对娱乐场所服务小姐开展性病群体治疗的研究

目的探讨为低档性服务小姐提供以性病群体治疗为特色的综合干预的有效性、可行性和可接受性。方法采用对照研究，治疗组（206例）每月给予阿奇霉素和环丙沙星及针对阴道感染的药物，同时开展健康教育等干预活动，连续3个月，观察干预前后性病感染率的变化；对照组（201例）除不发药外，其他干预活动照样进行。结果治疗组在干预前沙眼衣原体和淋球菌的感染率分别为34．5％、23.8％，干预后为37．9％、22．9％；干预前后无显著差异。对照组在干预前为33．3％、25．4％，干预后为53．1％、25．0％，沙眼衣原体感染率显著上升（P〈0．05）。干预后两组沙眼衣原体感染率比较有显著性差异（P〈0．05）。多数（78．6％）小姐表示服药能接受，60．1％的小姐表示不愿今后持续服药。结论群体治疗可减缓沙眼衣原体感染的上升趋势，但需与健康教育、安全套促进、咨询服务等综合干预措施相结合，群体治疗应该作为综合干预措施的组成部分加以实施。

Mass treatment service integrated with comprehensive intervention for female sex workers in Sichuan Province

Objective To understand validity,feasibility,and acceptability of STD mass treatment integrated with comprehensive intervention for female sex workers(FSWs).Methods Two cities were selected: one as treatment group,the other as control group.For the treatment group,206 FSWs were given monthly azithromycin,ciprofloxacin and other medicines targeting vaginal infection.Health education and condom promotion were conducted at the same time.They were followed up for 3 months to observe the changes of STD rates.For the control group,201 FSWs received the same health education service except for mass treatment.Results The rates of chlamydial and gonococcal infections were 34.5% and 23.8% before intervention,and 37.9% and 22.9% after intervention,in treatment group;33.3% and 25.4% before intervention,and 53.1% and 25.0% after intervention,in the control group,respectively.There was no significant change in both chlamydial and gonococcal infection rates before and after intervention in treatment group.However,chlamydial infection increased after intervention in control group.Significant difference in chlamydial infection rates was found between two groups after intervention.Most(78.6%)of FSWs were reported to accept taking medicine after meal.60.1% of FSWs were unwilling to take medicine henceforth.Conclusion Mass treatment with azithromycin could inhibit increasing of chlamydial infection rate.However,it is important to combine mass treatment with enhanced comprehensive intervention including health education/counseling service and condom promotion for FSWs.