南昌市娱乐场所服务小姐艾滋病的KAP干预研究

目的调查南昌市娱乐场所服务小姐的艾滋病相关知识、态度和性行为的变化情况,为制定和评估AIDS预防控制策略提供依据。方法运用统一调查问卷,于干预前对娱乐场所内的145名服务小姐进行基线调查,并对她们进行以健康教育、安全套推广、改善求医行为为主要内容的综合干预,干预结束后再次对106名服务小姐进行调查以评价干预效果。结果干预后服务小姐艾滋病预防知识知晓率有显著提高。性行为中安全套的使用率明显上升,在与非固定性伴性行为中,最近1次安全套的使用率由干预前的86.90%上升到干预后的97.17%(P<0.05);最近1 w和最近1个月每次都用安全套的使用率分别由86.21%、84.83%上升为94.34%(P<0.05)、92.45%(P<0.05)。在个人求医态度方面,自己购药比例和去私人诊所就诊比例下降,去公立医院就诊比例上升。结论通过对娱乐场所内服务小姐开展预防艾滋病的综合干预,能有效地降低这些高危人群的艾滋病感染率,取得良好的防制效果。

Intervention study on KAP of AIDS among female waiters in entertainment rooms

Objective To investigate change of the HIV/AIDS knowledge,attitude and sexual behav-ior among female waiters in entertainment rooms in Nanchang city and offer suggestion for formulating and evaluating AIDS prevention and control strategy.Methods Questionnaire was used to operate the base-line investigation in 145 female waiters before intervention,Followed by systemic intervention such as healthy education,condom generalization,seek-doctor behavior amelioration.After intervention,the same questionnaires were used to investigate 106 female waiters to evaluate the effect.Results The lev-el of knowledge among female waiters and the rate of condom use in sex intercourse had significantly in-creased after intervention.In their sex activities with non-regular partners,the rate of condom use in last intercourse were 86.90% before intervention and 97.17% after intervention(P< 0.05),the rate of condom use in last week were 86.21% and 94.34% respectively(P<0.05) and the rate of condom use in last month were 84.83% and 92.45% respectively(P<0.05).As for seek-doctor attitude,the pro-portion of self-purchasing drugs and going private clinics decreased and the proportion of going public hospitals increased.Conclusions We could efficiently decreased HIV/AIDS infection rate of female waiters through systemic intervention in entertainment place and achieve good prevention and controlling effect.