Study On Behavioral Intervention In Female Sexual Workers On The Border Of Urban And Rural

Objective: To increase STD/AIDS prevention knowledge awareness rate, promote safe sexual activities, advance standard medical behaviors, reduce HIV transmission between FSW and sexual partners through companion education and outreach service among FSW from entertainment places on the border of urban and rural. Then sum up experience of intervention in such places, and popularize it in the other regions.Methods: Data about demography and sexual behavioral characteristics, condom use, infection rates of STD and standard medical behavior of FSW were collected trough anonymous questionnaires survey. Comprehensive interventions were conducted among target population for 8 months, then indexes before and after interventions were compared and analyzed.Results:1. The crowd has low cultural level and great mobility.2. The intervention mode of companion education and outreach service suit to FSW in the mid-grade entertainment places better; It would be better effective that we intervene in FSW for three to six months monthly and the form of behavioral intervention is more personalized.3. Intervention effect was remarkable.â‘ Through health education and behavior intervention, the AIDS awareness rate had increased evidently.â‘¡The condom use rate in the commercial sex of FSW has risen notably. The reported rate of condom use"last time"when FSW had sex with their sexual partners had increased from 75.0% at baseline to 94.0 % (P<0.01) after intervention. The rate of each condom use at the last three sex of FSW had increased from 60.1% at baseline to 80.4 % (P<0.01) after intervention. The rate of never use condom declined from 3.5% to 1.0% (P<0.05).â‘¢The intervention effect of the condom use rate of FSW in low-grade entertainment places was better than that in mid-grade entertainment places. The research shows that the reported rate of condom use"last time"when FSW in the mid-grade entertainment places had sex with their sexual partners had increased from77.5% at baseline to 90.2 % after intervention. The rate of each condom use at the last three sex of FSW in the mid-grade entertainment places had increased from 65.7% at baseline to 78.4% after intervention. The reported rate of condom use"last time"when FSW in the low-grade entertainment places had sex with their sexual partners had increased from 61.2% at baseline to 94.7 % after intervention.â‘£Through the health education, FSW has increased the awareness of normative medical service. The rate of choosing regular hospital for seeking normative medical service has increased from 73.6% to 83.1% (P<0.05). It shows that FSW have increased understanding and demand for the normative medical service to a certain degree. FSW that would go to the hospital for regular physical check-up every month without abnormal has increased from 42.5% at baseline to 79.0% after intervention.Conclusions: The intervention mode of companion education and outreach service is effective to increase the level of AIDS awareness and to reduce risk behaviors among FSW, but the mode suit to FSW in the mid-grade entertainment places better. And six months is the best intervention frequency.