公共娱乐场所性服务小姐艾滋病行为干预效果评价

,,,,,/(STD/AIDS),STD/AIDS,,STD/AIDS,STD/AIDSSTD/AIDS,83.1%90.9%(P0.01);64.4%75.4%(P0.01);38.1%61.0%(P0.01);8.6%2.2%(P0.01)100%STD/AIDS;;R169.1;R512.91A100826013(2005)0420306203EvaluationofbehavioralinterventionofAIDSamongthecommercialsexworkersinthepublicenter2tainmentplacesLIMing2qiang,GANZhi2gao,WANGYu2sui,WEILin,YANGYin,WANGXiao2min.LiuzhouCenterforDiseasePreventionandControl,Liuzhou545001,ChinaAbstractObjectiveToexploreahealthpromotionmodelofbehavioralinterventionofSTD/AIDSamongthecommercialsexworkersinpublicentertainmentplacesandprovidetheoreticbasisandnewmethodfortheeffectiveSTD/AIDSinterventionapproachesamongthetargetpopulation.MethodsWithacombinationofmeasurableresearchofepidemiologyandqualitativeresearchofsociologymethods,therelevantpolicieswasdevelopedanddifferentkindsofinterventionandeffectiveapproachesonSTD/AIDSpreventionwereconductedinthepublicentertainmentplacesbyoutreachactivity,aswellascap2turingthepostandpre2interventioninformationonthevariationalbehavioralriskfactorsofSTD/AIDSamongthecommercialsexworkers.ResultsApparently,theknowledgeofSTD/AIDSprevention,at2titudeandbehaviorsofthecommercialsexworkerschangedsignficantly.TherateofconsideringcondomusetobeawayofHIVpreventionhasincreasedfrom83.1%to90.9%(P0.01).Therateofcon2domuseintherecentsextradehasincreasedfrom64.4%to75.4%(P0.01).Therateofalwayscondomuseinthelast3timeshasincreasedfrom38.1%to61.0%(P0.01).Therateofgonorrheainfectionhasdroppedfrom8.6%to2.2%(P0.01).ConclusionsItisevidentthattheimplemen2tationofhealthpromotionforSTD/AIDSpreventionamongthecommercialsexworkersintheenter2tainmentplacesispracticalandeffective.KeywordsAcquiredimmunodeficiencysyndrome;Behavior;Healthpromotion(ChinJDisControlPrev2005,9(4):3062308)(AIDS/HIV),,,2000,/100%,545001(1961-),,,,:HIV1.32%,,/(STD/AIDS),,STD/AIDS,,20036100%,HIV603ChinJDisControlPrev2005Aug;9(4)11.1:1.24500:STD/AIDS;;100%1.3,;,;200362004124500,:()(,),,,300,,,,,,,31(),(),1.4,,,:1.5:;;:;4,:1),;2),;3);4),,;5),,22.1278,92.67%(278/300),1638,()63.0%,24.0%,7.2%,5.8%;,87.3%,9.9%2.8%;78.2%,21.8%;39.5%,43.1%,17.4%;500100051.4%,100120009.1%,200021.0%,18.5%362,90.50%(362/400),,2.2/1,63.2%77.3%,14.1%(P0.01);(P0.01);/,/90.9%(P0.05)(P0.05):59.1%,41.7%,35.6%,31.5%,22.1%2.3/1329,131614.2%,162065.6%,202510.3%;1447,14166.1%,162043.9%,202519.3%,254730.7%;,110d9.1%,70320058941HIV/AIDS(%)Table1ThechangeofawarenessrateofHIV/AIDSrelatedknowledgebeforeandaftertheinterventionprojectinpublicentertainmentplacesKnowledgeBaselinesurveyn=278Finalevaluationn=3622PPeoplewithHIVcantbedistinguishedfromappearance63.277.314.230.01SharingdishwarecanttransmitHIV/AIDS71.677.12.240.05HandshakingcanttransmitHIV/AIDS78.474.31.240.05SharingsyringecantransmitHIV/AIDS88.596.112.650.01DeliverycantransmitHIV/AIDS84.293.413.060.01CondomusingcanpreventtransmissionofHIV/AIDS83.190.97.830.01SexintercoursecantransmitHIV/AIDS91.496.07.340.011020d26.5%,2025d12.8%,2530d51.6%,33.5%,:8.6%2.2%(2=12.34,P0.01)1.1%0.5%2.4:64.4%(146/227)75.4%(241/320)(2=7.09,P0.01);38.1%(84/220)61.0%(220/331)(2=32.15,P0.01)71.0%(171/244),24.5%(59/244),4.5%(11/244):40.7%(24/59),15.3%(9/59),44.0%(16/59)3AIDS,,AIDS,,,,,(HBM)1,2,,,,STD/AIDS,100%,STD/AIDS,,,6.4,,100%,,AIDS80%,,,,AIDS,,STD/AIDS,,,STD/AIDSHIV,3,,4,5,,,1FishbeinM,GuinanM.Behavioralscienceandpublic:aneces2sarypartnershipforHIVpreventionJ.PublicHealthRep,1996,111(Suppl1):5210.2.-M.:,1999.31262.3,,,./AIDS/HIVJ.,2004,10(3):1872189.4,,,.J.,2002,8(4):2342236.5.-M.:,1999.63285.(2005203227)(2005206223)()803ChinJDisControlPrev2005Aug;9(4)