摘要
目的了解兰州市艾滋病病毒感染者和艾滋病患者（peoplelivingwithHIV／AIDs）性行为，为兰州市艾滋病患者及病毒感染者干预策略提供科学依据。方法采用非概率抽样方法，对2012年7～12月在本市长期居住的已经确诊的HIV／AIDS采用横断面回顾性调查方法进行一对一基本人口学特征、性行为特征等信息问卷调查。结果共调查232例，63．79％（148／232）的调查对象报告有固定性伴，诊断为HIV后最近6个月，68．92％（102／148）报告与固定性伴发生过性行为，安全套坚持使用率为43．14％（44／102），诊断前后与固定性伴性行为的比例明显下降（χ^2=24．788，P〈O．05），安全套坚持使用率明显上升（χ^2=30．426，P〈0．05）；27．16％（63／232）的调查对象报告有非商业非固定性伴，诊断为HIV后最近6个月，14．29％（9／63）报告与非商业非固定性伴发生过性行为，安全套坚持使用率为66．67％（6／9），诊断前后与非商业非固定性伴性行为的比例明显下降（χ^2=37．852，P〈0．05），安全套坚持使用率明显上升（χ^2=4．940，P〈0．05）；21．98％（51／232）的调查对象报告有商业性伴；诊断为HIV后最近6个月，47．06％（24／51）的调查对象人报告与商业性伴发生过性行为，安全套坚持使用率为16．67％（4／24），诊断前后与商业性伴性行为的比例无明显变化（χ^2=0．039，P〉0．05），安全套的坚持使用率也无明显变化（χ^2=0．091，P〉0．05）。结论艾滋病病毒感染者艾滋病患者发生性行为比例较高，安全套坚持使用率较低，应加强该人群的行为干预措施。
Objective To study sex behaviors among people with HIV-1 infection in Lanzhou city of China. Methods Using non-probability sampling method, a cross-sectional retrospective study was conducted from July to December 2012. Study subjects were people with previously diagnosed HIV-1 infections and long-term residence of Lanzhou city. One on one questionnaire survey was done. Results A total of 232 case were re- cruited in the study with 148 （63.79%） having fixed sexual partners. During the first 6 months after the diag- nosis of HIV-1 infection, 68. 920/00 （102/148） reported sex behavior with their fixed partners, the rate of con- sistent condom use was 43.14% （44/102） . The rate of having sex with their fixed partners decreased markedly after their diagnosis of HIV-1 infection （χ^2= = 24. 788, P〈0.05） while consistent condom use in- creased significantly （χ^2= = 30. 426, P〈：0.05） . 27.16% （63/232） responders reported non-commercial and unfixed sexual partners. During the first 6 months after their diagnosis of HIV-1 infection, 14.29% （9/63） reported sex behavior with a non-commercial, unfixed sexual partners with the rate of consistent condom use at 66.67 % （6/9） . The proportion of having sex with non-commercial, unfixed sexual partners decreased signifi- cantly after their diagnosis of HIV-1 infection （χ^2= =37. 852, P〈0.05） while consistent condom use increased significantly （χ^2= 4. 940, P〈0.05） . 21.98% （51/232） respondents reported commercial sexual behaviors during the first 6 months after their diagnosis of HIV-1 infection and among them, 47.06 % （24/51） reported having sex with a commercial sexual partner and the consistent condom use was 16.67% （4/24） . There were no significant difference of rates with commercial sexual partners and consistent condom use before and after the diagnosis of HIV-1 infection in this group of people. Conclnsions People with HIV-1 infections still have high rates of sex behavior without consistent condom use. Effic
出处
《中国病毒病杂志》
CAS
2014年第2期112-117,共6页
Chinese Journal of Viral Diseases
