杭州市小型娱乐场所女性服务工作者艾滋病相关行为干预研究  

Study on AIDS-related Behavior Interference among Commercial Sex Workers in Small Recreation Places

作　　者：何玉芳[1] 裘伟康[2] 周晓红[1] 席胜军[1] 杨青[1] 孙木兴[1] 

机构地区：[1]杭州市下城区疾病预防控制中心,浙江310003 [2]杭州市下城区卫生监督所

出　　处：《中国预防医学杂志》2008年第3期181-185,共5页Chinese Preventive Medicine

基　　金：2006年度下城区社会发展科学研究计划资助项目

摘　　要：目的了解杭州市下城区小型娱乐场所女性服务工作者干预前后的艾滋病相关知识、态度及行为特征,评价艾滋病综合干预措施的效果。方法选取133名小型娱乐场所女性服务工作者,在知情同意的原则下进行面对面的问卷调查,通过比较干预前后目标人群艾滋病知识知晓率和危险行为的改变,对干预措施的效果进行评价。结果通过综合干预,目标人群艾滋病知识知晓率由干预前的45.74%提高至干预后的65.53%,差异有统计学意义(χ2=137.04,P<0.01)。干预促进了目标人群对安全套在预防艾滋病中作用的认识,干预后最近一次安全套的使用率(55.64%)较干预前(42.86%)有所提高,差异有统计学意义(χ2=4.35,P<0.05)。目标人群既往获得和喜欢获得艾滋病知识的途径主要是通过广播电视、报刊杂志和医院就诊等渠道。结论通过各项干预措施后,女性服务工作者艾滋病知识的知晓率有所提高,但仍存在安全套使用率低等诸多高危行为,应继续加强艾滋病防治知识的健康宣教工作,加大力度以提高安全套使用率为重点的各项综合干预工作。Objective To understand the mastering of .MDS-related knowledge, attitudes, and behavior characters among commercial sex workers before and after behavior interference in Xiacheng district of Hangzhou, and to evaluate the effects of AIDS-related comprehensive interference measures. Methods Totally 133 commercial sex workers in small recreation places were recruited and face-to-face questionnaire survey was developed with principle of informed consent. The effects of interference were evaluated by comparing the changes of AIDS-related knowledge and risk behaviors of the subject population before and after interference. Results By comprehensive interference, the awareness rate of .AIDS-related knowledge of the subject population reached to 65.53% from 45.74%, and the difference was statistically significant （X^2 = 137.04, P 〈 0.01）. The interference promoted the subject population＇s opinion about condom＇s role in AIDS prevention, The condom use rate in the last sexual intercourse reached to 55.64% after interference, while before interference the rate was 42.86%. The difference was also statistieaUy significant （X^2 =4.35, P 〈0.05）. The ways by which the subject population could acquire or liked to acquire knowledge about AIDS prevention were broadcasting and TV programs, magazines and newspapers, visiting hospital, and so on. Conclusion After interference, the knowledge awareness rate of commercial sex workers about AIDS has improved, but many high risk behaviors still exist, for example, the condom use rate is still very low.We should strengthen health education about AIDS prevention, and promote all kinds of interference measures with a focus on raising condom use rate.

关 键 词：娱乐场所 艾滋病 干预 

分 类 号：R193[医药卫生—卫生事业管理]