艾滋病病毒感染者/艾滋病病人配偶告知工作现状分析  

Analysis on status quo of spousal notification of HIV infectors

作　　者：徐鹏[1] 刘康迈[1] 吕繁[1] 

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京100050

出　　处：《中国卫生政策研究》2011年第10期55-59,共5页Chinese Journal of Health Policy

基　　金：国家自然科学基金项目(71003089)

摘　　要：目的:分析和总结我国HIV感染者/病人的配偶告知工作现状。方法:对艾滋病防治工作人员、HIV感染者/病人及其配偶三类人群进行问卷调查和定性访谈。结果:由感染者本人告知其配偶的占58.7%,由医务人员告知的占41.3%;告知后,夫妻关系变差了的占22.0%,没有变化的占73.8%;告知后,配偶做HIV检测的占87.7%;最近3个月与配偶发生性行为时,66.7%的感染者/病人每次都使用安全套,未使用的占6.4%。访谈发现,告知政策能促使感染者本人告知其配偶,能增加工作人员的责任感。结论:明确的配偶告知政策很重要,安全套的可及性还需提高,配偶告知与检测结合作用更大,配偶告知会有一些负面影响。Objective：To analyze the status quo of notifying HIV-infected persons＇ spouse.Methods：Questionnaire survey and qualitative interview were conducted among CDC staff,HIV infectors and their spouses.Results：Among the spouses,58.7% were notified by HIV infectors themselves,41.3% were notified by health care providers.After notification,22.0% of spouses thought the husband-wife relationship become worse,73.8% no change;87.7% of spouses implemented HIV testing.Three months prior to the survey,66.7% of infectors/patients used condom persistently,6.4% never used.The interview showed that spousal notification to spouse policy could help to urge the infector to notify his/her spouse by one＇s self,and increase the responsibility of staff conducting the notification.Conclusion：Spousal notification regulations were important.Condom accessibility should be improved.Spousal notification should be combined with spousal testing.Negative effects of notification to spouse should be reduced.

关 键 词：艾滋病 配偶告知 现状 

分 类 号：R197[医药卫生—卫生事业管理]