文章摘要
武培丽,周楚,周洋,任仙龙,陈曦,赵俊仕,邓晓军,柔克明,吴尊友.投票站调查和面对面调查在HIV阳性嫖客高危行为分析中的比较[J].中华流行病学杂志,2015,36(4):340-343
投票站调查和面对面调查在HIV阳性嫖客高危行为分析中的比较
Comparison between methods as polling booth survey and face-to-face interview in understanding the high-risk behavior among HIV-positive clients of female sex workers
收稿日期:2014-10-14  出版日期:2015-04-04
DOI:10.3760/cma.j.issn.0254-6450.2015.04.010
中文关键词: 人类免疫缺陷病毒  嫖客  高危行为  调查方法
英文关键词: Human immunodeficiency virus  Clients of female sex workers  High risk behavior  Survey methods
基金项目:国家科技重大专项(2012ZX10001007); 中国艾滋病/结核病多学科研究培训项目(5U2RTW006918)
作者单位E-mail
武培丽 230032 合肥, 安徽医科大学公共卫生学院
中国疾病预防控制中心性病艾滋病预防控制中心 
 
周楚 中国疾病预防控制中心性病艾滋病预防控制中心  
周洋 230032 合肥, 安徽医科大学公共卫生学院
中国疾病预防控制中心性病艾滋病预防控制中心 
 
任仙龙 中国疾病预防控制中心性病艾滋病预防控制中心  
陈曦 湖南省疾病预防控制中心  
赵俊仕 湖南省疾病预防控制中心  
邓晓军 衡阳市第三人民医院  
柔克明 中国疾病预防控制中心性病艾滋病预防控制中心  
吴尊友 230032 合肥, 安徽医科大学公共卫生学院
中国疾病预防控制中心性病艾滋病预防控制中心 
wuzy@263.net 
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中文摘要:
      目的 采用面对面调查和投票站调查分析HIV阳性嫖客的高危行为, 并比较两种方法的调查结果。方法 从衡阳市第三人民医院抗病毒治疗门诊招募知晓感染状况≥6个月的HIV阳性嫖客。对同样的8个性行为相关问题先后使用面对面调查和投票站调查, 并比较两种方法的调查结果。结果 与面对面调查相比, 采用投票站调查其研究对象报告的“知晓HIV感染状况前患过性病”的比例更高(40.6% vs. 24.2%), “过去6个月与固定性伴性行为频率<4次/月”的比例(64.2% vs. 84.0%)和“过去6个月与固定性伴发生性行为每次都使用安全套”的比例(44.4% vs. 63.0%)更低, 其余5个问题采用两种方法调查的结果差异无统计学意义。结论 HIV阳性嫖客在知晓感染状况后仍存在严重的不安全性行为。与面对面调查相比, 投票站调查报告的不安全性行为发生率更高, 且可取得更为真实可靠的数据。与投票站调查相比, 传统的面对面调查可能低估HIV阳性嫖客的高危性行为。
英文摘要:
      Objective Face-to-face interview (FTFI) and polling booth survey (PBS) were applied to compare the high risk behavior among HIV-positive clients of female sex workers (CFSWs). Methods This study was conducted in antiretroviral therapy (ART) out-patients centers in Hengyang city, where clients who had been informed on their HIV-positive status for 6 months or longer were recruited. FTFI was first used to tackle on 8 sensitive questions related to sexual behavior, followed by PBS to poke on the same questions. Results from FTFI and PBS were then compared. Methods Compared with FIFI, results in the PBS showed higher proportion of participants who reported “having had history of sexually transmitted diseases before knowing that they were infected with HIV” (40.6% vs. 24.2%) but lower proportions on “frequency of having sex with regular sexual partner less than 4 times per month” and “using condoms consistently with regular sexual partners in past 6 months (44.4% vs. 63.0%)”. There were no significant differences in the remaining 5 questions shown in the results from the two methods. Conclusion HIV-positive CFSWs continued to practice unsafe sexual behaviors after knowing their HIV related status. Compared with FTFI, PBS seemed to have revealed higher proportion of unsafe sex behaviors, so as to generated more reliable data. While comparing with PBS, the traditional FTFI might have underestimated the risk behaviors among those HIV-positive CFSWs.
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