娱乐场所艾滋病传播干预效果研究

目的 了解在项目执行前后娱乐场所老板和暗娼2类人群的艾滋病知识、态度和行为(KAP)的变化,分析研究项目执行期间对这2类人群的干预效果.方法 对项目执行地区的娱乐场所老板及暗娼人群在项目实施前(老板505人,暗娼503人)和实施后(老板506人,暗娼730人)分别进行艾滋病KAP问卷调查,选择其中的重要指标,对比分析2次调查的结果.结果 艾滋病预防知识掌握分析结果显示,娱乐场所老板得分从基线的57.9上升到86.1,暗娼得分从58.3上升到83.0;娱乐场所老板对艾滋病感染者及患者的态度在干预后有明显改善;暗娼最近一次与客人发生性关系时安全套的使用比例从79.6%上升到91.4%;到公立医院就诊的比例从51.6%上升到65.1%.结论 通过近2年的宣传和干预,干预对象与艾滋病预防相关的知识、态度和行为都发生明显转变,但暗娼的这些转变能否降低该人群艾滋病病毒(HIV)感染率和传播HIV的脆弱性,还需要开展长期的干预工作并观察长期效果.

Research of the effects of AIDS intervention in entertainment places

Objective The study was conducted to investigate the proprietors of entertainment places and prostitutes for the changes in their knowledge of, attitude to and behaviors associated with AIDS before and after the implementation of AIDS intervention, in order to analyze the intervention effects on both groups in the project. Methods The knowledge, attitude and behavior (KAP) surveys were conducted for the entertainment proprietors and prostitutes in the areas involved in the project before (505 proprietors and 503 prostitutes) and after (506 proprietors and 730 prostitutes) intervention, from which significant indicators were used for the comparative analysis of the results of the two surveys. Results The results showed an increased score among entertainment proprietors in relation to their knowledge of AIDS prevention from the baseline 57.9 to 86.1, while that score of prostitutes increased from 58.3 to 83.0. The results also suggested significant improvement of the proprietors' attitude towards HIV infected people and patients after intervention. Condom use rates of prostitutes in the last sexual activity with frequenters rose from 79.6% to 91.4%; and the proportion of prostitutes who had visited a public hospital increased from 51.6% to 65.1%. Conclusion After nearly two years of publicity and intervention, significant improvement was shown among the intervened population along with their AIDS-related knowledge, attitude and behaviors. However, long-term interventions and observation are still required to determine whether these changes among prostitutes can reduce the HIV infection rate and the vulnerability to HIV infection in this particular population.