重庆市街头暗娼艾滋病干预模式效果评估

目的对重庆市街头暗娼艾滋病干预措施实施过程进行分析总结，探讨街头暗娼艾滋病干预措施，评估干预效果。方法整群随机抽取重庆市渝中区街头暗娼，实施艾滋病综合干预措施，干预前后分别进行艾滋病相关知识和安全性行为问卷调查。结果干预前后分别获得100份和112份调查问卷。统计分析结果显示，实施综合干预措施后，调查对象艾滋病知识知晓率显著提高，从干预前的28％提高到70．5％；最近一次安全套使用率从干预前的59％提高到75％，最近一个月安全套每次使用率从4％提高到26％；在目标人群中建立了一支同伴教育队伍。结论对街头暗娼实施艾滋病综合干预措施对控制艾滋病流行和传播具有重要意义。

Effectiveness Evaluation of Intervention Modes among Street-based Female Sex Works in Chongqing

Objective To explore the methods of intervention for street-based female sex workers(FSWs) by assessing the intervention process,and evaluate the effectiveness.Methods By cluster sampling procedure,many street-based female sex workers in Yuzhong district were intervened systematically after informed consent.Before and after the intervention,questionnaire survey was conducted to understand their KAP towards AIDS and analyzed the results of the questionnaire and the effiectiveness of intervention.Results The recognition rate abut AIDS knowledge was improved markedly,from the previous 28% to the later 70.5%;condom use in last act increased the previous 59% to the later 75%,consistent use in recent month changed from 4% to 26%;Peer education was trained.Conclusion systematical intervention among street-based female sex workers is critical for spread of AIDS.