2009-2010年广西桂林市城区暗娼艾滋病干预效果随访评价  

Evaluation on AIDS intervention programme among female sex workers in Guilin,2009-2010

作　　者：周芸[1] 陈伟[1] 周美容[1] 

机构地区：[1]桂林市疾病预防控制中心,广西桂林541001

出　　处：《疾病监测》2012年第1期35-39,共5页Disease Surveillance

基　　金：广西全球基金/中英艾滋病项目~~

摘　　要：目的了解暗娼人群艾滋病相关知识和危险行为水平,对暗娼艾滋病干预效果进行随访评价。方法在桂林市城区2007年开始对娱乐场所暗娼开展外展干预工作的基础上,于2009年12月随机抽取高档、中档娱乐场所各10家,低档娱乐场所30家,对场所的300名暗娼进行了一次艾滋病相关知识知晓情况与危险行为水平调查及血清学监测,随后半年内针对相同场所开展持续的规律的外展干预工作,2010年6月对相同场所的300名暗娼再次进行相同问卷调查和血清学监测。结果 2009年、2010年对相同场所的暗娼随访调查各300名,发现2次调查的暗娼人群艾滋病防治知识的8道核心问题知晓率(至少答对6道题)都很高,分别为93.7%和94.3%,差异无统计学意义(χ2=0.12,P>0.05),最近一次和最近1个月商业性行为时使用安全套情况2010年好于2009年,差异有统计学意义(χ2=26.844,P<0.05;χ2=25.227,P<0.05)。结论针对暗娼人群的艾滋病外展干预措施对改变高危行为有效,但由于暗娼人群流动性很大,必须保证干预工作实施的持续性和经常性。Objective To understand the awareness of AIDS related knowledge and the prevalence of related risk behavior among female sex workers （ FSWs ）, and evaluate the effect of AIDS intervention among them. Methods After the conduction of AIDS intervention among FSWs in Guilin in 2007, 2 questionnaire surveys of AIDS related knowledge awareness and 2 serological detections were conducted among 300 FSWs selected by random sampling in 50 recreation centers with different grades in December 2009 and in June 2010 respectively and between the 2 surveys, the regular and constant outreach intervention was conducted among them. Results The 2 surveys indicated that the awareness rate of key AIDS related knowledge was 93.7% and 94.3% respectively among the FSWs, the difference on the awareness rate was not statistically significant （X2 = 0. 12, P 〉 0.05 ）. The condom use rates at the latest commercial sex and at the commercial sex in recent month was higher in 2010 than those in 2009, the difference was statistical significance （X2 = 26. 844,P 〈 0.05 x2= 25. 227, P 〈 0. 05 ）. Conclusion The outreach intervention conducted among FSWs was effective to help them to reduce risk behavior, but it is essential to conduct intervention constantly among FSWs because they belong to floating population.

关 键 词：艾滋病 暗娼 干预 效果评价 

分 类 号：R512.91[医药卫生—内科学]