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目的探求艾滋病在大城区、低流行状况下降低暗娟人群感染艾滋病和(或)性病风险的综合防治措施。方法采用问卷调查的方式对辖区内8家娱乐场所暗娟(female sex workers,FSW)干预前226名及干预后187名进行调查,采用 x~2检验进行统计学分析。结果接受调查的FSW 年龄范围在17~40岁[(25.22±5.81)岁];高中及初中文化程度达203名(89.82%);未婚为166名(73.45%),职业中无业者达205名(90.70%);来自外省市224名(99.12%)。调查前后对性病、艾滋病防治知识的知晓率由52.6%提升至75.4%(x~2=22.701,P<0.01),使用安全套的比率由治疗前22.12%提升至34.76%(x~2=8.14,P<0.05)。结论北京市朝阳区通过综合干预措施对于暗娟防治艾滋病和(或)性病取得了较为显著的效果,综合干预措施值得在大城区、低流行状况下的暗娼人群艾滋病性病干预中广泛应用。
Objective To explore comprehensive measures to reduce the risk of AIDS and/or sexually transmitted infections among people in the dark-juan population in major urban areas and low prevalence. Methods Questionnaire survey was used to investigate the former 226 interventions of eight female sex workers (FSW) in the district and 187 after intervention. Statistical analysis was performed using the x~2 test. Results The age range of FSW surveyed was between 17 and 40 years [(25.22±5.81) years]; 203 (89.82%) were in high school and junior high school; 166 (73.45%) were unmarried; 205 were unemployed in occupations. (90.70%); 224 (99.12%) from other provinces and cities. Before and after the survey, the awareness rate of STDs and AIDS prevention knowledge increased from 52.6% to 75.4% (x~2=22.701, P<0.01). The rate of condom use increased from 22.12% before treatment to 34.76% (x~2=8.14, P<0.05). Conclusion Chaoyang District of Beijing has achieved remarkable results in the prevention and treatment of AIDS and/or sexually transmitted diseases through the use of comprehensive interventions. Comprehensive interventions are widely used in the intervention of HIV/AIDS in deaf people in metropolitan areas with low prevalence.