艾滋病防治知识对HIV单阳家庭配偶阳转的相关性分析  

Analysis for the Relativity between the Knowledge for HIV / AIDS and the Serocoversion of Spouses Among Human Immunodeficiency Virus( HIV) Serodiscordant Couples

作　　者：余惠芬[1] 徐诺雅[1] 霍俊丽[1] 韩瑜[1] 张小波[1] 杨志敏[1] 安晓静[1] 黄丽花[2] 杨丽芬[2] 马艳玲[1] 施玉华[1] YU Hui-fen XU Nuo-ya HUO Jun-fi HAN Yu ZHANG Xiao-bo YANG Zhi-min AN Xiao-jing HUANG Li-hua YANG Li-fen SHI Yu-hua(YunnanProvincial Center for Disease Prevention and Control, Furman 650022, China Provincial Center for Disease Prevention and Control of Dali, Dali 671000, China)

机构地区：[1]云南省疾病预防控制中心,云南昆明650022 [2]大理州疾病预防控制中心,云南大理671000

出　　处：《中国皮肤性病学杂志》2017年第1期50-53,共4页The Chinese Journal of Dermatovenereology

基　　金：中美艾滋病防治合作项目(GAP-0201018)

摘　　要：目的了解艾滋病防治知识及宣传服务对HIV单阳家庭配偶阳转的影响,为提高HIV单阳家庭干预的针对性提供参考。方法采用对照分析方法,对109对HIV阳转夫妻和114对HIV单阳夫妻进行回顾性问卷调查,包括基本情况、对艾滋病相关知识和服务信息的知晓、态度、接受宣传服务的情况等。问卷信息录入用Epidata 3.1软件,SPSS 15.0软件进行卡方检验和相关分析。结果 HIV阳转家庭配偶双方对夫妻性行为不用安全套会传播HIV(人类免疫缺陷病毒)的知晓比例低于HIV单阳家庭(P<0.05);HIV阳转家庭先证阳性方知晓夫妻安全性行为、避免共用针具或锐器和早期抗病毒治疗以及机会性感染防治可预防HIV夫妻间传播的比例均低于HIV单阳家庭阳性方(P均<0.05)。结论 HIV单阳家庭配偶阳转与夫妻双方,尤其是先证阳性方对HIV夫妻间传播途径及其预防措施的知晓水平相关,知晓水平越高,越有利于减低配偶阳转的风险。Objective To understand the relativity between the level of knowledge of HIV/AIDS and the serocoversion of spouses among human immunodeficiency virus （HIV） serodiscordant couples for providing strategic infor mation to prevent HIV transmission between spouses. Methods One hundred and nine HIV-sero-accordant spouses and 114 sero-discordant couples were received retrospective survey in the year of 2014 -2015, and the contents of questionnaires included general situation, knowledge of HIV/AIDS for serodiscordant and sero-accordant couples and related health education services received by them. Information were input into Epidata 3.1 software and analysis were completed by SPSS 15.0 software. Results The proportion for the seroaccordant couples who knowing sexual behavior within marriage without condom using may spread HIV to their partners was lower than that of the serodiscordant couples （ P 〈 0. 05 ） ; the rate for the first positive sides of the sero-accordant spouses who knowing conducting safer sexual behavior and avoiding sharing needle and other sharp instruments as well as receiving early antiviral treatment and opportunistic infection（OIs） prevention and treatment could decrease HIV transmission between spouses was lower than that of the positive sides of the serodiscordant couples （P 〈 0. 05 ） Conclusion The level of knowledge about knowing how HIV spreading and how to prevent its transmissing within marriage for the couples, particular, the first positive sides was closely related with the spouse serocoversion of HIV among serodiscordant couples; the higher of the knowledge Level, the lower of the risk for HIV spreading among marriage.

关 键 词：艾滋病 

分 类 号：R512.91[医药卫生—内科学]