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目的了解苍溪县项目起动时暗娼对艾滋病防治知识的掌握程度及相关行为,为今后项目策略评估提供科学依据。方法于2008年10月27日-11月2日对全县可能有暗娼存在的场所进行了200名暗娼人员实施艾滋病调查,采取面对面问卷调查的方式,调查内容严格按默沙东艾滋病合作项目内容进行,并对自愿者采血抗体监测。结果苍溪县暗娼人群对于艾滋病知识的整体认知水平较低,认知率31.50%,最近一个月安全套使用率17.00%,正确就医比例为40.00%,HIV抗体阴性率100.00%。获取艾滋病知识来源主要通过电视(82.50%)、书籍(31.5%)、报刊(21.50%)、咨询服务(42.50%),免费宣传材料(19.50%)等大众传播媒介。结论苍溪县暗娼对艾滋病相关知识知晓率低,使用安全套和主动检测能降低风险的意识极差,今后加强行为干预和同伴教育的作用,加强100%安全套的推广使用,倡导正确的求医行为等多方位的健康教育。
Objective To understand the mastery degree and related behaviors of commercial sex workers on HIV / AIDS prevention and control during the start-up of Cangxi County and to provide a scientific basis for future project strategy evaluation. Methods From October 27, 2008 to November 2, 2008, 200 female sex workers were investigated in a place where potential sex workers were found in the county. The survey was conducted in a face-to-face manner. The contents of the investigation were strictly in accordance with the contents of the cooperation project of Merck AIDS. Blood samples were taken from volunteers for antibody monitoring. Results The overall cognition level of HIV / AIDS among CSWs in Cangxi was lower, with a recognition rate of 31.50%. In the most recent month, the rate of condom use was 17.00%, the correct medical treatment rate was 40.00% and the HIV antibody negative rate was 100.00%. The sources of AIDS knowledge were mainly through the mass media such as television (82.50%), books (31.5%), newspapers (21.50%), counseling services (42.50%) and free publicity materials (19.50%). Conclusions There is a low awareness of HIV / AIDS-related knowledge among CSWs in Cangxi County. Condom use and voluntary testing can reduce the risk of HIV / AIDS. In the future, behavioral interventions and peer education are strengthened to promote the promotion and use of 100% condoms and advocate proper medical treatment Such as multi-directional health education.