CAJ | 학술논문

目的：探索在艾滋病（AIDS）高危人群中进行综合干预的方法，对干预效果进行评价，为科学预防AIDS提供参考依据。方法对九江市浔阳区暗娼、注射吸毒者（ID U ）进行为期1年的健康教育、心理与医学咨询、推广使用安全套等综合干预，分别在干预前、后进行问卷调查，对干预效果进行评价。结果通过进行综合干预，暗娼的AIDS知识总知晓率从70．75％上升至84．75％（χ2＝22．66，P＜0．01），ID U则从77．25％上升至88．50％（χ2＝17．84，P＜0．01）。暗娼最近1个月与客人（ Z＝-2．73， P＜0．01）、与配偶或男友（Z＝-2．02，P＝0．04）发生性关系时使用安全套的频率均显著升高。IDU 最近6个月共用针具的频率显著下降（Z＝-3．67，P＜0．01），最近1年使用安全套的频率显著上升（Z＝-2．96，P＜0．01）。结论通过进行综合干预措施，可有效提高暗娼、IDU的AIDS知识知晓率，改变其可能导致AIDS传播的危险行为。
목적：탐색재애자병（AIDS）고위인군중진행종합간예적방법，대간예효과진행평개，위과학예방AIDS제공삼고의거。방법대구강시심양구암창、주사흡독자（ID U ）진행위기1년적건강교육、심리여의학자순、추엄사용안전투등종합간예，분별재간예전、후진행문권조사，대간예효과진행평개。결과통과진행종합간예，암창적AIDS지식총지효솔종70．75％상승지84．75％（χ2＝22．66，P＜0．01），ID U칙종77．25％상승지88．50％（χ2＝17．84，P＜0．01）。암창최근1개월여객인（ Z＝-2．73， P＜0．01）、여배우혹남우（Z＝-2．02，P＝0．04）발생성관계시사용안전투적빈솔균현저승고。IDU 최근6개월공용침구적빈솔현저하강（Z＝-3．67，P＜0．01），최근1년사용안전투적빈솔현저상승（Z＝-2．96，P＜0．01）。결론통과진행종합간예조시，가유효제고암창、IDU적AIDS지식지효솔，개변기가능도치AIDS전파적위험행위。
Objective To explore the comprehensive intervention methods among people with high-risk of AIDS ,and to evaluate the effects of the intervention to provide reference basis for the scientific prevention of AIDS .Methods The 1-year comprehensive intervention including the health education ,psychological and medical consultation ,and condom promotion was conducted among the commercial sex workers(CSW) and the injecting drug users(IDU) in the Xunyang district .The questionnaire survey was performed before and after the intervention ,and then the effects of intervention were evaluated .Results Through the comprehensive interven-tion ,the total awareness rate of the AIDS knowledge among CSW was increased from 70 .75% to 84 .75% (χ2 =22 .66 ,P<0 .01) while which among IDU was increased from 77 .25% to 88 .50% (χ2 =17 .84 ,P<0 .01) .The frequencies of using condoms with cli-ents ,spouse or boyfriend in recently one month were significantly increased (Z= -2 .73 ,P<0 .01 ,Z= -2 .02 ,P=0 .04) .The fre-quency of sharing needle in recently six months among IDU was significantly decreased (Z= -3 .67 ,P<0 .01) and the frequency of using condoms in recently one year among IDU was significantly increased (Z= -2 .96 ,P<0 .01) .Conclusion The comprehensive intervention may effectively increase the awareness rate of the AIDS knowledge among CSW and IDU and change their dangerous behaviors possibly leading to AIDS transmission .