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中国南方性传播疾病患者中STD/HIV预防的需求评估

Needs assessment for STD/HIV prevention among patients with sexually transmitted diseases in southern China.

作者信息

Lau Joseph T F, Chen Rongfeng, Wang Qingsheng, Diao Jianxi, Tsui Hiyi, Yuan Weixiong

机构信息

Center for Clinical Trials and Epidemiological Research, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.

出版信息

Sex Transm Dis. 2003 Aug;30(8):600-8. doi: 10.1097/01.OLQ.0000081394.94426.7A.

DOI:10.1097/01.OLQ.0000081394.94426.7A
PMID:12897680
Abstract

BACKGROUND AND GOAL

Patients with sexually transmitted diseases (STDs) serve as a bridge population to transmit HIV from higher-risk to lower-risk populations. Our goal was to understand the level of risk behaviors and HIV/STD-related knowledge as well as attitudes among STD patients in China.

STUDY DESIGN

An anonymous questionnaire was self-administered by 619 STD patients in Guangzhou, China.

RESULTS

About 70% of the males and 18% of the females had had sex with nonregular sex partners in the previous 6 months; the prevalence of consistent condom use was very low (20% for males and 10% for females). Only 20% to 30% of the respondents stated that they would not practice unprotected sex with nonregular sex partners before their STD was cured. Misconceptions about STD/HIV are very common. STD/HIV-related knowledge, perceived susceptibility of contracting HIV, and perceived efficacy of condom use for HIV/AIDS prevention were significantly associated with anticipated or actual risk behaviors during the infectious period.

CONCLUSION

Intervention programs are in urgent need to break the cycle of STD infection in China. These would include promotion of relevant knowledge, condom use, and public education.

摘要

背景与目标

性传播疾病(STD)患者是将HIV从高风险人群传播至低风险人群的桥梁人群。我们的目标是了解中国STD患者的风险行为水平、与HIV/STD相关的知识以及态度。

研究设计

中国广州的619名STD患者自行填写了一份匿名问卷。

结果

在过去6个月中,约70%的男性和18%的女性与非固定性伴侣发生过性行为;坚持使用避孕套的比例非常低(男性为20%,女性为10%)。只有20%至30%的受访者表示在STD治愈之前不会与非固定性伴侣进行无保护性行为。对STD/HIV的误解非常普遍。与STD/HIV相关的知识、对感染HIV的感知易感性以及对使用避孕套预防HIV/AIDS的感知效果与感染期预期或实际的风险行为显著相关。

结论

中国迫切需要干预项目来打破STD感染的循环。这些项目应包括推广相关知识、使用避孕套以及开展公众教育。

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