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目的了解佤族性伴间HIV感染传播相关高危性行为,为针对性干预工作提供科学依据。方法 2014年7月期间,沧源县接受抗病毒治疗人员为调查对象,整群抽样,横断面调查,知情同意后问卷回顾收集人口学基本信息、HIV感染途径、性伴间HIV相关高危性行为等情况。采用Excel 2007建立数据库,SPSS17.0进行统计分析。结果共调查586人,佤族占(80.4%),40岁以下农民在婚女性(53.6%)为主,90.8%人员有婚前性行为,其中84.4%从来不使用安全套。46.1%有2个以上固定性伴,161人(65.7%)与临时性伴间发性性关系时从不使用安全套。78.7%认为因未使用安全套感染HIV。知悉HIV结果后,仍有13.3%配偶(固定性伴)间发生性行为时不使用安套。结论沧源县佤族婚前性行为及多性伴现象明显,高危性行为致HIV感染传播。接受治疗配偶(固定性伴)间仍存在高危性行为。迫切需要开展性健康促进工作。
Objective To understand the high-risk sexual behaviors associated with transmission of HIV among Wa nationality partners and to provide a scientific basis for targeted intervention. Methods During July 2014, Census patients receiving antiretroviral treatment were enrolled in the study. Samples of the population, cross-sectional survey and informed consent were collected to collect demographic information, HIV infection pathways, high-risk HIV-related sexual behaviors among sex partners And so on. Using Excel 2007 to establish a database, SPSS17.0 for statistical analysis. Results A total of 586 people were surveyed, including Wa (80.4%), married women under the age of 40 (53.6%) and 90.8% of them having premarital sex. Of these, 84.4% never used condoms. 46.1% had more than two fixed partners, and 161 (65.7%) never used condoms when having sexual intercourse with temporary partners. 78.7% thought they had contracted HIV because they did not use condoms. After learning about the HIV result, 13.3% of spouses (fixed partners) still do not use the condom when having sex. Conclusion The prevalence of premarital sex and multiple sexual partners among the Wa nationality in Cangyuan County is significant. HIV infection is transmitted by high-risk sexual behaviors. There is still a high risk of sexual behavior between spouses receiving treatment (fixed partners). There is an urgent need to promote sexual health.