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[目的]探索对嫖客的干预方式,促进临床医务人员参与行为干预,降低嫖客被感染和传播性病的危险。[方法]由重庆市十家医疗机构的性病门诊经过培训的医务人员对所有入选对象进行相关艾滋病性病知识的宣传教育和行为干预,采用问卷调查方法的同时检测HIV、梅毒,3个月后再次问卷调查。[结果]514名研究对象中HIV检出率为1.4%,TPPA检出率为12.3%;41.6%最近1年有过临时性伴。对艾滋病知识回答正确率由干预前的34.6%,提高到干预后的71.6%(P﹤0.001)。对艾滋病病人的不歧视由干预前的31.9%,提高到71.4%(P﹤0.001)。与临时性伴、商业性性伴发生性关系时,安全套的使用率分别由37.4%和48.2%上升至67.4%和81.5%(P﹤0.001);与固定性伴发生关系时,干预前后安全套的使用变化则无明显差别(P﹥0.05)。[结论]临床医务人员参与针对嫖客人群的艾滋病行为干预具有接触便利、事半功倍的优势;临床医务人员通过参与其中,增加了对艾滋病行为干预的认识,其干预能力得以提高。
[Objective] To explore ways of intervening clients and promoting the participation of clinicians in behavior intervention, so as to reduce the risk of clients being infected and transmitting sexually transmitted diseases. [Methods] A total of 10 medical institutions in Chongqing STF clinics trained medical staff to carry out publicity education and behavioral interventions on all selected HIV-related STDs. HIV and syphilis were also tested by questionnaire method. Three months later, Questionnaire. [Results] Among 514 subjects, the detection rate of HIV was 1.4% and that of TPPA was 12.3%; 41.6% had temporary partners in the recent one year. The correct rate of knowledge about AIDS was raised from 34.6% before intervention to 71.6% after intervention (P <0.001). Non-discrimination against AIDS patients increased from 31.9% before intervention to 71.4% (P <0.001). Condom use increased from 37.4% and 48.2% to 67.4% and 81.5%, respectively (P <0.001) when they had sexual intercourse with adolescent partners and commercial sexual partners. In the case of sexual partners with condom, the condom use No significant difference in the use of changes (P> 0.05). [Conclusion] The participation of clinical medical staff in HIV / AIDS behavioral interventions targeting at clients has the advantages of convenient access and multiplier. The clinical medical staffs increased their awareness of HIV / AIDS behavioral interventions and their intervention ability improved.