以全科医生为干预者的艾滋病性病干预模式的有效性和可行性探讨

目的探讨以全科医生为预防艾滋病／性传播疾病（AIDS／STD）干预者的艾滋病干预模式的有效性和可行性，为国家制定AIDS／STD防治策略提供依据。方法2008年4—7月，以北京市海淀区的3家社区卫生服务中心为研究现场，由经过培训的妇科全科医生，对就诊的娱乐场所女服务员开展面对面咨询和干预服务，通过对全科医生的访谈和目标人群的问卷调查，评价干预措施的有效性及可行性。结果共调查来社区服务中心妇科门诊就诊的歌舞厅、洗浴中心等娱乐场所女服务人员286人，经过干预服务后，目标人群对性病知识的总知晓率由5．2％提高到54．6％（Х^2=163．98，P〈0．01），对艾滋病知识的总知晓率由6．3％提高到57．5％（Х^2=108．41，P〈0．01），95．2％的目标人群表示愿意接受咨询台所提供的AIDS／STD干预服务，提供干预服务的全科医生表示为目标人群提供AIDS／STD预防干预是她们的职业责任，愿意将此项干预服务开展下去。结论以全科医生为主要干预者，利用咨询台等多种教育方式，将AIDS／STD预防干预与全科医生日常工作结合起来，对目标人群进行长期干预是有效、可行的。

Investigation of the effectiveness and feasibility of a HIV/AIDS health education program driven by general practitioners among females working in entertainment venues

Objective To evaluate feasibility and effectiveness of a HIV/AIDS health education program driven by general practitioners among female workers in entertainment venues （FWIEVs） and provide scientific evidence for national AIDS/STD prevention strategy. Methods Three community health centers in Haidian district of Beijing were selected as pilot sites, where women counseling desks were set up to provide intervention services by trained general practitioners （GPs） for local FWIEVs,which included face-to-face counseling,distributing AIDS/STD related educational materials and free condoms, etc. The effectiveness and feasibility of this program were assessed by interviews with GPs and senior administrators and by questionnaires filled in by the target population. Results Following preventive activites, the integrated knowledge scores regarding STDs among FWIEVs increased from 5.2 % to 54.6% （Х^2 =63.98,P〈0.01）,while the integrated knowledge score of HIV/AIDS increased from 6.3% to 57.5% （Х^2 =0. 841 ,P〈0.01） ;95.7% of the target population were willing to accept such service. All the GPs stated that it was their responsibilities to provide such service and were willing to continue it. Conclusion Adopting GPs-driven AIDS/STD health education with multiple interventions including setting up counseling desks and successfully in tegrating HIV/STD preventive services into the routine health practice of GPs, the long term stable interventions on the target population are applieable and effective.