社区女性性工作者性病艾滋病干预效果评估

目的　探讨针对社区女性性工作者 (CFSWs)采用综合性干预措施预防性病 /艾滋病(STD/AIDS)的策略。方法　于 2 0 0 3年在广东省中部某乡镇社区对CFSWs开展以讲课和发放宣传资料为主 ,观看录像、同伴教育为辅的预防STD/AIDS的宣传教育活动 ;在各类娱乐场所内为CFSWs提供免费的安全套 ;在卫生院性病门诊为CFSWs提供免费的规范化的性病检查 ,派发STD/AIDS健康教育处方和开展生殖健康咨询服务工作。干预前后在知情同意情况下用相同调查表对研究对象进行面对面调查。结果　干预前后分别调查 139名和 12 5名CFSWs;研究对象对AIDS知识知晓率从干预前的 33 1%提高到干预后的 6 0 8% (P <0 0 1) ;最近一周的商业性性行为中每次使用安全套的比例由干预前的 86 2 % (81/94 )提高到干预后的 95 0 % (95 /10 0 ) (P <0 0 5 ) ;男用安全套的正确使用率由干预前的 6 0 3% (73/12 1)上升到干预后的 77 0 % (87/113) (P <0 0 1)。结论　对社区CFSWs采取宣传教育等AIDS综合干预措施能有效提高其对防病知识的知晓率和安全套使用率 ,对减缓和阻止HIV通过性乱人群向一般人群传播具有重要作用。

Evaluation of AIDS/STDs intervention program on community female sex workers

Objective To evaluate the STDs/AIDS intervention program on community female sex workers (CFSWs). Methods The intervention program included: STDs/AIDS prevention lecture, booklets, VCD and peer education; free condom distribution, STDs/AIDS test and reproductive health counsel to CFSWs. Face-to-face structured survey interviews were conducted to evaluate the program before and after intervention. Results The number of CFSWs interviewee before and after intervention were 139 and 125 were respectively. The awareness percentage of STD/AIDS transmission and prevention knowledge increased from 33.1% to 60.8% (P<0.01) . The percentage of condom using consistently increased from 86.2% to 95.0% (P<0.05) during last week. Conclusion Comprehensive HIV/AIDS intervention on CFSWs is an effective way to increase their HIV/AIDS prevention knowledge and condom use and so as to reduce/prevent HIV transmission from CFSWs to general population.