本文選題：艾滋病病毒感染者/艾滋病病人　切入點(diǎn)：非婚異性性傳播　出處：《中國(guó)艾滋病性病》2017年06期 　論文類型：期刊論文

【摘要】：目的了解云南省艾滋病病毒(HIV)經(jīng)非婚異性性行為傳播的主要危險(xiǎn)因素及發(fā)生的原因,為控制HIV經(jīng)性途徑傳播提供依據(jù)。方法采用定性研究中的個(gè)人深入訪談法。選取云南省2015年新報(bào)告的由非婚異性性行感染HIV的病例進(jìn)行深入訪談,了解感染HIV的原因及影響因素等。結(jié)果按照信息飽和原則共訪談50例,男女各半,年齡14~75歲,90.0%為初中及以下文化,已婚58.0%,98.0%為被動(dòng)檢測(cè)發(fā)現(xiàn)。男性72.0%有過(guò)嫖娼行為,女性68.0%有多性伴,性伴均為男朋友。經(jīng)核實(shí),28.0%為配偶傳播。僅8.0%有過(guò)既往HIV檢測(cè)史。對(duì)非婚異性性行為普遍持包容態(tài)度,76.0%被訪者獲知感染后悲觀、難過(guò),甚至有自殺的極端想法;多數(shù)在知曉感染狀況后有行為改變,主要表現(xiàn)為減少性行為和堅(jiān)持使用安全套。被訪者的感染狀況知曉范圍較小,多數(shù)為自己知曉和僅配偶知曉。結(jié)論男性HIV感染者以商業(yè)性性行為為主,女性HIV感染者以臨時(shí)性性行為為主。針對(duì)普通大眾的艾滋病宣傳教育中,加強(qiáng)性責(zé)任、性健康和性安全宣教,鼓勵(lì)多性伴人群主動(dòng)接受HIV咨詢檢測(cè)。
[Abstract]:Objective to investigate the main risk factors and the causes of transmission of HIV / HIV among non-marital heterosexual sex in Yunnan Province. Methods in order to control the transmission of HIV through sexual route, we used the method of personal in-depth interview in qualitative research. In 2015, we selected the newly reported cases of heterosexual infection of HIV in Yunnan Province for in-depth interviews. Results according to the principle of information saturation, 50 cases of male and female were interviewed. 90.0% of them were from junior middle school or below, and 58.0% of married women were found to have engaged in prostitution. 68.0% women had multiple sexual partners, all of whom were boyfriends. 28.0% of them were transmitted by their spouses. Only 8.0% women had a history of HIV testing. 76.0% of the respondents were pessimistic and sad after learning of the infection. There are even extreme suicidal thoughts; most of them have behavioural changes after knowing the status of infection, mainly in terms of reducing sexual behavior and persisting in condom use. Conclusion male HIV infection is mainly commercial sex, while female HIV infection is temporary sex. In AIDS propaganda and education for the general public, sexual responsibility should be strengthened. Sexual health and safety education, encourage sexual partners to actively accept HIV counseling and testing.
【作者單位】： 云南省疾病預(yù)防控制中心性病艾滋病防制所/云南省艾滋病研究所;昆明醫(yī)科大學(xué);
【基金】：“十二五”國(guó)家科技重大專項(xiàng)(2013ZX10004-906) 云南省衛(wèi)生科技計(jì)劃項(xiàng)目(2014NS345)~~
【分類號(hào)】：R512.91

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