娱乐场所女性性工作者艾滋病高危行为干预模式探讨

目的探讨对娱乐场所性工作者开展预防性病艾滋病综合干预的模式,为艾滋病预防与控制提供依据。方法采用培训、同伴教育、讲座、免费发放安全套和手册等方法,对娱乐场所女性性工作者进行干预;使用问卷在干预前、后进行调查,评估干预效果。结果娱乐场所中女性性工作者艾滋病防治知识从基线的65.27%上升到97.57%;在商业性性行为中,最近一次安全套使用的比例从65.52%上升到94.65%;VCT服务利用率从基线的17.87%上升到37.11%;愿意到公立医院就诊的比例从30.41%上升到67.61%。结论由娱乐场所业主到同伴教育员再到场所性工作者的逐级负责式综合干预模式,能有效提高娱乐场所性工作者性病艾滋病预防知识水平和安全套使用率。

Exploration About AIDS Interventional Model Among Female Sex Workers In Entertainment Places

Objective To explore the model of comprehensive intervention in female sex workers in entertainment places,and provide a basis for AIDS control and prevention.Methods Female sex workers in entertainment places were intervened by training,peer education,lecture,the free distribution of condoms and handbooks and so on,and were investigated by questionnaires before and after invention.The interventional effect was evaluated.Results After intervention,the AIDS prevention and control knowledge level of the female sex workers increased from the baseline 65.27% to 97.57%,and the proportion of last condom use in commercial sex behaviors increased from 65.52% to 94.65%,the utilization of voluntary counseling and testing（VCT） services increased from the baseline 17.87% to 37.11%,and the proportion of female sex workers who had visited a public hospital increased from 30.41% to 67.61%.Conclusion The comprehensive interventional model,＂the owners of entertainment places-Peer Education-sex workers in entertainment places＂,could effectively improve female sex workers knowledge of STDs/AIDS and in crease the condom use rate.