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Evaluation of Comprehensive Intervention to Prevention AIDS among Mini-type Entertainment Venues in Hongkou District

Author: TangXian
Tutor: ZhaoGenMing
School: Fudan University
Course: Public Health
Keywords: Small entertainment venues Unlicensed prostitute AIDS Syphilis Behavioral intervention
CLC: R193
Type: Master's thesis
Year: 2011
Downloads: 34
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Abstract


The research background AIDS pandemic has attracted the close attention of the government and society of the world. Continues to be the main route of transmission of sexually transmitted, the important factor is the FSWs low rate of condom use, AIDS prevention knowledge penetration is low, intervention coverage, prevention and control situation is grim. In 2006, the State Council promulgated the \Implementation of comprehensive interventions among commercial sex workers, is an important one. City underground services small entertainment interventions work near the area is still in the exploratory stage, combined with the high density of such places, population mobility, poor awareness of disease prevention, social support to AIDS prevention has posed a serious challenge. This study explores the Hongkou District to carry out the small entertainment AIDS prevention intervention mechanism to investigate the form of high-risk groups of AIDS prevention and control work at the grassroots level. Objective To explore the suitability of the area's small entertainment venues comprehensive HIV prevention interventions, reducing the target population infected, the risk of transmission of HIV, and also to provide experience and countermeasures to promote this work in other districts and counties of Shanghai sustainable carried out. Research methods widely in small street entertainment venues among commercial sex workers in Hongkou District integrated use of face-to-face publicity, peer education, condom use, provide referral services and voluntary counseling and testing of multiple interventions carry a 1-year behavioral intervention, through the establishment of lateral control interventions to face-to-face survey and serological survey methods, understanding the impact of the AIDS prevention knowledge and behavior of the target population and the changes of serum markers, to assess the effects of interventions. Intervention before the baseline survey of 126 small entertainment venues 244 commercial sex workers, after the intervention of the survey of 138 small-scale entertainment venues 360 commercial sex workers, using the the Epi info3.5.1 software for statistical analysis. Evaluation AIDS transmission and prevention knowledge awareness rate of correct answers, the rate of condom use in raising rates and HIV / syphilis infection, proper medical treatment. Results. Hongkou District, a small entertainment venues among female sex workers are foreign sources widely distributed in 21 provinces (autonomous regions / municipalities). 61.1% in the investigation of the place of work time is less than 1 year, 36.4% less than 6 months, with high liquidity. The crowd presented older and married, the low level of education, the basic characteristics of the economically disadvantaged four major population sociology. Baseline survey Knowledge about AIDS among this population was 34.4%, 20.1%, sex always use a condom, the last sexual condom use rate was 32.8%. Found no HIV infection, syphilis infection rate was 4.1%, and AIDS prevention behavioral intervention is necessary in this population. Through the intervention of the practice in the context of policy advocacy, constructed as a platform to health, population and family planning departments and community streets, place-based, using a variety of behavioral intervention methods to carry out in order to improve small-scale entertainment venues FSWs AIDS prevention knowledge comprehensive intervention and skills network. 5. Intervention, the target population Knowledge about AIDS was 78.2%, significantly higher than that in the control group (P lt; 0.01), a more comprehensive knowledge. The target populations of the different economic conditions and different places working hours Knowledge about AIDS were significantly higher than that of the control street (P lt; 0.01). Knowledge about AIDS in addition to less than 20-year-old group, to intervene in the street the other age groups among female sex workers were significantly higher (P lt; 0.01). Intervention group near sex with guests in January condom never use rate was 43.1%, significantly lower than the control group (P lt; 0.01); the last sexual condom use was 42.1%, significantly higher than that in the control group (P lt; 0.01). Less than 20 years old and 40 years old and above age group, economic liabilities group intervention workplace over 1 year and not aware of AIDS-related knowledge group nearly January, with guests having sex condom never utilization and control of the streets differences. The intervention group to seek proper treatment understanding rate significantly higher than the control street (P lt; 0.01). Was no significant difference between the two groups of HIV / syphilis infection. Conclusion Hongkou District, Shanghai AIDS prevention through small entertainment venues comprehensive intervention project further AIDS high-risk groups intervention policy advocacy, improve departmental cooperation mechanisms, the establishment of a stable intervention team, so that the target population of AIDS-related knowledge awareness significantly improved and more fully grasp the condom use improved significantly and the formation of a correct concept of medical treatment, the intervention effect is significant. Proposed. Strengthen the public health responsibilities of the competent authorities of the floating population play the role of technical support for the health sector, through the establishment of clear examination and evaluation system and communication coordination system, the implementation of public health strategies and measures. Departments intervention will have a small entertainment as AIDS prevention publicity campaign combined with the day-to-day work carried out, using their own work network, to carry out multi-channel behavioral intervention of the target population, and further strengthen multi-sectoral collaboration efforts. For the health needs of the small places of entertainment among female sex workers, building to the General Services team as the main community workers, peer educators to supplement the FSWs behavior intervention \tension, improve the overall level of intervention.

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CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health education and publicity
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