以规范化性病门诊为依托的暗娼艾滋病综合干预效果评价  

Evaluation of AIDS intervention program based on sexually transmitted disease clinics among female sex workers

作　　者：黄永[1] 何益新[1] 王勇[1] 韩从明[1] 汪道发[1] 

机构地区：[1]铜陵市疾病预防控制中心,安徽铜陵244000

出　　处：《中国艾滋病性病》2012年第8期543-546,共4页Chinese Journal of Aids & STD

基　　金：全球基金艾滋病项目(AH-GF3-07-20);铜陵市应用技术研究与发展资金项目(铜科〔2007〕57号)~~

摘　　要：目的利用连续开展的行为学和血清学监测数据,对以规范化性病门诊为依托的暗娼艾滋病综合干预效果进行评价。方法在铜陵市城区,针对娱乐场所暗娼,开展以规范化性病门诊为依托的艾滋病综合干预工作,每年开展行为学与血清学监测,利用连续开展的综合监测数据对干预效果进行评价。结果 2006-2009年分别有效监测暗娼384人、444人、402人和412人。8个艾滋病知识题答对6题为知晓,暗娼的知晓率逐年增加,从2006年的73.44%上升到2009年的88.35%。最近一次与客人发生性关系时安全套使用率,由2006年的41.93%增加到2009年的66.26%,趋势性检验(χ2=44.641,P<0.001)表明,使用率呈逐年增长的趋势。最近一个月每次都用安全套的比例从2006年的14.32%提高到2008年的30.85%、2009年的25.49%。多因素Logistic回归分析提示,未婚、户籍为外省的暗娼艾滋病知识达到知晓程度者在最近一次性服务中更倾向于使用安全套。监测4年间均未发现HIV抗体阳性者,梅毒阳性检出率2006-2009年分别为3.13%、0.68%、1.49%、0.73%。结论以规范化性病门诊为依托的暗娼艾滋病综合干预取得了较好的效果,应充分利用连续开展的行为学监测和血清学监测数据对艾滋病干预活动进行效果评估。Objective To evaluate the effectiveness of AIDS intervention program based on sexually transmitted disease（STD） clinics among female sex workers（FSWs） by using data from annual behavioral and serological surveillance surveys. Methods Comprehensive AIDS intervention program based on STD clinics was conducted among FSWs in Tongling City. Behavioral and serological surveillance surveys were conducted annually to collect the data and evaluate the effectiveness of the interventions. Results The general awareness rate of 8 key areas of HIV/AIDS knowledge increased from 73.44% in 2006 to 88. 35% in 2009. The rate of condom use in the last sex with clients increased from 41.93%in 2006 to 66. 26 % in 2009, showing an increasing trend（X^2= 44. 641, P〈0. 001）, while the rate of persistent condom use in the last month increased from 14. 32% in 2006 to 30.85% in 2008 and 25. 49% in 2009. Logistic regression showed that those who were unmarried, coming from other provinces or being aware of HIV/AIDS knowledge were more likely to use condom in the last sex with clients. The prevalence rate of syphilis in 2006-2009 were 3.13%,0. 68%,1.49% and 0. 73% respectively, and no anti-HIV positive case was detected. Conclusion The comprehensive AIDS prevention program based on STD clinics among FSWs was effective, and the data from annual behavioral and serological surveillance surveys should be fully used to evaluate the effectiveness of this program.

关 键 词：艾滋病综合干预项目 暗娼 性病门诊 行为学与血清学监测 效果评价 

分 类 号：R373.9[医药卫生—病原生物学]