面对面宣教对提高性服务小姐艾滋病性病防治知识效果评价
杨凭 王千秋 钟铭英
中国疾病预防控制中心性病控制中心,江苏南京210042
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摘 要:
目的探讨连续开展面对面宣教对提高性服务小姐艾滋病性病知识和认识的作用。方法每月进行一次面对面宣教干预，连续3个月，并在3个月干预前后进行匿名问卷测试。结果招募的407名性服务小姐，性病艾滋病知识测试的平均分，从干预前的40．7分上升到干预后的63．7分，90％测试题的答对率显著上升。但涉及性服务小姐圈内惯有的错误信息，如“性交后阴道冲洗、体外射精可防病”等答对率干预后仅为52％。文盲者干预后仍不及格，表示“客人不愿用安全套，同意与其不用套性交”的比例，从58．2％下降到33．5％，但小学文化者下降不显著（54．9％）。认识到“有病应及时到医院检查
相关文献:
Evaluation of the effects of face-to-face education for the improvement of STI/AIDS related knowledge in female sex workers
YANG Ping, WANG Qian-qiu , ZHONG Ming-ying （ Institute of Dermatology, Chinese Academy of Medical Sciences /Peking Union Medical College , National Center for STD Control , China Centers for Disease Control , Nanjing , Jiangsu 210042, China ）
Abstract:
Objective To evaluate the effects of face-to-face education for the improvement of STI/AIDS related knowledge in female sex workers. Methods A total of 407 female sex workers（FSWs）were recruited for a face-to-face health education once a month for 3 consecutive months. A anonymous questionnaire was completed before and after education. Results The mean score of STI/AIDS related knowledge improved from 40.7 before education to 63.7 after education. The correct response rates increased in 90% of the questions. However, as to common misconceptions among them （such as. , vaginal douching after sex or external ejaculation may effectively prevent STI）, they, had only a 52 % correct response rate. All illiterates did not pass the test after education. Those who considered providing sex service even when clients refused to use condom decreased from 58.2 % to 33.5 %, however, this decline was not significant in FSWs with education level below primary school. Those who thought to seek medical treatment immediately once being ill increased from 53.1% to 79.4 %, but this rise was not significant. After education there were still 16.7 % of illiterates who reported buying medicines from drug store if being ill. Conclusion A consecutive 3 months of face-to-face education could effectively improve STI/AIDS related knowledge and attitude to the condom use, health care seeking behaviors in FSWs. However, it is difficult to change their misconceptions or their risk behaviors. The frequency of education should be increased focusing on key issues. Education should be more visualized and straightforward for illiterates. Besides in-depth and personalized education, guidance for health care seeking behaviors should be done in combination with provision of accessible STI medical service.[著者文摘]
Key words:
Health eaucat ion; Female sex workers; STI/AIDS related knowledge
基金资助:
中英性病艾滋病防治合作资助项目.致谢：对四川省中英性病艾滋病防治合作项目办公室、四川省乐山市疾病预防控制中心、四川省峨眉山市疾病预防控制中心以及所有参加本项目工作的人员致以特别的谢意!