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目的了解以吸毒感染为主的艾滋病高流行地区感染者配偶的HIV感染状况及危险因素,提出防治建议。方法 2008年1-3月通过入户调查,对凉山州布拖县和昭觉县226名HIV感染者的配偶开展艾滋病知识、态度和行为学调查,同时进行HIV血清学检测。结果感染者配偶HIV阳性检出率达到25.7%,调查对象按国家督导评估方案计算的知识知晓率为50.9%,71.7%的调查对象最近1个月与配偶发生过性行为,最近1次性行为安全套使用率仅为9.1%(11/121)。结论凉山地区HIV感染者的配偶感染状况严重,配偶间无保护性行为发生比例高,针对配偶间危险性行为的干预工作不足,应扩大检测,加强随访干预,提供适宜的预防技术。
Objective To understand the status and risk factors of HIV infection among spouse of HIV-infected patients in HIV-infected areas and put forward the prevention and treatment suggestions. Methods From January to March in 2008, 226 HIV / AIDS spouses in Buwa County and Zhaojue County of Liangshan Prefecture were investigated for AIDS knowledge, attitude and behavior through HIV testing, and HIV serology was also tested. Results HIV positive rate was 25.7% in spouses of HIV infected persons, 50.9% of the respondents were informed by the national supervision and evaluation plan, 71.8% of the respondents had sex with their spouse in the recent month, and the last sexual activity Condom use was only 9.1% (11/121). Conclusions In spite of the serious spouse infection in Liangshan area, spouses have a high proportion of unprotected sex and inadequate interventions for the risk behaviors among spouses. The detection should be expanded to improve follow-up interventions and provide suitable preventive techniques.