上海市闵行区娱乐场所女性服务人员艾滋病性病干预方法与效果评估
AIDS/STD Intervention Measures and Effect Evaluation among Female Entertainment Workers in Minhang District of Shanghai
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摘要:
目的 在娱乐场所女性服务人员中开展艾滋病性病干预的评估,探索有效干预手段。 方法 在闵行区江川和颛桥社区公共娱乐休闲场所中的大场所(如KTV、舞厅、旅馆等)、小场所(如美容店、发廊、按摩、洗足、浴室等)内,通过分层随机抽样抽取具有商业性性服务娱乐场所28家,女性服务人员125名。对娱乐场所女性服务人员开展播放DVD防病知识和安全套推广使用技巧等综合干预措施,并进行访谈(小组和个人)。在持续综合干预3个月和6个月后分别进行1次随访调查,对干预方法与效果进行评价。 结果 随着干预时间的延长和干预活动的持续,调查对象知识和行为等6个方面发生显著改变(P<0.05)。安全套使用知识得分高者和安全套可获得性得分高者所占比例逐渐增加;最近3次与嫖客每次都是用安全套者和最近1个月每次使用安全套者的比例逐渐升高。 结论 通过对娱乐场所女性从业人员综合干预,关键指标发生了变化,针对娱乐场所女性服务人员开展的艾滋病综合干预是切实可行的,且行之有效。 Abstract:Objective To assess the effectiveness of an AIDS/STD intervention and explore effective intervention measures among female entertainment workers (FEWs). Methods A total of 125 FEWs were recruited from 28 commercial entertainment venues (such as the KTV, pub, hotel, beauty care salon, barbershop, massage parlor, foot health care parlor and Spa, etc.) which were selected by a stratified random sampling strategy in Jiangchuan and Zhuanqiao communities of Minhang District. An integrated in tervention were applied to the selected FEWs through DVD education and promotion of condom use skills. Interviews were also performed (group and individual). Follow-up investigations were carried out three months and six months after the intervention and the effectiveness was assessed. Results Significant differences (P<0.05) were revealed in six parts including HIV knowledge and self-behaviors of participants with the extension of the intervention and the continuing intervention activities. There were in creases in the proportion of those who gained higher marks in condom use skills and condom accessibility quiz. The proportions of those who used condoms in the last three sexual activities and in the recent one month sexual activities were increased gradually. Conclusion The key index has been improved among FEWs through the intervention which has been proved applicable and effective towards AIDS prevention among them.
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