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目的了解定陶县城区暗娼(female sex workers,FSW)艾滋病相关知识、行为等,并评价采取综合行为干预措施的效果。方法对定陶县城区FSW人群进行为期一年半的综合行为干预,采用同一问卷对干预前122名及干预后132名进行调查。结果干预后暗娼艾滋病相关知识知晓率由干预前的21.31%~81.14%提高到70.45%~95.45%,最近1次安全套使用率、最近3个月和6个月安全套每次使用率分别由60.65%、42.46%、36.89%提高到87.88%、80.30%、76.51%(P<0.01),就医选择公立医院的比例由55.74%提高至80.30%(P<0.01)。结论在暗娼人群中开展艾滋病综合行为干预能够提高其艾滋病相关知识知晓率和安全套使用率,有利于控制艾滋病在该人群中的进一步传播。
Objective To understand HIV / AIDS related knowledge, behavior and so on of female sex workers (FSW) in Dingtao county and to evaluate the effect of adopting comprehensive behavioral interventions. Methods The comprehensive behavioral intervention for one and a half years in FSW population in Dingtao urban area was conducted. The same questionnaire was used to investigate 122 pre-interventions and 132 post-interventions. Results The awareness rate of HIV / AIDS-related knowledge of female sex workers after intervention was increased from 21.31% ~ 81.14% before intervention to 70.45% ~ 95.45%. The condom usage rates of the last 3 months and 6 months were respectively increased from 60.65% , 42.46% and 36.89% respectively, up to 87.88%, 80.30% and 76.51% (P <0.01). The proportion of patients choosing public hospitals for medical treatment increased from 55.74% to 80.30% (P <0.01). Conclusion The implementation of integrated behavioral counseling on HIV / AIDS among FSWs can increase the awareness rate of AIDS-related knowledge and the rate of condom use, which helps to control the further spread of AIDS among this population.