四川省HIV感染者/AIDS患者性行为特征分析

Analysis on features of sexual behavior in HIV/AIDS population in Sichuan province

目的了解HIV感染者/AIDS患者(PeopleLivingWithHIVandAIDS,PLWHA)的性行为现状及特征,为进行行为干预提供依据。方法在四川省资中县、昭觉县及西昌市对已确诊的PLWHA及其性伴、以及当地健康对照人群进行问卷访谈调查。结果资中县PLWHA中有15.0%的人有临时性伴,该比例在西昌和昭觉分别为57.9%和18.9%。在与固定性伴的性活动中,资中的36.8%PLWHA回答“经常使用”安全套;与临时性伴的性活动中,66.7%回答“从不使用”安全套。西昌地区的相应比例分别为65.4%和72.7%;昭觉为97.1%与100.0%。结论PLWHA的性活动较非PLWHA人群复杂,但该人群的性行为现状具有明显的共性,是行为干预和健康教育的突破口,推广安全套的使用尤为重要;应将防制HIV性传播工作的重心逐渐由城市移向乡镇。

Objective To study the features and to present condition of sexual behavior in the HIV/AIDS population.Methods Questionnaire among HIV/AIDS,their sexual partners and local health control people was used in Zizhong, Zhaojue and Xichuang in Sichuan province.Results In Zizhong 15.0% of PLWHA had temporary sexual partners; the proportion in Zhaojue and Xichang was 57.9% and 18.9% respectively. 36.8% of PLWHA in Zizhong‘often’use condom with constant sexual partners, and 66.7% never used condom with temporary partners. In Xichang 65.4% never used condom with constant partners and 72.7% never used condom with temporary ones. In Zhaojue the two ratios were 97.1% and 100.0%.Conclusion The sexual behavior of PLWHA was more complicated than that of general population, but the present sexual condition in PLWHA had some characteristics in common which made the key points of behavior interference and health education. To control the HIV sexual transmission, condom-using in sexual behavior took on more importance than other measures. In urban the rate of using condom in sexual behavior increased obviously during past one or two years, which was helpful to control the HIV transmission. Meanwhile, the primary target area of decreasing HIV transmission should be transferred from urban areas to rural ones.