Effectiveness of comprehensive interventions for STD/AIDS prevention among MSM sex workers
J. Jiang1, N. Cao1, X. Gong2
1Institute of Dermatology Chinese Academy of Medical Sciences and Peking Union Medical College, Sexually Transmited Disease, Nanjing, China, 2Institue of Demotology Chinese Academy of Medical Sciences and Peking Union Medical College, Epidemiology, Nanjing, China
Background: To understand the situation of sexual safety and the effectiveness of comprehensive intervention of STD/ AIDS prevention among MSM sex workers(money boy, MB)in cities of Chengdu, Shenyang and Nanjing in China.
Methods: A questionnaire survey was conducted in MBs who already experienced or ready to be engaged in sex for money activities at baseline and by the end of the study at an intertval of 6-9 months. The knowledge of STD/AIDS prevention was delivered through on-the spot dialogue. Health education materials were developed and disseminated. The use of water-soluble lubricants and condoms were encouraged. The skills of practicing condom use were shared. A network of medical services was established to provide qualified STD management, and MBs were recommend to visit the local CDC to receive the voluntary counseling and testing (VCT). The awareness of STD/AIDS prevention and sexual behaviors were analyzed before and after the intervention, and the effectiveness was assessed.
Results: A total of 484 valid questionnaires were received at baseline and 553 at the end-stage survey. There was no demographic difference between these two surveys including the self-identification of homosexual.The awareness of STD/AIDS was increased from 62.66% to 91.94% after the intervention. The ratio of subjects willing to go to public hospitals to receive the diagnosis and treatment of STDs increased from 53.9% to 86.8%.There was a slight decrease of anal sex from 69.2% to 62.4% (P=0.018).
Conclusions: Health interventions for MBs can not be ignored. Stronger health interventions are needed to target towards this special population. Promotion of safe sex and condom use should be taken as a key approch. The comprehensive intervention can guide MBs to seek appropriate medical service in STD clinics.