文章摘要
羊海涛,闫红静,还锡萍,陈国红,丁建平,徐晓琴,徐金水,刘晓燕.江苏省大范围开展娱乐场所艾滋病高危行为干预项目的效果评价[J].南京医科大学学报,2009,29(8):1193~1197
江苏省大范围开展娱乐场所艾滋病高危行为干预项目的效果评价
Evaluation on scaling up HIV/AIDS behavior intervention program among female sex workers in entertainment establishments in Jiangsu province
投稿时间:2009-03-02  
DOI:10.7655
中文关键词: 艾滋病  安全套  干预  评价研究
英文关键词: AIDS  condom  intervention  evaluation
基金项目:江苏省科技厅社会发展计划资助项目(BS2006078)
作者单位
羊海涛 江苏省疾病预防控制中心,江苏 南京 210024 
闫红静  
还锡萍  
陈国红  
丁建平  
徐晓琴  
徐金水  
刘晓燕  
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中文摘要:
      目的:评价江苏省正在开展的大范围娱乐场所高危行为干预项目实施3年的效果,为全省防治策略调整提供依据?方法:选择苏南?苏中?苏北各2个项目县为代表,分别在2006年?2008年采用两阶段整群抽样法抽取城区娱乐场所女性服务人员(FSWs)进行问卷调查和血标本及宫颈分泌物标本采集?结果:2次横断面调查FSWs基本来自同质的群体,干预前FSWs艾滋病知识知晓率和最近一次安全套使用率分别为69.2%和72.5%,干预后达到89.4%和90.2%?FSWs自我保护意识和防病能力普遍提高,对艾滋病歧视性降低?梅毒感染率2008年为4.4%,较2006年略有下降,沙眼衣原体感染率从2006年的23.1%显著下降到2008年的10.7%?一些不正确的行为方式如性活动后立刻药液冲洗下身或经常服用抗生素来预防艾滋病性病等发生率在不断下降?多因素分析显示,本省籍?接待客人数量多?掌握及运用拒绝和协商技巧是安全套使用的促进因素,艾滋病知识知晓程度与安全套使用无统计学意义?结论:江苏省大范围开展娱乐场所艾滋病高危行为干预项目成效显著?
英文摘要:
      Objective:To evaluate the effects of implementation of 3-years’s HIV/AIDS behavior intervention program, and provide evidence for developing intervention strategies. Methods:Two counties in every south, middle and north part of Jiangsu province were selected as representative, used same approach of two-stage cluster sampling to recruit entertainment based female sex workers (FSWs). Questionnaires survey,blood and cervical secretion collection were conducted in 2006 and 2008 respectively. Results:FSWs selected came from similar group during the two cross investigation. After intervention, the awareness rate of AIDS related knowledge increased from 69.2% to 89.4%, and the condom use rate in the previous sexual intercourse increased from 72.5% to 90.2%. The self-protection consciousness of FSWs got to be reinforced, and stigma and discrimination behaviors towards AIDS reduced. The prevalence rate of Syphilis was 4.4% in 2008, a little bit lower than in 2006. While the prevalence rate of Chlamydia trachomatis declined dramatically from 23.1% in 2006 to 10.7% in 2008. The occurrence of incorrect behaviors, for example, immediately vaginal douching after sexual intercourse or took antibiotics to prevent AIDS/STD reduced continuously. In multivariate Logistic analysis, the factors associated with condom use were: registration in Jiangsu province, high number of clients, and good skills at refusal and negotiation to clients. AIDS knowledge looked no statistical association with the condom use. Conclusion:The implementation of scaling up HIV/AIDS behavior intervention program was proved to be positively effective in Jiangsu.
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