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目的了解我国中部农村地区艾滋病病毒(HIV)感染者高危性行为特征。方法2003年12月~2004年5月采用横断面研究方法调查HIV感染者的社会人口学特征,婚内、婚外性行为和安全套使用情况。结果提供知情同意和符合纳入标准的HIV感染者832人,其中95.7%(796人)的感染者过去有献血史,27.5%(229人)的感染者不知道自己感染了HIV。婚内、婚外性行为100%使用安全套的分别为35.9%(180/501)和18.7%(3/22),年龄(OR=0.65;95%CI为0.44~0.95)、文化程度(OR=1.71;95%CI为1.11~2.64)、是否知道自己感染HIV(OR=1.58;95%CI为1.04~2.04)和近3个月婚内性行为是否100%使用安全套具有统计学意义。结论我国中部农村地区HIV感染者100%安全套使用率较低,应加强HIV感染者检测后结果告知和咨询工作,以及为其免费提供安全套以降低HIV的性传播。
Objective To understand the high risk behaviors of HIV in rural areas of Central China. Methods From December 2003 to May 2004, the cross-sectional study was used to investigate the socio-demographic characteristics, marital and extramarital sex and condom use among HIV-infected individuals. The results provided informed consent and inclusion of 832 HIV-infected individuals, of whom 95.7% (796) had a previous history of blood donation and 27.5% (229) did not know they were HIV-infected. The rates of condom use in males and females were 35.9% (180/501) and 18.7% (3/22), respectively. The age (OR = 0.65; 95% CI 0.44-0.95) 1.71; 95% CI 1.11-2.64), whether they knew of HIV infection (OR = 1.58; 95% CI: 1.04-2.04), and whether 100% of marital sexual behaviors in the past 3 months were statistically significant for condom use. CONCLUSIONS: HIV-infected people in central China’s rural areas have a low rate of 100% condom use. HIV testing should be strengthened to inform and advise HIV-infected people of their HIV status and to provide free condoms to reduce HIV transmission.