| ObjectiveThrough carrying out the baseline survey on Hanyang district of Wuhan City the current low-grade leisure venues basic situation of FSWs(female sex workers), STD / AIDS knowledge of the situation and the use of condoms, we use the established community health services in the host communities to provide effectively, conveniently and timely comprehensive scene intervention site for the FSWs of The low-grade recreational facilities, then, to improve condom Utilization of high-risk groups, and curb the current STD/AIDS through unsafe sex means of communication, and ultimately explore suitable STD / AIDS prevention intervention models at present for China's small low-grade recreational facilities in community.Methods and objectWe selected Chaoyang communities of Cuiwei Street and Meixi communities of two bridge street(the election principles) as the baseline survey and on-site intervention the scene. Before intervention, on the host communities, respectively 32 and 28 small low-grade leisure entertainment sites, we selected two FSWs per sites as a baseline survey, a total of 100 targets of the survey, after intervention by the same method investigation. At the same time we will select the close community as a control intervention at the scene, the same survey low leisure venues 100 FSWs as a control group. Use a self-designed questionnaire for the quantitative study, and self-design the syllabus for qualitative research interviews. Carry out community intervention measures, such as dissemination of publicity materials, develop intervention strategies, and easy access to condoms, outreach activities, peer education and community health service centers to provide free regular laboratory checks Etc. Through the community health service institutions to take effect intervention project analysis and evaluation and summing up, we offer valuable community intervention models and experience to promote 100 percent condom use project.ResultsThe research shows that it is a well-established through community health services to community organizations in low-grade leisure venues to promote 100 percent condom use project, but during the project in practice, methods and experiences how to support the establishment of he corresponding mechanisms to promote the work which could be carried out long-term and other aspects have yet to be further studied and improved.1. The base situation of Low-grade recreational places for FSWs: baseline survey insides, the average age of the target population is 23.46 years and 21.31 years old, primary and junior secondary education to culture-based, unmarried persons in the majority, were 72.0% and 81%, mostly from other parts of the province, the average working hours per person in place are 3-4 months, finding that the majority will only stay it 2 months, respectively 77% and 85% of the respondents answer not to be FSWs before here. Form the intervention effect of investigating and understanding, the basic situation and baseline surveys have not changed significantly.2. The situation of STD/AIDS awareness to understand: before and after the intervention, the vast majority of the targets heard of AIDS, but after that intervention, there is a significant proportion of change in which they have the possibility to be infected with HIV , from 27 percent before the intervention to After the intervention of 72%, the proportion that the respondents correctly answered to the CDC to do AIDS testing increase from baseline survey of 70% to the intervention of 82%; HIV antibody test done also by the ratio of 29 % To 73%.3. The situation of AIDS prevention knowledge: After the implementation of the intervention, the three major transmission of AIDS awareness has obvious changes,the composition of knowledge which AIDS can be blood and blood products, Unsafe sex and mother to child transmission, from the baseline survey of 70%, 92% and 86 %,to after the intervention of 90%, 98% and 98%. particular attention to is that the mosquito bites To spread AIDS awareness have a more significant correction which answer mosquito bites is not the way to spread AIDS, the proportion of the baseline survey of 36% to the intervention of 74%. The composition of the correct answer to "wash the vagina after sexual intercourse / penis" and "oral contraceptives or external prophylactic " measures which can not prevent AIDS increases, from the baseline survey of35% and 80 %, to changes in survey after the intervention of 95 % and 96%, card Square Test P<0.05.4. Acts of sexual and medical treatment: baseline survey and investigation after the intervention of low-grade recreational places inside that, FSWs'sexual practices have no obvious changes, still to be major vaginal sex, respectively accounted for 97% and 92%, but FSWs'medical treatment have changes, the ratio of the question "a genital urinary discomfort treatment sites" answer to "public hospital" increases from 56% to 72% .5. The situation of Condom use and related knowledge: The last commercial sex services using condoms, the baseline and intervention surveys accounted of 90% and 96%; while in nearly a month of commercial sex services the survey of the frequency of condom use displays, The proportion of each use condom is 51% and 54%, and the proportion of no use condom is 4% and 14%; persuading the guests to use condoms , respectively baseline survey of 25% to the intervention per cent to 46%; in the term of the proper use of condoms, "When the condom breakage or slippage in how to deal with" the proportion of an immediate replacement, baseline surveys and intervention survey are 81% and 95%. These data that used cards testing (P<0.05), have a statistically significant difference.6. STD/AIDS infection: before and after the intervention, the FSWs'laboratory test results found that, Gonorrhea infection rate from 4% before the intervention to 1% after the intervention; syphilis infection rates before the intervention by 1% to 0 after intervene; chlamydia infection rate was decrease from 11% to 6% after the intervention; before and after the intervention, there was not HIV positive.SuggestionsThe summing up the experience and research experience, and the use of community health service institutions to promote 100% condom use projects to make the following suggestions: (1) STD/AIDS prevention and control necessary for the state government's support and participation. (2) The project understanding and support of the owners of place is the key to success the public education and behavior intervention. (3) According to the survey suggested that the situations of the movement of population in place, develop appropriate intervention frequency, and achieve the greatest gains at least input. (4) To strengthen in teaching the skills and experience of advising guests to use condoms, and increase publicity to educate the public on the proper use of condoms to increase AIDS prevent awareness. (5) STD/AIDS prevention and control work should be also included in the scope of the work of community health services, should build a long engaged in community intervention teams to carry out this work. (6) The Community Health Service Center will become an reliable medical establishments on the future.
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