, STD / AIDS knowledge counseling, publicity and education, behavioral interventions, etc. Knowledge, attitudes and behavior questionnaires were conducted before and after intervention And statistical analysis. [Results] The proportion of female sex workers who used condoms during the last month with their clients increased from 51.6% before intervention to 86.2% after interventions. The most recent use of condoms when they had sex with their clients The ratio rose from 83.1% to 93.8%. The percentage of condom users who used sex with sex partners increased from 37.6% to 67.9%, while the proportion of people who never used condoms dropped from 55.6% to 26.5%. The rate of visiting the correct clinic for female sex workers increased from 52.3% before the intervention to 67.3% after the intervention. [Conclusion] The intervention methods used in this study are effective in understanding and safe sexually transmitted diseases (STDs / AIDS) -based knowledge of HIV / AIDS patients and playing an important role in preventing STDs and AIDS from spreading from the high-risk groups to the general population.