南昌市某区不同场所暗娼艾滋病健康知识干预研究

目的 分析比较干预前后不同场所暗娼艾滋病知识-态度-行为等相关信息.方法 在城乡结合部选择路边按摩店、发廊等固定场所和散居在社区中等无固定场所的暗娼进行外展干预;用国家标准调查问卷进行现况调查,收集比较人口学资料,STD/AIDS相关知识、安全套使用状况等信息.结果 无固定场所艾滋病相关知识知晓率由干预前2.4%上升为干预后的82.0%.固定场所艾滋病相关知识知晓率由干预前36.2%上升为干预后的98.0%.在最近一次性行为时安全套的使用情况上,无固定场所组的安全套的使用率由14.3%上升至干预后的80.0%;固定场所组由66.8%上升至87.5%.无固定场所组的调查对象接受过预防艾滋病的服务的比例为19.0%,接受过同伴教育的比例为0.0%,最近一年做过艾滋病检测比例为0.0%,干预后分别上升至52.0%、32.0%和58.0%,差异有统计学意义（P＜0.01）.固定场所组的调查对象接受过安全套的宣传与发放、艾滋病咨询与检测的比例为97.0%,接受过同伴教育的比例为67.3%,最近一年做过艾滋病检测比例为41.7%,干预后分别上升至100.0%、90.5%和84.0%,差异有统计学意义（P＜0.01）.结论 固定场所和无固定场所的暗娼在干预前后的艾滋病知识的相关知识知晓率、行为均有明显改善.接受艾滋病检测和同伴教育的比例也有明显上升,表明干预方法有效.

HIV/AIDS Intervention Among Female Sex Workers in Different Places in Nanchang City

Objective To compare HIV-related knowledge,attitude and behavior before and after intervention among female sex workers（FSWs） in different places in Nanchang City.MethodsHIV/AIDS intervention was conducted among FSWs in massage parlors and hair salons in urban-rural fringe.Anonymous questionnaire was used to collect data on demographics,STD/AIDS knowledge and condom usage.Results The awareness rates of AIDS knowledge of HIV/AIDS in mobile places and immobile places increased from 2.4% and 36.2% before to 82.0% and 98.0% after intervention,respectively.Condom use rate at last sex in mobile places and immobile places increased from 14.3% and 66.8% before to 80.0% and 87.5% after intervention,respectively.The proportion of FSWs who received HIV prevention services in mobile places and immobile places increased from 19.0% and 97.0% before to 52.0% and 100.0% after intervention,respectively.The proportion of FSWs who received peer education in mobile places and immobile places increased from 0.0% and 67.3% before to 32.0% and 90.5% after intervention,respectively.The proportion of FSWs who underwent HIV testing in the latest year in mobile places and immobile places increased from 0.0% and 41.7% before to 58.0% and 84.0% after intervention,respectively（P0.01）.Conclusion The awareness rates of HIV/AIDS and behaviors are improved and the proportion of FSWs receiving HIV testing and peer education increase after intervention among FSWs in both mobile and immobile places.