暗娼高危人群干预效果研究

目的：降低暗娼人员艾滋病性病感染风险，推动性一艾预防控制工作可持续性发展，为遏制艾滋病的蔓延提供实践证据。方法：2010年1月至2011年10月对辖区内低层次暗娼进行为期一年半的综合干预，并评价其效果。结果：干预前共调查234例FSWs，发现梅毒感染者33例（感染率14．10％）；干预结束后调查FSWs220例，未发现HIV新感染者，梅毒感染者15例（感染率6．81％），梅毒感染率与干预前相比差异有统计学意义（X2=8．543，P〈0．05）；干预前FSWs对艾滋病预防知识8条知晓率为72．3％，干预后知晓率为89．7％，与干预前相比有明显提高（P〈0．01）；干预前接受过疾控中心或社区提供安全套的比例为45．3％，干预后为87．2％，与干预前相比有明显提高（P〈0．01）；干预后每次与客人发生性行为时安全套的使用比例与干预前相比差异有统计学意义（P〈0．01）；出现生殖系统相关疾病到正规医院就诊的比例由20．5％提高到45．4％，干预后与干预前相比差异有统计学意义（P〈0．01）。结论：在FSWs中开展综合干预措施，能提高艾滋病预防知识的知晓率和安全套使用率，降低性病艾滋病感染风险。

Effect of AIDS Intervention among Female Sex Workers

Objectives： To evaluate the effect of AIDS intervention among FSWs in Zhejiang to promote the substantial de- velopment of the local AIDS prevention and control. Methods： Health education was conducted for FSWs in Jan, 2010 to Oct, 2011, and the effect was evaluated afterwards. Results： 234 FSWs were investigated before the intervention, 33 cases of which was infected by syphilis （ infection rate 14.10% ） ; 220 were investigated after the intervention, with no new HIV infections and 15 cases of syphilis infection （ infection rate, 6.81% ）, which showed statistical difference （X2 =8.543,P 〈0.05 ） ; Before the intervention of FSWs on AIDS prevention, their knowledge awareness rate was 72.3% , while after the intervention, the aware- ness rate reached 89.7%, which markedly improved （ P 〈 O. 01 ） ; Before the intervention ~ the using rate of condoms provide by CDC was 45.3%, while after the intervention, it reached 87.2%, marking their obvious improvement （ P 〈 0.01 ） ; the FSWs with STD presenting to the regular hospital increased from.20.5% to 45.4%, showing statistical difference （ P 〈 0.01 ）. Conclusions： Comprehensive intervention measures on FSWs can provide AIDS prevention knowledge and increase condom use rate as well as reduce the risk of AIDS infection. Key words ： AIDS; FSWS ; Intervention ; High risk behavior