广西凭祥市长途卡车司机艾滋病综合干预效果评价

目的评价长途卡车司机艾滋病干预效果,为长途卡车司机的干预工作提供参考性建议。方法对凭祥市浦寨边境贸易城3个停车场的长途卡车司机进行艾滋病综合干预,并对干预前后效果进行比较分析,评估干预效果统计学处理采用x~2检验。结果干预后长途卡车司的各项艾滋病相关知识知晓率均显著高于干预前(P<0.01)。最近1年,与暗娼发生性行为时,每次都使用安全套的比例由干预前的62.1%上升到干预后的73.5%,从未使用安全套的比例由干预前的6.1%下降到4.8%,但差异无统计学意义(P>0.05)。与固定性伴发生性行为时,从未使用安全套的比例由干预前的70.1%下降到60.3%,差异有统计学意义(P<0.01)。结论凭祥市长途卡车司机艾滋病综合干预取得了一定效果,但商业性行为每次坚持使用安全套的比例和艾滋病知识知晓率有待进一步提高,高危行为状况不容乐观,需要不断开展综合干预,以控制艾滋病在该人群中进一步流行。

Valuation of comprehensive AIDS intervention among long-distance truck drivers in Pingxiang City of Guangxi

Objective To evaluate the comprehensive AIDS intervention among long-distance truck drivers, and to offer the suggestion for intervention in the future.Methods We conducted the comprehensive AIDS intervention among long-distance truck drivers from three parking lots in Puzhai Border Trade Zone,and then compared the results from two cross-sectional surveys(a baseline survey and a post-intervention survey) to evaluate the effectiveness of intervention.Results In the post-intervention survey,the percentage of appropriate responses to AIDS-related knowledge items were significantly higher(P<0.01).The percentage of consistent condom use with female sex workers(FSW) in the last year increased from 62.1%to 73.5%,and no condom use with FSW decreased from 6.1%to 4.8%,but the differences were not significant.The percentage of drivers who never used condoms with regular sex partners in the last year decreased significantly to 60.3%from 70.1%(P<0.01). Conclusion Effects have been attained in part,but the percentage of consistent condom use with female sex workers and appropriate responses to AIDS-related knowledge items need to be improved.High-risk behaviors are continuous. We should go on with the comprehensive AIDS intervention in order to control and prevent AIDS transmission among long-distance truck drivers in Pingxiang.