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目的了解濉溪县推广实施娱乐场所100%安全套使用项目的效果,为当地制定艾滋病防治策略提供依据。方法在项目实施前、实施后第1年、第2年和第3年,分别对城区内能接触到的娱乐场所性工作者(CSWs)进行调查,调查内容包括艾滋病相关知识、态度和行为,比较实施前后知识、态度和行为的差异。结果项目实施后与实施前比较,CSWs的艾滋病知识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知晓率从85.7%提高到91.8%;最近1次商业性服务中安全套使用率从86.0%上升到96.0%(P<0.05);全县性病病例报告逐年下降,由2005年295例下降到2008年122例;安全套销售数量逐年上升,由2006年12 520个上升到2008年27 820个。结论濉溪县推广实施100%安全套使用是有效的,应进一步完善100%安全套使用推广策略,以提高干预覆盖面。
Objective To understand the effect of promoting 100% condom use in entertainment places in Suixi County and provide the basis for making local AIDS prevention and control strategies. Methods Before the project implementation, the first year, the second year and the third year after the implementation, the CSWs in urban areas were investigated respectively. The survey included AIDS-related knowledge, attitude and behavior, Before and after comparing the implementation of knowledge, attitude and behavior differences. Results Compared with pre-implementation, the knowledge and behavior of AIDS in CSWs changed significantly from 85.7% to 91.8%. The rate of condom use in the last commercial service increased from 86.0% To 96.0% (P <0.05). The number of STD cases reported declined year by year from 295 cases in 2005 to 122 cases in 2008. The number of condom sales increased year by year, from 12 520 in 2006 to 27 820 in 2008. Conclusion Suixi County to promote the implementation of 100% condom use is valid, and should further improve the 100% condom use promotion strategy to improve the coverage of intervention.