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目的评价大理市娱乐场所性服务人员AIDS综合干预效果,为AIDS综合干预工作提供参考。方法对项目覆盖区女性性服务人员进行一对一问卷调查,调查结果与基线结果进行比较。结果目标人群AIDS预防知识知晓率由2003年的75.50%上升到2005年的88.30%;传播知识的知晓率由5.90%上升到41.40%,干预前后差异有统计学意义。与商业性伴“最近一次”、“最近一月”使用安全套的比例分别由89.40%提高到97.22%、从71.27%提高到81.48%;与固定性伴安全套使用率仍不高,最近一月与固定性伴每次用安全套的频率仅为25.33%。结论通过综合干预的开展,有效地提高了干预点所在地目标人群的AIDS知识知晓率和安全行为率,但行为的改变需要长期持续的干预才能产生明显效果。
Objective To evaluate the effects of comprehensive AIDS intervention on sex workers in entertainment venues in Dali City and provide a reference for comprehensive AIDS intervention. Methods One-on-one questionnaire survey was conducted on female sex workers in the project coverage area. The survey results were compared with the baseline results. Results The awareness rate of AIDS prevention knowledge among the target population increased from 75.50% in 2003 to 88.30% in 2005; the awareness of spreading knowledge increased from 5.90% to 41.40%, with significant difference between before and after intervention. The percentage of condom users who used “commercial sex”, “the most recent” and “the most recent one month” from the commercial sexual partners increased from 89.40% to 97.22%, from 71.27% to 81.48% respectively. The condom use rate with fixed partners was still low, The frequency of condom use per fixation and companion in January last year was only 25.33%. Conclusion Through comprehensive intervention, AIDS awareness and safety behaviors of target population are effectively increased, but long-term and sustained interventions can lead to significant changes in behavior.