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目的利用连续开展的行为学和血清学监测数据,对以规范化性病门诊为依托的暗娼艾滋病综合干预效果进行评价。方法在铜陵市城区,针对娱乐场所暗娼,开展以规范化性病门诊为依托的艾滋病综合干预工作,每年开展行为学与血清学监测,利用连续开展的综合监测数据对干预效果进行评价。结果 2006-2009年分别有效监测暗娼384人、444人、402人和412人。8个艾滋病知识题答对6题为知晓,暗娼的知晓率逐年增加,从2006年的73.44%上升到2009年的88.35%。最近一次与客人发生性关系时安全套使用率,由2006年的41.93%增加到2009年的66.26%,趋势性检验(χ2=44.641,P<0.001)表明,使用率呈逐年增长的趋势。最近一个月每次都用安全套的比例从2006年的14.32%提高到2008年的30.85%、2009年的25.49%。多因素Logistic回归分析提示,未婚、户籍为外省的暗娼艾滋病知识达到知晓程度者在最近一次性服务中更倾向于使用安全套。监测4年间均未发现HIV抗体阳性者,梅毒阳性检出率2006-2009年分别为3.13%、0.68%、1.49%、0.73%。结论以规范化性病门诊为依托的暗娼艾滋病综合干预取得了较好的效果,应充分利用连续开展的行为学监测和血清学监测数据对艾滋病干预活动进行效果评估。
Objective To evaluate the effect of integrated HIV / AIDS intervention among commercial sex workers based on the continuous behavioral and serological surveillance data. Methods In downtown Tongling City, AIDS counselors based on standardized STD clinics were recruited to conduct counseling on sex workers in entertainment venues. Conducted behavioral and serological surveillance annually, and conducted continuous evaluation of the intervention effects using comprehensive monitoring data. Results From 2006 to 2009, 384 female sex workers, 444 women, 402 women and 412 people were monitored effectively. Eight HIV / AIDS knowledge questions answered 6 questions. The awareness rate of FSWs increased year by year, from 73.44% in 2006 to 88.35% in 2009. The most recent condom use rate in relation to guests increased from 41.93% in 2006 to 66.26% in 2009, and the trend test (χ2 = 44.641, P <0.001) indicated that the rate of utilization increased year by year. The proportion of condoms used each time in recent months has risen from 14.32% in 2006 to 30.85% in 2008 and 25.49% in 2009. Multivariate Logistic regression analysis suggested that the knowledge of female sex workers who are unmarried and whose household registration is other provinces reach the level of knowing who is more inclined to use condoms in their most recent one-off service. During the 4 years of surveillance, no positive HIV antibody was found. The positive detection rate of syphilis between 2006 and 2009 was 3.13%, 0.68%, 1.49% and 0.73% respectively. Conclusion The comprehensive HIV / AIDS interventions based on standardized STD clinics have achieved good results. We should make full use of continuous behavioral monitoring and serological monitoring data to evaluate the effect of AIDS interventions.