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[目的]在娱乐场所女性服务人员中开展艾滋病性病干预的评估,探索有效干预手段。[方法]在闵行区江川和颛桥社区公共娱乐休闲场所中的大场所(如KTV、舞厅、旅馆等)、小场所(如美容店、发廊、按摩、洗足、浴室等)内,通过分层随机抽样抽取具有商业性性服务娱乐场所28家,女性服务人员125名。对娱乐场所女性服务人员开展播放DVD防病知识和安全套推广使用技巧等综合干预措施,并进行访谈(小组和个人)。在持续综合干预3个月和6个月后分别进行1次随访调查,对干预方法与效果进行评价。[结果]随着干预时间的延长和干预活动的持续,调查对象知识和行为等6个方面发生显著改变(P<0.05)。安全套使用知识得分高者和安全套可获得性得分高者所占比例逐渐增加;最近3次与嫖客每次都是用安全套者和最近1个月每次使用安全套者的比例逐渐升高。[结论]通过对娱乐场所女性从业人员综合干预,关键指标发生了变化,针对娱乐场所女性服务人员开展的艾滋病综合干预是切实可行的,且行之有效。
[Objective] To evaluate AIDS interventions among female service staffs in entertainment establishments and explore effective means of intervention. [Methods] In a large area (such as KTV, ballroom, hotel) and small places (such as beauty shop, hair salon, massage, foot washing and bathroom) in Jiangchuan and Zhuanqiao community public recreation places in Minhang District, Sampling with commercial sexual service entertainment 28, 125 female service staff. Conduct interviews (groups and individuals) with comprehensive interventions for DVD service providers on the prevention of DVDs and promotion of condom use among female entertainment staff in entertainment venues. A follow-up survey was conducted three months and six months after the continuous comprehensive intervention to evaluate the intervention methods and effects. [Results] With the prolongation of intervention and the persistence of intervention, the knowledge and behavior of respondents changed significantly (P <0.05). The proportion of those with high condom use knowledge scores and those with condom use scores gradually increased. The proportion of condom users who use condoms every single time with clients and the number of condom users who use condoms in the recent 1 month has been gradually rising. [Conclusion] Through the comprehensive intervention of female employees in entertainment venues, the key indicators have changed. It is feasible and effective to comprehensively implement HIV / AIDS intervention for female service staff in entertainment venues.