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目的了解人类免疫缺陷病毒(HIV)感染者的安全套使用情况及影响因素。方法2006年1月-2008年6月,采用方便抽样方法,对946例被告知HIV阳性的感染者采用匿名问卷调查法调查其一般情况、艾滋病知识知晓情况、被告知HIV阳性检测结果后的性行为及安全套使用情况等。结果调查对象经吸毒感染占22.1%,经性传播感染占69.6%。艾滋病知识知晓率为93.4%;655人过去6个月发生过性行为,平均安全套使用率为55.3%;97人最近1次与固定性伴发生性行为时使用了安全套。单因素和多因素Logistic回归分析结果均显示,不同民族(OR=5.61,95%CI=1.66~18.94)、免费安全套的可及性(OR=0.33,95%CI=0.13~0.85)、家庭人均月收入(OR=0.26,95%CI=0.10~0.69)等因素与最近1次性行为时是否使用安全套有关。结论知晓自己感染状态的HIV阳性人群艾滋病知晓率普遍较高,但仍有相当数量的感染者发生性行为时不能坚持使用安全套甚至不使用安全套,危险性行为的发生率仍然较高。
Objective To understand the use of condoms in HIV-infected persons and its influencing factors. Methods From January 2006 to June 2008, 946 HIV-positive HIV-positive patients were investigated by anonymous questionnaires using the convenience sampling method to investigate the general situation, AIDS awareness and the HIV positive test results Behavior and condom use. Results The surveyed drug abusers accounted for 22.1% and sexually transmitted infections accounted for 69.6%. AIDS awareness rate was 93.4%; 655 people had sex in the past 6 months, the average condom use rate was 55.3%; 97 condom use during the last sexual intercourse with a fixed sex. The results of univariate and multivariate Logistic regression analysis showed that condom availability was the highest among all ethnic groups (OR = 5.61,95% CI = 1.66-18.94) (OR = 0.33,95% CI = 0.13-0.85) The monthly income (OR = 0.26, 95% CI = 0.10-0.69) and other factors related to the recent use of condoms on sexual behavior. Conclusions HIV awareness is generally high among HIV positive people who know their status of infection. However, there are still a large number of HIV infected people who can not stick to condoms or even condom when they have sex. The incidence of dangerous behaviors is still high.