107例HIV/AIDS感染者经性接触感染情况深入访谈调查分析

In- depth interview survey and analysis of 107 HIV/AIDS cases infected through sexual contact

目的:对107例HIV感染者或艾滋病患者(HIV/AIDS)经性接触感染的方式、途径、感染状况等进行分析,为进一步的预防工作提供有效依据。方法:制定合理的调查提纲,与HIV/AIDS采取一对一的深入访谈式调查,获取经性接触感染的方式、途径、感染状况等,并自我剖析感染后的经验及教训,有效预防的方法及策略,今后HIV/AIDS在宣教方面的缺陷及完善方案等。结果:男男同性恋(MSM)人群、双性恋人群、多性伴人群仍是本地区HIV感染的高危人群,相当部分经性接触感染HIV/AIDS均未很好的采取安全措施,高危性行为后主动检测、性伴检出HIV感染后检测、出现症状后就医是发现HIV感染的主要原因。结论:不洁性行为中安全套的使用、高危性行为后主动检测、及时的性伴通知、有效的抗病毒治疗及心理辅导与心理治疗、参与性方法普及性健康知识及艾滋病知识等均是今后预防HIV感染的最佳手段,只有通过全社会的共同参与,才能达到全民防艾的目的。

Objectives： To provide an effective basis for further prevention by analyzing 107 HIV/AIDS ca- ses infected through sexual contact. Methods： Reasonable investigation outline was made to identify the sexual con- tact way through one by one in- depth interview survey on HIV/AIDS patients and analyze the experience and les- sons to provide prevention method and improvement scheme in the education of HIV/AIDS prevention. Results： MSM population, bisexual population and population with multiple sexual partners were still the high - risk people. The main reasons included high -risk sexual life, HIV infection of sexual partner detection and medical symptoms after infection. Conclusions： The rapid growth of AIDS epidemic in China is currently in the popular trend of transi- tion from high - risk groups to the general population. Only the participation of the whole society can achieve the purpose of the national MDS prevention.