安全套使用项目在我国娱乐场所推广的实证分析
The evidence-based analysis of the popularization of condom use in the entertainment establishments in China
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摘要: 目的探索在中国开展100%安全套使用项目的可行性。为国家制定娱乐场所高危人群艾滋病性病防制策略提供科学依据。方法采用非概率抽样法选择武汉市某区作为试点,分别对352名性服务人员在干预前和干预后第3个月、第6个月和第9个月,共分4次进行现场性病艾滋病检测和随访跟踪服务。结果性病感染率由干预前的30.0%逐步下降至干预后的22.1%,14.9%,和14.6%。干预前后差异有统计学意义(!2=6.16,P<0.05);同时安全套坚持使用率由干预前的32.9%逐步上升至干预后的50.0%、63.2%和69.1%,干预前后差异有统计学意义(!2=21.259,P<0.01)。安全套坚持使用率与性病感染率呈负相关(r=-0.992,P<0.01)。未曾接受干预的性服务人员安全套坚持使用率低于曾接受干预的人员(P<0.01)。结论提高安全套的使用率能有效降低性病的感染率,中国娱乐场所实施100%安全套使用项目是有效、可行的。Abstract: Objective The present study was conducted to grope for the feasibility of initiating a project of 100％ condom use in China for the provision of a scientific basis on which to formulate the strategies applicable all over the country for the prevention and treatment of AIDS/sexual transmitted diseases among high risk population in the entertainment establishments．Methods Non-probability sampling method was adopted to select a certain district of Wuhan city to launch a pi-lot project．On-the-spot demctions of STD/AIDS and follow-up services were done on 352 sexu-al service individuals before interventions and in the third．Sixth and ninth months respectively with a total of four times．Results The rate of sexually transmitted diseases decreased from 30.0％be-fore interventions tO 22.1％，14.9％ and 14.6％in the mird，sixth and ninth months respectively after interventions．There was a statistically significant difference between pre-and post-interven-tions (X2=6.16，PX2=21.259，PPP
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