四川省遂宁市对隐形娱乐场所内FSW干预模式探索.docVIP

四川省遂宁市对隐形娱乐场所内FSW干预模式探索 　　摘要： 目的： 探索遂宁市对隐形娱乐场所（私人住家形式）内FSW（Female Sex Worker）干预模式，为进一步防控艾滋病传播提供依据。 方法： 遂宁市红丝带俱乐部2013年通过找到曾经熟悉的业主、FSW和高危男性老顾客进入隐形场所，然后对业主和FSW采取业主干预、入户干预、集中干预、同伴干预四种干预方式，同时提供免费HIV检测服务。结果： 干预隐形中低档娱乐场所93家， FSW854人，共FSW2982人次、免费发放安全套22507只、宣传单2836份、HIV抗体检测转介卡281张。FSW预防艾滋病的知识与行为得到了改变，达到了非隐性场所FSW的水平。艾滋病防治知识知晓率97%、“FSW最近一次与客人发生性行为使用了安全套”为87%、“FSW最近一个月与客人发生性行为时使用安全套的频率如何？”，每次都用的为83%。干预后共促进355名FSW人接受HIV抗体检测。结论： 通过对遂宁市隐形中低档娱乐场所进行业主和FSW采取业主干预、入户干预、集中干预、同伴干预方式的艾滋病防治干预活动，探索出了对隐性场所目标人群采取以四大干预方式为主、 一项免费服务的有效干预摸式，弥补了FSW艾滋病防治的干预空白。 　　关键词：隐形娱乐场所 FSW 干预模式 　　Abstract： Objective to Explore the Intervention Model of Female Sex Worker in Invisible Pleasurehouse（rivate home form） ，so as to provide a basis for？preventing Acquired Immune Deficiency Syndrome. Methods Red ribbon Club of Suining gets into invisible pleasurehouse by boss、FSW and whoremaster used to know，interpose boss、FSW of Invisible Pleasurehouse by four ways （boss intervention、Home intervention、Centralized intervention、Peer interventions） and provide free HIV testing services. Results 93 Middle and low invisible pleasurehouses and 854 FSWs were intervened， accumulative total 2982 FSW persons. 22507 condoms、2836 Leaflets and 281 referral card of Human Immunodeficiency Virus detection were free provided. Knowledge and behavior of AIDS （Acquired Immune Deficiency Syndrome） prevention of invisible pleasurehouse FSW changed were as level as visible pleasurehouse FSW. The awareness rate of AIDS prevention and control knowledge was 97%.The rate of FSW condom use of a recent guest sex was 87%. The rate of FSW condom use of the last month guest sex was 83%.355 FSWS accepted HIV testing. Conclusion we interpose boss、FSW of invisible pleasurehouse by four ways （boss intervention、home intervention、centralized intervention、peer interventions） in order to preventing AIDS. At the same time， we explore the intervention model of FSW in invisible pleasurehouse. It was an effective intervention mode that four ways （boss in