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目的了解云南省瑞丽市娱乐场所女性性工作者在开展艾滋病预防行为干预前后相关知识、态度、行为状况以及H IV感染状况的变化,并对其实施效果及可行性进行评价。方法2005年9月~2008年9月,采用以外展、同伴教育、培训为主的干预活动,对瑞丽市55家娱乐场所592名女性性工作者进行艾滋病预防行为干预及H IV检测。结果经过历时2年的干预,干预对象对艾滋病的传播途径、预防措施、正确使用安全套的知晓率从40.1%,38.9%,60.5%分别上升到98.0%,95.0%,99.0%;最近3次性行为均使用安全套率从42.8%上升到95.6%,最近1个月每次性行为都使用安全套率从40.2%上升到90.8%,每次性行为都用安全套率31.8%上升到90.2%;H IV感染率从6.5%降到2.5%。结论2年来的干预措施有效可行,干预效果明显。
Objective To understand the changes of knowledge, attitudes, behaviors and HIV infection among female sex workers in places of entertainment in Ruili City, Yunnan Province before and after the AIDS prevention interventions were conducted. The effects and feasibility of the interventions were evaluated. Methods From September 2005 to September 2008, 592 female sex workers in 55 entertainment venues in the city of Ruili participated in AIDS prevention and intervention and H IV testing using interventions mainly involving outreach, peer education and training. Results After two years of intervention, the awareness rate of interventions on AIDS, preventive measures and condom use correctly increased from 40.1%, 38.9% and 60.5% to 98.0%, 95.0% and 99.0% respectively; the last three times The rate of condom use increased from 42.8% to 95.6%, and the rate of using condoms increased from 40.2% to 90.8% for each sex in the last month. The rate of condom use was increased from 31.8% to 90.2% for each sex. H IV The infection rate dropped from 6.5% to 2.5%. Conclusion The two-year interventions are effective and effective, and the intervention effect is obvious.