高丽, 刘玉芬, 李晓春, 王丽艳, 罗跃光, 王春泉, 张小波, 邱光平, 王璐. 云南省澜沧县HIV感染者和AIDS患者固定性伴告知情况及影响因素分析[J]. 疾病监测, 2010, 25(7): 562-565. DOI: 10.3784/j.issn.1003-9961.2010.07.018
引用本文: 高丽, 刘玉芬, 李晓春, 王丽艳, 罗跃光, 王春泉, 张小波, 邱光平, 王璐. 云南省澜沧县HIV感染者和AIDS患者固定性伴告知情况及影响因素分析[J]. 疾病监测, 2010, 25(7): 562-565. DOI: 10.3784/j.issn.1003-9961.2010.07.018
GAO Li, LIU Yu-fen, LI Xiao-chun, WANG Li-yan, LUO Yue-guang, WANG Chun-quan, ZHANG Xiao-bo, QIU Guang-ping, WANG Lu. HIV-infected and AIDS patients’ disclosure of HIV status to their regular sex partners and analysis of the influential factor in Lancang county, Yunnan province[J]. Disease Surveillance, 2010, 25(7): 562-565. DOI: 10.3784/j.issn.1003-9961.2010.07.018
Citation: GAO Li, LIU Yu-fen, LI Xiao-chun, WANG Li-yan, LUO Yue-guang, WANG Chun-quan, ZHANG Xiao-bo, QIU Guang-ping, WANG Lu. HIV-infected and AIDS patients’ disclosure of HIV status to their regular sex partners and analysis of the influential factor in Lancang county, Yunnan province[J]. Disease Surveillance, 2010, 25(7): 562-565. DOI: 10.3784/j.issn.1003-9961.2010.07.018

云南省澜沧县HIV感染者和AIDS患者固定性伴告知情况及影响因素分析

HIV-infected and AIDS patients’ disclosure of HIV status to their regular sex partners and analysis of the influential factor in Lancang county, Yunnan province

  • 摘要: 目的 了解云南省澜沧县艾滋病病毒(HIV)感染者和艾滋病(AIDS)患者告知固定性伴的现状和影响因素,为探讨提高性伴告知率,降低HIV感染者和AIDS患者的危险行为提供参考依据。 方法 采用横断面研究设计,于2009年4-8月,对澜沧县的HIV/AIDS感染者进行固定性伴告知现状调查和分析。 结果 283名HIV/AIDS感染者中,将自己的感染状况告知固定性伴的占61.48%,其中73.56%由HIV感染者本人告知固定性伴,17.24%是经感染者本人同意,由防疫人员告知,3.45%未经感染者本人同意,由防疫人员告知。告知固定性伴最主要的原因是对方已经知道结果、希望得到对方的关爱、对方也是感染者;不告诉固定性伴的主要原因是担心不能维持目前关系、担心受到歧视、不知道如何与对方沟通。多因素logistic回归分析表明,不同文化程度、家庭主要经济创收者、告知时是否有其他人在场的HIV阳性者在是否告知性伴上的差异有统计学意义。 结论 为提高性伴告知率,应逐步改善HIV/AIDS的社会经济状况,提高社会、家庭和HIV感染者对艾滋病的认识,提高医疗卫生工作者咨询、检测、治疗的服务质量。

     

    Abstract: Objective To learn the status quo of the HIV/AIDS patients disclosure of HIV status to their regular sex partners in Lancang county, Yunnan province, and investigate the influential factors, providing the basis for improving disclosure of HIV serostatus to sex partners and reducing HIV/AIDS patients risk behaviors. Methods A cross-sectional study was conducted in Lancang County from April to August 2009 to investigate and analyze the HIV/AIDS patients disclosure of HIV status to their regular sex partners. Results Among 283 HIV/AIDS patients, 61.48% have revealed serostatus to their regular sex partners, of which 73.56% were disclosed in person, 17.24% were disclosed by CDC staff with the patients consent, and 3.45% were divulged by CDC staff without consent. The main reasons for informing sex partners of HIV status were: the other side has known, hoping to be understood and loved, and the other side is also infected; while the main reasons for non-disclosure were: being afraid of relationship breakdown, being afraid of discrimination, and not knowing how to communicate with the other. Multivariate Logistic regression analysis showed that the difference in disclosure of HIV status was significant between HIV-positive patients of different educational levels, those who were and were not major economic supporter of the family, and those with and without other persons presence during disclosure. Conclusion To encourage disclosure of HIV status to sex partners, it is important to gradually improve the socio-economic situation for HIV-infected and AIDS patients, raise the social, familial and HIV patients awareness of AIDS, and strengthen the service quality of health care workers in counseling, testing and treatment.

     

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