摘要
目的通过评价强化干预措施对低档暗娼减少性病艾滋病感染的效果,为更好的开展低档暗娼干预提供依据。方法选取云南省大理州大理市、西双版纳州景洪市为干预组,红河州开远市、西双版纳州勐海县为对照组,干预组将每月强化的外展干预(包括重点知识宣传、扩大HIV和梅毒检测、安全套发放)、HIV感染者早期抗病毒治疗、梅毒转介治疗作为一套低档暗娼干预服务包来强化干预。对照组采用常规干预。2012年为基线,2013—2015年每年开展一次随访调查,通过各干预指标变化趋势,评价干预效果。结果与熟客每次使用安全套的比例,对照组从42.36%上升到62.31%,干预组从41.46%上升到71.50%,两组间差异有统计学意义(P<0.05);与一般客人每次使用安全套的比例,对照组从84.72%上升到94.47%,干预组从76.83%上升到84.50%,两组间差异有统计学意义(P<0.05);对照组HIV阳性率由18.75%降为9.05%,组内差异有统计学意义(P<0.05)。干预组HIV阳性率由1.22%降为0.50%;对照组梅毒阳性率由16.67%降为15.58%,干预组梅毒阳性率由13.34%降为4.00%,两组间差异有统计学意义(P<0.05)。结论经过3年的强化和常规干预,对照组和干预组低档暗娼在减少性病艾滋病感染上均有效果,但干预组下降明显优于对照组,应在全省和全国范围内推广强化干预措施。
Objective To evaluate the effectiveness of STD/AIDS intensive interventions among low-grade female sex workers（FSWs） so as to provide evidences for improving the interventions to reduce STD and AIDS. Methods The persons in the intervention group received the monthly strengthened outreach intervention（including key knowledge education, expanding HIV and syphilis testing, and condom distribution）, and HIV infection persons received the early antiviral treatment, and syphilis patients received the strengthened intervention（syphilis turn intervention as a service package）. The persons in the control group were given the conventional intervention. The baseline survey was conducted in 2012, and a follow-up survey was carried out every year from 2013 to 2015. Results The constant condom use ratio with regular customers increased from42.36% to 62.31% in the control group and the ratio increased from 41.46% to 71.50% in the intervention group, and the difference between the two groups was statistically significant（P〈0.05）; the constant condom use ratio with strange customers increased from 84.72% to 94.47% in the control group, and the ratio increased from 76.83% to 84.50% in the intervention group, and the difference between the two groups was statistically significant（P〈0.05）. The HIV positive rate decreased from18.75% to 9.05% in the control group, and the difference between pre- and post-intervention was statistically significant（P〈0.05）. The HIV positive rate decreased from 1.22% to 0.50% in the intervention group. The syphilis positive rate reduced from16.67% to 15.58% in the control group and the rate reduced from 13.34% to 4.00% in the intervention group, and the difference between the two groups was statistically significant（P〈0.05）. Conclusion After the intensive and conventional interventions among low-grade FSWs for 3 years, the effects of reducing STD/AIDS are both good in the control group and intervention group, but the effect of the latter group is superior to that of the former group.
出处
《中国热带医学》
CAS
2016年第11期1081-1084,共4页
China Tropical Medicine
基金
国家"十二五"科技重大专项(No.2012ZX10001-007)
关键词
低档暗娼
艾滋病
性病
干预
效果
评价
low-grade female sex workers
AIDS
STD
intervention
effectiveness
evaluation
