【摘要】 目的通过了解大连市艾滋病病毒(HIV)抗体阳性者的性行为现状,分析导致大连市艾滋病(AIDS)疫情持续增长的潜在因素,从而探讨出更为有效的控制艾滋病经性传播的措施。方法采用分层随机抽样方法,自行设计大连市HIV感染者/AIDS病人生存状态调查问卷,遵循知情同意原则,对151名HIV阳性者进行访谈式调查。应用Epi Data 3.1建立数据库,SPSS 13.0统计软件进行分析。结果 151名HIV抗体阳性者中,66.23%的HIV阳性者感染HIV后有性行为发生,且其在不同性别(χ2=8.06;P=0.005)、不同文化程度(χ2=6.07;P=0.014)上比较差异有统计学意义。知晓感染HIV以后,56.82%(25/44)的夫妻间性行为频数减少,非婚性行为中的双性性行为构成由感染前的45.70%(69/151)下降至感染后的3.00%(3/100)。60.00%(15/25)的婚内性行为可做到百分百使用安全套,而非婚性行为仅30.00%做到百分百使用安全套,是否使用安全套在婚姻状况上比较差异有统计学意义(χ2=12.021;P=0.001)。非婚性行为中91.11%(82/90)为男男同性性行为。结论 HIV阳性者在知晓感染后,多数能够自我约束自己的性行为,性行为发生频数减少或由双性趋于单性性行为,但性行为过程中百分百使用安全套的比率较低。艾滋病防制相关管理者,在对HIV阳性者提供生活、治疗帮助和关怀的同时,也应对他们的性行为提供正确的指导和帮助,在感染者中加强安全套使用的推广工作。更多还原

【Abstract】 Objective To study the sexual behavior of 151 people infected with HIV in Dalian,and analyze its influencing factors so as to explore more effective measures to control HIV spreading.Methods The stratified random sampling method and self-administrated questionnaire were used for the study,with the principle of informed consent.EpiData 3.1was set up with software SPSS 13.0used for statistical analysis.Results The study showed that 66.23% of 151 people infected with HIV had sexual contacts and the difference was statistically significant with sex(χ2=8.06,P=0.005),and education(χ2=6.07,P=0.014).56.82%(25/44)reduced their sexual contacts with their spouses after being aware of their HIV status.The proportion of bisexual contacts among the non-marital HIV infected people reduced from 45.70%(69/151)to 3%(3/100).60%(15/25)of married HIV infected people used condoms every intercourse,while the proportion of non-marital people used condoms reached only 30%.The difference was statistically significant between marital status on condom use(χ2=12.021,P=0.001).Furthermore,91.11% of unmarried HIV infected people were MSM.Conclusions Most of people infected with HIV reduce their sexual acts or tend to change their bisexual acts to single-sex sexual contact after being aware of their HIV status.However the proportion of condom use for every intercourse is comparatively low.Health workers and caregivers should further promote condom use among people infected with HIV while providing care and treatment.更多还原