依托性病门诊对娱乐场所女性从业人员开展外展服务的效果评价  

Evaluating the effectiveness of outreach services relying on STD clinics among female attendants in public places of entertainment

作　　者：吴明尚 黄涛[1] 梁国钧[2] 黄朝燕 陈慧[1] 冯启明[3] 黎燕宁[3] 

机构地区：[1]广西北海市皮肤病防治院,536000 [2]中国疾病预防控制中心性病控制中心,南京210042 [3]广西医科大学公共卫生学院,南宁530021

出　　处：《应用预防医学》2006年第6期329-333,共5页Applied Preventive Medicine

基　　金：广西壮族自治区卫生厅科研立项(Z2005002)

摘　　要：目的评价北海市依托性病门诊对娱乐场所女性从业人员开展外展服务的效果。方法采用分层按比例抽样方法随机抽取北海市区内娱乐场所作为干预目标场所,以性病门诊为依托,以性病门诊医生为外展服务人员,对目标场所的女性从业人员进行性病艾滋病的健康教育与行为干预,比较干预前后女性从业人员的艾滋病性病知识知晓率、最近一次商业性行为避孕套使用率、性病患病率和所依托性病门诊的门诊量等指标的变化。结果女性从业人员艾滋病性病相关知识的平均知晓率从外展服务干预前的68.2%上升到干预后的90.5%(P=0.000);女性从业人员最近一次商业性行为安全套使用率从干预前的55.4%上升到干预后的86.7%(P=0.000);女性从业人员性病感染率从干预前的40.6%下降到干预后的22.0%(P=0.000);生殖器出现异常时,干预前,43.4%女性从业人员选择到私人诊所就诊,干预后,78.9%愿意到正规的公立医院就诊;干预后所依托的性病门诊的就诊量增加了77.4%,效果明显。结论以性病门诊为依托对娱乐场所女性从业人员开展外展服务效果是明显的,这一新模式可以解决以前外展工作不能提供性病诊疗服务和工作没有可持续性的问题。Objective To evaluate the effectiveness of outreach services relying on STD clinics among female attendants in public places of entertainment of Beihai City. Methods Public places of entertainment of Beihai City were sampled randomly by stratified proportional allocation sampling as target prevention places. Female attendants in target places should be treated as an important target population for STD/AIDS health education and behavior prevetion relying on STD clinics, STD clinics doctors as outreach services workers. To compare the indexs of baseline and post - intervention knowledge on STD/AIDS, the rate of condom use in the last commercial sexual behaviors, STD prevalence and the load of STD clinics relied on for outreach services. Results The average rate of awareness to related knowledge on STD/AIDS of female attendants increased from 68.2 % before outreach services to 90.5 % after sen-ices ; the rate of the latest condom use during commercial sex activity increased from 55.4 % before the prevention to 86.7% after the prevention （P = 0. 000） ; the rate of STD infection dropped from 40.6% to 22.0% （P = 0. 000）; when the female attendants had diseases with genital organs, 43.4%of them chose to private clinics before outreach services, but 78.9% of them would like to see doctor in formal public hospitals after outreach services; the load of STD clinics relied on for outreach services increased by 77.4%. Outreach services had obvious effect. Conclusion it is definitely effective to female attendants by carrying out outreach services relied on STD clinics. The new model can resolve the problems which outreach work could not resolve before, such as STD clinic services and so on.

关 键 词：外展服务 娱乐场所 女性从业人员 性病门诊 健康教育 

分 类 号：R512.911[医药卫生—内科学]