以性病服务为基础的FSW人群干预模式探讨  

An exploration of STI service-based intervention model for the FSW population

作　　者：梁国钧[1] 郑志菊[1] 黄澍杰 许海卫 钟坚[4] 

机构地区：[1]中国疾病预防控制中心性病控制中心,南京210042 [2]江门皮肤病防治所,广东江门529000 [3]琼海市皮肤病防治所,海南琼海571400 [4]梧州市疾病预防控制中心,广西梧州543002

出　　处：《中国艾滋病性病》2012年第11期790-791,共2页Chinese Journal of Aids & STD

基　　金：国家"十一五"重大专项<防治性病对预防艾滋病作用的研究>~~

摘　　要：目的探索针对暗娼(Female sex worker,FSW)人群开展干预工作的新模式。方法在广东江门、海南琼海培训临床医生参与FSW人群的外展工作,在现场提供健康教育、咨询、体检、检测等性病和生殖健康服务。以广西梧州高干队的常规外展服务模式为对照。结果在外展工作中,通过临床医生提供的性病服务进一步提高了FSW人群性病预防知识的知晓率和可疑性病患者的转介成功率,降低了FSW人群的梅毒感染率。结论比起常规的外展模式来,由有临床背景的医务人员参与的、以性病服务为基础的FSW人群的干预模式更容易接近低档场所的目标人群,能够为目标人群所接纳,同时外展服务的质量也得到了进一步提高。Objective To seek a new intervention model for the female sex workers（FSW） population.Methods Clinical health providers participated in the out-reach activities to provide services in areas of health education,medical consultation,physical examination,STI tests and reproductive health.The common out-reach service model in Wuazhou,Guangxi was used as the control group.Results The participation of clinical health providers in out-reach activities further enhanced the rate of awareness related to STI and the successful referral of suspected STI patients,and meanwhile decreased the incidence of syphilis infection among the target population.Conclusion Compared to normal out-reach model,the model of STI service-based intervention wth the involvement of clinical health workers for FSWs is more accessible to the target population at low-level settings and could be acceptable to them,and the quality of out-reach service is further improved since the new model was practiced.

关 键 词：暗娼 以性病服务为基础的干预模式 

分 类 号：R759[医药卫生—皮肤病学与性病学]