32名HIV阳性嫖客商业性行为的定性研究

发布时间：2018-07-03 11:11

本文选题：获得性免疫缺陷综合征 + 性行为　；参考：《中华疾病控制杂志》2015年04期

【摘要】：目的了解艾滋病病毒(human immunodeficiency virus,HIV)阳性嫖客对待商业性行为的态度,知晓HIV感染状况后商业性行为仍不使用安全套的原因,以及探索如何对HIV阳性嫖客的不安全商业性行为进行干预。方法在湖南省长沙市和衡阳市的两个抗病毒治疗(antiretroviral therapy,ART)门诊通过方便抽样招募经商业性行为途径感染HIV的嫖客,进行个人深入访谈。结果共访谈32名HIV阳性嫖客,婚姻状况主要为在婚(23/32),文化程度主要为初中(14/32),平均年龄46.3岁。过去6个月仍有商业性行为者6人。访谈对象在对待商业性行为态度方面,多数人认为他们与正常人一样有性需求,感染HIV并不能意味着他们不能再有商业性行为。知晓感染状况后商业性行为仍不使用安全套的原因包括:安全套影响快感,与性伴熟悉,缺乏交叉感染相关知识,缺乏社会责任感和对非固定性伴的保护意识等。结论 HIV阳性嫖客的不安全商业性行为不容忽视,在感染者首次流行病学调查及随后的随访服务中,要强化感染者的社会责任和义务。
[Abstract]:Objective to understand the attitude of HIV-positive clients towards commercial sex, the reason why commercial sex is still not used after HIV infection, and how to intervene the unsafe commercial sex of HIV-positive clients. Methods two antiviral therapy (antiretroviral therapeutic therapy) outpatient clinics in Changsha and Hengyang, Hunan Province, were used to recruit clients infected with antiretroviral through commercial sex through convenient sampling, and to conduct personal in-depth interviews. Results A total of 32 HIV positive clients were interviewed. The marital status was mainly in marriage (23 / 32) and the education level was mainly in junior high school (14 / 32) with an average age of 46.3 years. There were still 6 commercial sex users in the past six months. In terms of attitudes towards commercial sex, most of the interviewees thought that they had the same sexual needs as normal people, and that HIV infection did not mean that they could no longer engage in commercial sex. The reasons for not using condoms in commercial sex after knowing the status of infection include condom influence pleasure, familiarity with sexual partners, lack of knowledge of cross infection, lack of social responsibility and awareness of protection of non-fixed sex partners, etc. Conclusion the unsafe commercial sexual behavior of HIV-positive clients should not be ignored. In the first epidemiological survey of infected persons and subsequent follow-up services, the social responsibility and obligation of HIV positive clients should be strengthened.
【作者单位】：安徽医科大学公共卫生学院流行病与卫生统计学系;中国疾病预防控制中心性病艾滋病预防控制中心预防干预室;湖南省疾病预防控制中心性病艾滋病预防控制科;衡阳市疾病预防控制中心性病艾滋病防治科;衡阳市第三人民医院血液科;
【基金】：“十二五”国家科技重大专项(2012ZX10001007) 中国艾滋病/结核病多学科研究培训项目(5U2RTW006918)
【分类号】：R512.91

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