| 赖智维,柳祎,张艳辉,鲍宇刚,徐新,谭红专.HIV感染告知后不安全性行为的变化及影响因素研究[J].Chinese journal of Epidemiology,2015,36(4):337-339 |
| HIV感染告知后不安全性行为的变化及影响因素研究 |
| Study on the change of unsafe sexual behaviors and its determinants in HIV-positive persons after being notified as HIV seropositive |
| Received:October 13, 2014 |
| DOI：10.3760/cma.j.issn.0254-6450.2015.04.009 |
| KeyWord: 人类免疫缺陷病毒 告知 不安全性行为 |
| English Key Word: Human immunodeficiency virus Notified Unsafe sexual behavior |
| FundProject:2012中国全球基金艾滋病项目支持开展艾滋病防治重点问题研究项目(CSO-2012-研37) |
| Author Name | Affiliation | E-mail | | Lai Zhiwei | School of Public Health, Central South University, Changsha 410078, China | | | Liu Yi | School of Public Health, Central South University, Changsha 410078, China
Maternal and Child Health Hospital of Hunan Province | | | Zhang Yanhui | School of Public Health, Central South University, Changsha 410078, China
Hunan Provincial Health Propaganda Education and Information Center | | | Bao Yugang | School of Public Health, Central South University, Changsha 410078, China | | | Xu Xin | School of Public Health, Central South University, Changsha 410078, China | | | Tan Hongzhuan | School of Public Health, Central South University, Changsha 410078, China | tanhz99@qq.com |
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| Abstract: |
| 目的 了解HIV感染者在感染告知后不安全性行为的变化及影响因素。方法 2013年3－7月在湖南省长沙市和衡阳市依据国家艾滋病诊断标准选取确诊感染HIV且已知晓自身感染状况1年以上的病例进行回顾性调查, 利用自行设计的调查问卷进行面对面访谈。结果 本研究共收集268份有效问卷。结果显示, 不安全性行为的发生率由告知前的98.8%下降为告知后的12.7%。男性是感染告知后发生不安全性行为的保护因素(OR=0.443, 95%CI:0.209～0.937)、调查对象与伴侣共同生活是危险因素(OR=2.549, 95%CI:1.053～6.174)。结论 HIV感染告知能显著降低不安全性行为的发生率, 女性及与伴侣共同生活的患者在感染告知后发生不安全性行为的比例较高。 |
| English Abstract: |
| Objective To study the change of unsafe sexual behaviors and its determinants in HIV-positive persons after being notified as HIV seropositive. Methods Questionnaires were employed in HIV-positive persons whose testing results being notified over 1 year in Changsha and Hengyang between March 2013 and July 2013. Methods Interview was carried out on 268 HIV-positive persons who reported having considerable variability in unsafe sexual behaviors. The incidence of unsafe sexual behaviors declined from 98.8% to 12.7% after being notified as HIV seropositive. Risk factors related to unsafe sexual behaviors after the notification would include gender (men OR=0.443, 95%CI:0.209-0.937) and living with sexual partner (OR=2.549, 95%CI:1.053-6.174). Conclusion Notification regarding one’s HIV seropositivity could considerably reduce the incidence of unsafe sexual behaviors in HIV-positive persons, however, women and those who were living with sexual partners seemed likely to keep practicing unsafe sexual behavior, thereafter. |
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