CAJ | 학술논문

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.
목적 료해HIV감염자재감염고지후불안전성행위적변화급영향인소.방법 2013년3-7월재호남성장사시화형양시의거국가애자병진단표준선취학진감염HIV차이지효자신감염상황1년이상적병례진행회고성조사,이용자행설계적조사문권진행면대면방담.결과 본연구공수집268빈유효문권.결과현시,불안전성행위적발생솔유고지전적98.8％하강위고지후적12.7％.남성시감염고지후발생불안전성행위적보호인소(OR=0.443,95％CI:0.209～0.937)、조사대상여반려공동생활시위험인소(OR=2.549,95％CI:1.053～ 6.174).결론 HIV감염고지능현저강저불안전성행위적발생솔,녀성급여반려공동생활적환자재감염고지후발생불안전성행위적비례교고.
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.Results 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.