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目的评估娱乐场所服务小姐艾滋病高危行为干预效果,探讨下一步干预工作方向。方法采取城镇联动的干预方式,对可能存在商业性服务的歌厅、桑拿浴室内的服务小姐采用知识讲座、咨询答疑、发放资料、播放短片、有奖问答、播放公益广告等方式进行干预,同时免费提供安全套和艾滋病性病检测。干预前后按照同样方案,对上述场所的服务小姐进行问卷调查或访谈和体检。结果干预后,艾滋病性病相关知识知晓率有一定程度的升高,从64.11%上升到75.03%,差异有统计学意义(χ2=144.53,P<0.001)。安全套使用意识明显提高,服务小姐在与客人发生性行为时愿意使用安全套来预防艾滋病性病的比例从基线调查时的78.60%上升至95.39%,差异有统计学意义(χ2=28.04,P<0.001);最近一次与客人发生性行为安全套使用率由46.69%上升到76.04%,差异有统计学意义(χ2=42.26,P<0.001);但其中有固定性伴者最近一次与固定性伴发生性行为安全套使用率无明显变化(χ2=0.45,P=0.504)。性病感染率有一定程度的下降,从21.40%下降至12.44%,差异有统计学意义(χ2=6.60,P=0.011)。结论娱乐场所高危行为干预有一定的效果,是可行的。如能将艾滋病防治与性病防治工作进一步结合,必将对预防艾滋病病毒在内的性传播感染起到积极的作用。
Objective To assess the effect of high risk behavior intervention for AIDS in entertainment venues and to explore the direction of intervention in next step. Methods To intervene in the linkage between cities and towns, intervene in karaoke rooms where commercial services may be available, and service ladies in sauna rooms through knowledge lectures, consultation and answering questions, dissemination of information, short films, quizzes and public service announcements Provide condoms and AIDS venereal disease testing. Before and after the intervention according to the same program, the place of service lady questionnaire survey or interviews and physical examination. Results After the intervention, the awareness rate of AIDS-related STD increased to a certain degree from 64.11% to 75.03%, the difference was statistically significant (χ2 = 144.53, P <0.001). The awareness of using condoms was significantly improved. The percentage of MSs who were willing to use condoms to prevent AIDS-related diseases when they engaged in sexual activities with their guests increased from 78.60% to 95.39% at baseline. The difference was statistically significant (χ2 = 28.04, P <0.001) ; The rate of condom use for the last sexual activity with guests increased from 46.69% to 76.04%, the difference was statistically significant (χ2 = 42.26, P <0.001); but among them, the last time sexual partners with fixed sexual partners There was no significant change in condom use (χ2 = 0.45, P = 0.504). The infection rate of STD declined to a certain degree from 21.40% to 12.44%, the difference was statistically significant (χ2 = 6.60, P = 0.011). Conclusion High-risk behavior in entertainment intervention has some effect, it is feasible. If HIV / AIDS can be further integrated with prevention and treatment of STDs, it will certainly play a positive role in preventing STIs, including HIV.