CAJ | 학술논문

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.
목적 채용면대면조사화투표참조사분석HIV양성표객적고위행위,병비교량충방법적조사결과.방법 종형양시제삼인민의원항병독치료문진초모지효감염상황≥6개월적HIV양성표객.대동양적8개성행위상관문제선후사용면대면조사화투표참조사,병비교량충방법적조사결과.결과 여면대면조사상비,채용투표참조사기연구대상보고적“지효HIV감염상황전환과성병”적비례경고(40.6％vs.24.2％),“과거6개월여고정성반성행위빈솔＜4차/월”적비례(64.2％vs.84.0％)화“과거6개월여고정성반발생성행위매차도사용안전투”적비례(44.4％vs.63.0％)경저,기여5개문제채용량충방법조사적결과차이무통계학의의.결론 HIV양성표객재지효감염상황후잉존재엄중적불안전성행위.여면대면조사상비,투표참조사보고적불안전성행위발생솔경고,차가취득경위진실가고적수거.여투표참조사상비,전통적면대면조사가능저고HIV양성표객적고위성행위.
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.Results 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.