A five-city trial of a behavioural intervention to reduce sexually transmitted disease/HIV risk among sex workers in China
A five-city trial of a behavioural intervention to reduce sexually transmitted disease/HIV risk among sex workers in China
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DOI：
10.1097/01.aids.0000304703.77755.c7
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发表时间：
2007-12-01
期刊：
影响因子：
3.8
通讯作者：
Ying, Yueping
中科院分区：
文献类型：
--
作者：
Rou, Keming;Wu, Zunyou;Ying, Yueping
目的：目的：探讨和评价在中国五个不同场所对娱乐场所女性性工作者进行性传播疾病（STD）/艾滋病（HIV）干预的效果。设计和方法：在娱乐场所进行一项前瞻性、以社区为基础的干预前/后试验（卡拉OK、按摩院、霍尔斯、美容院），其中性工作者在中国五个省的场所经营：安徽、北京、福建、广西、新疆。参与者都是在目标娱乐场所工作的性工作者。在每个地点的参与者工作地点附近设立了一个妇女保健诊所。制定并向性工作者提供了以诊所为基础的外联活动，包括提高认识、推广避孕套和性保健。在基线和干预后的横断面调查被用来评估安全套使用的变化与最后三个客户端，衣原体和gonorrhoea.Results的患病率：在总共907性工作者进行了调查，在基线和782在12个月后干预。外展队到目标娱乐场所进行了2 552次访问，接触了13 785名女性性工作者，并分发了33 575份教育材料和5 102包避孕套。最近3名客户的安全套使用率从基线时的55.2%增加到12个月评价时的67.5%。淋病患病率从干预前的26%下降到干预后的4%，衣原体患病率从干预前的41%下降到干预后的26%。结论：干预对提高性工作者安全套使用率和减少性病的发生是有效的。研究结果被用于制定性工作者干预措施的国家指导方针，以在全国范围内推广。(c)2007年威科健康-利平科特威廉姆斯&威尔金斯。
Objectives: To explore and evaluate a sexually transmitted disease (STD)/HIV intervention program targeting female sex workers working in entertainment establishments in five different settings in China.Design and method: A prospective, community-based, pre/post, intervention trial set in entertainment establishments (karaoke bars, massage parlours, dance halls, beauty parlours) where sex workers operate at sites in five provinces of China: Anhui, Beijing, Fujian, Guangxi and Xinjiang. The participants were all sex workers working in targeted entertainment establishments. A Women's Health Clinic was set up near participants' places of work at each site. Clinic-based outreach activities, including awareness-raising, condom promotion, and sexual health care, were developed and delivered to sex workers. Cross-sectional surveys at baseline and post-intervention were used to evaluate changes in condom use with the last three clients, and the prevalence of chlamydia and gonorrhoea.Results: In total, 907 sex workers were surveyed at baseline and 782 at 12 months post-intervention. Outreach teams made 2552 visits to the target entertainment establishments, approached 13 785 female sex workers, and distributed 33 575 copies of education material and 5102 packets of condoms. The rate of condom use with the most recent three clients increased from 55.2% at baseline to 67.5 % at 12 months evaluation. The prevalence of gonorrhoea fell from 26 % at baseline to 4%, after intervention, and that of chlamydia fell from about 41 to 26%>.Conclusion: The intervention was effective for increasing condom use and reducing STD among sex workers. The results were used to develop national guidelines on sex worker interventions for nationwide scale up. (c) 2007 Wolters Kluwer Health-Lippincott Williams & Wilkins.