公共娱乐场所性服务小姐艾滋病行为干预效果评价

目的 探讨对公共娱乐场所性服务小姐性传播疾病成滋病（STD／AIDS）行为干预的健康促进模式，为在该特殊人群中实施有效的STD／AIDS预防干预措施提供理论基础和新思路。方法 运用流行病学定量研究和社会学定性研究相结合的研究方法，出台相关支持性政策，以外展服务方式到公共娱乐场所开展多种形式的干预活动、实施有效的STD／A1DS预防措施，采用横断面调查法收集干预前后性服务小姐有关STD／AIDS行为危险因素变化情况。结果 性服务小姐的预防STD／AIDS知识、态度和行为发生了显著变化，认为使用安全套可以预防艾滋病的从83．1％提高到90．9％（P〈0．01）；最近一次商业性服务中安全套使用率从64．4％上升到75．4％（P〈0．01）；最近三次都使用的率从38．1％上升到61.0％（P〈0．01）；淋病的感染率从8．6％下降到2．2％（P〈0．01）。结论 在公共娱乐场所针对性服务小姐开展100％推广使用安全套预防STD／AIDS健康促进活动切实可行且卓有成效。

Evaluation of behavioral intervention of AIDS among the commercial sex workers in the public entertainment places

ObjectiveTo explore a health promotion model of behavioral intervention of STD/AIDS among the commercial sex workers in public entertainment places and provide theoretic basis and new method for the effective STD/AIDS intervention approaches among the target population. MethodsWith a combination of measurable research of epidemiology and qualitative research of sociology methods, the relevant policies was developed and different kinds of intervention and effective approaches on STD/AIDS prevention were conducted in the public entertainment places by outreach activity, as well as capturing the post and pre-intervention information on the variational behavioral risk factors of STD/AIDS among the commercial sex workers. ResultsApparently, the knowledge of STD/AIDS prevention, attitude and behaviors of the commercial sex workers changed signficantly. The rate of considering condom use to be a way of HIV prevention has increased from 83.1% to 90.9% ((P<0.01)). The rate of condom use in the recent sex trade has increased from (64.4%) to (75.4%) ((P<0.01)). The rate of always condom use in the last 3 times has increased from 38.1% to 61.0% ((P<0.01)). The rate of gonorrhea infection has dropped from 8.6% to 2.2% ((P<0.01)). ConclusionsIt is evident that the implementation of health promotion for STD/AIDS prevention among the commercial sex workers in the entertainment places is practical and effective.