娱乐场所100%推广使用安全套项目的有效性及可持续性研究

目的：探索在目前政策和法规环境下易于推广的100％使用安全套(100％CUP)项目运行模式，为国家制定性病／艾滋病(STD／AIDS)防治对策和干预策略提供依据。方法：干预范围内娱乐场所实施100％CUP项目策略，运用问卷调查对娱乐场所服务小姐(FSWs)进行一对一深入访谈，同时采集标本进行性传播感染(STI)状况检测。结果：FSWs报告最近一次提供性服务时使用安全套比例从基线调查时的74．9％上升到第二阶段后的92．3％，STI感染率从25．1％下降到14．1％；社会市场安全套发放量从2001年的每季度5，000只上升到2003年的每季度10，000只以上；FSWsSTD／AIDS预防知识知晓率和行为认知率明显提高。结论：100％CUP试点项目可行并有效，可以在娱乐场所开展和推广。

Study on the effectiveness and sustainability of implementing 100% condom use programme in entertainment establishments

Objective: To explore the running model of implementing 100% condom use programme (100%CUP) at existing policies and regulations,so as to providing information for the formulation of HIV/AIDS policy and its intervention strategies. Method: Female sex workers (FSWs) were interviewed at their working places using the face to face interviewing method with structured questionnaire and samples ,which were collected for detection of STI before and during implementing the 100%CUP. Results: The consistent condom use rate at the last sexual relation with clients increased from 74.9% during the baseline survey to 92.3%. The rate of STI prevalence drops from 25.1% to 14.1%. The number of condoms distribution increased from 5,000 a quarter in 2001 to over 10,000 a quarter in 2003. The rates of awareness on the knowledge of STD/AIDS prevention and behavior congnition increased sharply. Conclusions: The 100% CUP is feasible and effective, and it could be sustained and expanded in entertainment establishments.