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[目的]提高大理市区暗娼人群性病艾滋病预防知识,促进安全性行为的实施,有效遏制性病艾滋病的传播。[方法]建立综合干预的工作环境,开展多种形式的干预服务。[结果]建立了相对稳定的同伴教育核心队伍,提高了目标人群的性病艾滋病预防知识,提高了安全套的使用率,逐步健全当地的VCT转诊网络。干预后暗娼人群正确认识艾滋病预防知识知晓率由2003年的75.5%上升到2005年的88.3%;艾滋病传播知识的知晓率由2003年的5.9%上升到2005年的41.4%,干预前后有显著性差异。目标人群与商业性伴安全套的使用率得到提高,与商业性伴最近一次安全套使用率由89.40%提高到97.22%,在一月内坚持使用安全套率从71.27%提高到81.48%,有显著性差异。[结论]在大理市区开展的对高危女性性病艾滋病防治综合干预取得预期的效果,其成功的经验为下一步的工作奠定了基础,有效的干预措施在今后的干预工作中应进一步加强。
[Objective] To improve the knowledge of sexually transmitted diseases and HIV/AIDS prevention among clandestine urban residents in Dali City, promote the implementation of safe sexual behaviors, and effectively curb the spread of STDs and AIDS. [Methods] Establish a comprehensive intervention work environment and carry out various forms of intervention services. [Results] A relatively stable peer education core team was established, the STD/AIDS prevention knowledge of the target population was improved, the use rate of condoms was increased, and the local VCT referral network was gradually improved. After the intervention, the awareness rate of AIDS prevention knowledge among the sex workers increased from 75.5% in 2003 to 88.3% in 2005. The awareness rate of AIDS transmission knowledge increased from 5.9% in 2003 to 41.4% in 2005. There was significant difference before and after the intervention. difference. The use rate of target condoms and commercial sexual condoms was improved. The rate of condom use from commercial partners last time increased from 89.40% to 97.22%, and the rate of condom use consistently increased from 71.27% to 81.48% within one month. There was a significant difference. . [Conclusion] The comprehensive intervention for prevention and treatment of STD and AIDS in high-risk women in Dali City achieved the expected results. The successful experience laid the foundation for the next step, and effective intervention measures should be further strengthened in future interventions.