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[目的]了解泸西县暗娼人群性病艾滋病综合防治干预活动效果。[方法]2003年10月至2005年12月,泸西县采取政策开发、机构能力建设、大众宣传教育、针对暗娼人群开展同伴教育、自愿咨询检测、外展服务、规范性病诊疗等综合防治干预措施,在项目开展前后,对干预的暗娼人群进行2次艾滋病行为监测问卷调查。[结果]暗娼人群正确认识艾滋病预防知识、艾滋病传染途径的比例,分别由干预前的79.1%、4.2%,提高到干预后的99.5%、91.3%;最近1个月与客人发生性行为时坚持使用安全的比例,由干预前的27.6%提高到干预后的83.6%;自愿做过艾滋病检测并知道结果的比例,由干预前的12.4%提高到干预后的66.2%;对性病正确求医行为的比例,由干预前的31.4%提高到干预后的97.2%。[结论]泸西县暗娼人群性病艾滋病综合防治干预活动效果明显,基本达到预期目标。
[Objective] To understand the effect of integrated prevention and treatment of sexually transmitted diseases and HIV/AIDS among the sex workers in Qianxi County. [Methods] From October 2003 to December 2005, Qianxi County adopted policy development, institutional capacity building, mass publicity and education, peer education, voluntary counseling and testing, outreach services, standardized sexually transmitted diseases, and other integrated prevention and treatment interventions for obscure people. Measures: Before and after the project was carried out, two interviews were conducted on AIDS behavior monitoring questionnaires among intervening sex workers. [Results] The proportion of AIDS prevention knowledge and AIDS transmission methods correctly understood by sex workers increased from 79.1% and 4.2% before the intervention to 99.5% and 91.3% after the intervention, respectively; The proportion of using safety increased from 27.6% before the intervention to 83.6% after the intervention; the proportion of volunteers who had done HIV testing and knew the result increased from 12.4% before the intervention to 66.2% after the intervention; the right medical behavior was sought for sexually transmitted diseases. The proportion increased from 31.4% before the intervention to 97.2% after the intervention. [Conclusion] The comprehensive prevention and treatment of sexually transmitted diseases and HIV/AIDS among the sex workers in Qianxi County had obvious effect and basically reached the expected goal.