北京市丰台区以社区卫生服务为基础的娱乐场所暗娼艾滋病和性病干预情况与效果评估

摘要：目的　评价以社区卫生服务中心为基础的娱乐场所暗娼艾滋病和性病高危行为干预的效果，为艾滋
病高危人群干预工作提供依据。方法　在丰台区开展以社区卫生服务中心为基础的娱乐场所暗娼宣传干预，
在干预实施前后，分别于２００９年及２０１２年在辖区内娱乐场所开展暗娼横断面调查，内容包括人口学特征、
艾滋病知识、行为学特征及艾滋病、梅毒及病毒性丙型肝炎感染情况。结果分析采用ＳＰＳＳ１７．０软件进行
χ
２ 检验（犘＜０．０５差异有统计学意义）。结果　２００９年和２０１２年分别调查了２０２名和２００名社区娱乐场所
暗娼。２００９年与２０１２年艾滋病、梅毒、丙型肝炎的感染率差异均无统计学意义，调查对象艾滋病知识知晓
率从４７．５％ 提高到９２．５％ （χ
２＝９６．６２，犘＜０．０１）；最近一次商业性性行为安全套使用率从７５．６％ 提高
到９２．５％ （χ
２＝２１．１４，犘＜０．０１）；最近一个月商业性性行为安全套持续使用率从５７．７％ 提高到８０．５％
（χ
２＝２４．２，犘＜０．０１）。结论　以社区卫生服务机构为基础开展暗娼艾滋病和性病相关干预具有可行性和
有效性，但社区卫生服务基础还有待进一步加强。
关键词：暗娼；高危行为干预；艾滋病；性病；社区卫生服务
中图分类号：Ｒ５１２．９１　　文献标识码：Ａ　　文章编号：１００９ ６６３９ （２０１４）０５ ０４３８ ０５

Community health service based intervention for AIDS and STD among female sex workers in Fengtai district of Beijing

Objective To evaluate the effect of high-risk HIV/STD behavioral interventions based on community health service among female sex workers（FSW）in Fengtai district of Beijing. Methods Two cross-sectional surveys were conducted among FSWs before and after community health service based intervention in Fengtai district of Beijing in 2009 and 2012,respectively,which included information as social demographics,AIDS-related knowledge,behavioral risk factors,prevalence of AIDS,syphilis and HCV.Data were analyzed byχ2 test. Results 202 and 200FSWs were surveyed in 2009 and 2012with no significant difference of infection rates of HIV,syphilis and HCV.However,the overall awareness rate,condom usage rate during the last commercial sex and in the latest month all increased from 47.5%,75.6%and 57.7%in 2009 to 92.5%,92.5%and 80.5%in 2012（χ2=96.62,21.14,24.2,P〈0.01）. Conclusions Community health service based intervention is an effective and feasible way of improving awareness and condom use among FSWs,which need to be further promoted.