112例艾滋病感染者中男男性行为人群高危行为及心理状况分析  

Analysis on the high risk factors and state of psychology among 112 HIV-positive men who have sex with men

作　　者：朱晓华[1] 尹宁[1] 唐政[1] 倪莹青[1] 郑敏[1] 王震宇[1] 

机构地区：[1]上海市长宁区疾病预防控制中心性艾结防科,上海200051

出　　处：《中华实验和临床感染病杂志（电子版）》2014年第3期34-38,共5页Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)

摘　　要：目的了解艾滋病(AIDS)感染者中男男性行为(MSM)人群高危性行为相关因素和心理状况。方法对112例艾滋病感染者中男男性行为者进行面对面问卷调查,并采集每位调查对象静脉血检测梅毒特异性和非特异性抗体。结果 112例调查对象中,梅毒感染所占比例达35.7%(40/112),其中现症梅毒感染占13.4%(15/112);安全套使用方面,在知道自己感染艾滋病病毒(HIV)前,安全套"每次都用"所占总比例均低于30.0%;不用安全套原因中,"没有准备安全套"、"对方不愿意使用"和"使用安全套影响双方的亲密感和信任感"所占比例较高,分别为35.7%(40/112)、28.6%(32/112)和25.9%(29/112);最初知道自己感染HIV后表示"能接受,已经有心理准备"的比例最高,占62.5%(70/112),"绝望,感觉世界末日到了"的占34.8%(39/112),"愤怒,决定报复"的占3.6%(4/112);感受方面感觉有"压力"、"孤独情绪"和"社会歧视"的分别占75.9%(85/112)、58.9%(66/112)和40.2%(45/112);今后愿意找"感染者"为性伴的比例最高,占61.6%(69/112);愿意主动告知"值得信赖的人"和"固定同性性伴"自身已感染HIV的占较高比例,分别为67.9%(76/112)和29.5%(33/112);有66.1%(74/112)受访者表示愿意动员固定同性性伴检测抗-HIV,39.3%(44/112)受访者愿意动员偶遇同性性伴。结论本次回顾性调查发现感染者中梅毒感染率较高,而安全套每次使用率较低,且部分调查对象虽能够理性接受自己感染HIV的事实,但有愤怒、决定报复等负面情绪的感染者也占一定比例。故在今后的工作中,针对感染者和未感染者应分别在心理干预和行为干预方面下功夫,从而有效地遏制艾滋病等经性传播疾病的二代传播。Objective To analyze the factors related to high risk sexual behaviors and assess the state of mentality among HIV-positive men who have sex with men （MSM）.Methods A face to face questionnaire investigation was conducted among 112 HIV-positive MSM with venous blood being collected for syphilis antibody test.Results Among 112 participants, 35.7% （40/112） were sero-positive of syphilis antibody with TP-ELISA test and 13.4% （15/112） were active syphilis. Before knowing that theywere infected with HIV, the rate of use condom every time when having sexual behaviors was below 30.0%. The common reasons of not using condom were “unprepared”, “unwilling to use condom among partners ”and“using condom may affect intimacy and the sense of trust”, the rates were 35.7% （40/112）, 28.6% （32/112） and 25.9% （29/112）, respectively. The ratesof some common feeling after HIV infection such as “accept the fact”, “hopelessness” and “indignation” were62.5% （70/112）, 34.8% （39/112） and 3.6% （4/112）, respectively after knowing that they were infected with HIV. Therates of the feelings such as “pressure”, “loneness” and“social discrimination” were 75.9% （85/112）, 58.9% （66/112） and 40.2% （45/112）, respectively. Majority interviewees （61.6%, 69/112） said they were more likely to find a HIV-infected people as their future partner; 67.9% （76/112） and 29.5% （33/112） of the interviewees prefer to inform “reliable people” and “ifxed homosexual partner” that himself was infected with HIV, respectively. There were 66.1% （74/112） of the interviewees would to advice their “stationary homosexual partner” to test HIV antibody while only 39.3%（44/112） would to do so for their “occasional homosexual partner”.Conclusions Retrospective research found that the rate of syphilis infection among HIV-infected was high, while the rate of interviewees who insisted on using condom every time was low. Although part of respondents were ready to ac

关 键 词：艾滋病感染 男男性行为人群 高危行为 心理 ACQUIRED immunodeifciency syndrome (AIDS) MEN who have sex with MEN (MSM) 

分 类 号：R512.91[医药卫生—内科学]