卫生九项目暗娼人群性病知识知晓率调查  

Survey on awareness rate of STD prevention among commercial sex workers targeted by World Bank Health Ⅸ

作　　者：梁国钧[1] 郑志菊[1] 黄宁 梅林[3] 周志光 董永慧[5] 

机构地区：[1]中国疾病预防控制中心性病控制中心,江苏南京210042 [2]福建省皮肤病医院,福建福州350009 [3]太原市疾病预防控制中心,山西太原030012 [4]广西壮族自治区皮肤病防治研究所,广西南宁530003 [5]新疆维吾尔自治区疾病预防控制中心,新疆乌鲁木齐830011

出　　处：《中国健康教育》2009年第7期506-508,共3页Chinese Journal of Health Education

基　　金：世界银行贷款卫生九项目

摘　　要：目的了解卫生九项目地区和非项目地区暗娼性病预防知识知晓情况,评价卫生九项目干预工作效果。方法在4个卫生九项目省各选择两个项目地区和两个非项目地区。调查人群是在固定场所提供性服务的暗娼,根据性服务收费水平,将暗娼所在的场所分为高、中、低3个档次,按照1∶2∶1的比例,采用问卷的方法共计调查2069人。结果有效调查了2028人。受调查的暗娼人群性病相关知识知晓率为42.1%,项目地区为55.0%,非项目地区为28.9%,差异有统计学意义(P<0.01)。项目地区高、中、低3个档次场所暗娼性病相关知识的知晓率分别为59.9%、56.4%和46.6%,非项目地区同档次组暗娼的知晓率则分别为31.5%、29.1%和25.5%,两类地区相比存在统计学差异(P<0.01)。将调查人群按文化程度分层分析显示,除了大专及以上组外,项目地区其他文化程度组的知晓率均显著高于非项目地区。结论卫九项目针对暗娼的干预活动覆盖了大部分的目标人群,项目活动的开展提高了该人群性病预防知识的知晓率。Objective To understand the status of STI-related knowledge and behaviors among commercial sex workers （CSWs） in World Bank Health IX （ HIX ） project areas and non-project areas, and to evaluate the effectiveness of its intervention work. Methods Two project cities and two non-project cities were selected from each of the four HIX project provinces. The entertainment centers that provided commercial sex service at the cities were stratified into top-, middle- and low-grade according to the cost of service. And 2069 CSWs were selected from the selected entertainment centers at a proportion of 1 ： 2 ： 1. Results A total of 2028 （98.0%） available questionnaires were retrieved. The awareness rate of the participants about STD-related knowledge was 42. 1% （55.0% at the project areas, 28.9% at the non-porjeet areas）. The difference between two areas was statistically significant （P 〈 0. 01 ）. The rates of the partici- pants at top-, middle- and low-grade sites of project areas were 59. 9% , 56.4% and 46. 6% respectively, and those of non-project areas were 31.5% , 29. 1% and 25.5% , respectively. The difference between two areas was statistically sig- nificant （P 〈 0. 01 ）. The wareness rates of the participants with each culture level exept junior college at project areas were higher than those at non-project areas. Conclusion The intervention work supported by HIX covered the majority of the target population and was effective on improving CSWs＇ STI-related knowledge.

关 键 词：卫生九项目 暗娼 性病预防知识 

分 类 号：R193[医药卫生—卫生事业管理] R167[医药卫生—公共卫生与预防医学]