Patinkin Naama, Werner Ben, Yust Israel, Yagil Yaron, Drory Margalit, Burke Michael
Kobler Crusade Center, Clinical Immunology Unit, Tel-Aviv Souransky Medical Center, Tel-Aviv University Sackler Faculty of Medicine, Department of Social Sciences, Israel.
Soc Work Health Care. 2007;44(1-2):73-90. doi: 10.1300/J010v44n01_07.
A purportedly heterogeneous group of people, who come to take tests at the Human Immunodeficiency Virus (HIV) Test-ing Clinic, includes young males and females who lead a normative lifestyle with no unique characteristics. Within this population, we have observed one distinct subgroup of predominantly male individuals, who return from time to time to take the HIV tests. They tend to partake in many occasional sexual encounters with numerous partners, and despite their obvious knowledge of the risks involved, they attest to not using condoms during sexual intercourse. The aim of this preliminary study was to investigate the patterns of their risky behavior in conjunction with their test taking conduct.
Ten self-referred volunteering subjects were recruited.
HIV-positive, drug and/or alcohol abusers, mentally ill, men who have sex with men (MSM) and minors. The study was carried-out using semi-structured interviews (40-90 min each). The interviews were recorded, transcribed and content analyzed.
Data analysis showed several possible explanations for risky sexual behavior, such as applying of a variety of risk management mechanisms, refraining from impulse control behaviors, and self-destruction motives. The reasons for undergoing HIV testing were most frequently related to specific events, high-risk in nature, and not part of a routine behavioral practice.
Our findings might suggest that within this population group, the prevailing primary preventive interventions would not satisfy the purpose of decreasing levels and frequency of risk-taking behaviors. In the opinion of the authors, there are two strategies that could be employed, simultaneously or separately. An indirect approach entails the increase and enhancement in utilizing widely spread media, e.g., feature films and television programs, to convey issues related to curbing risk-behavior. Direct emphasis should be put on secondary preventive measures, by encouraging frequent test-taking conduct, preferably accompanied by counseling, in order to decrease the risk of further transmitting the virus.
一群据称具有异质性的人来到人类免疫缺陷病毒（HIV）检测诊所进行检测，其中包括过着正常生活方式、没有独特特征的年轻男性和女性。在这个群体中，我们观察到一个明显的亚组，主要是男性，他们会不时回来进行HIV检测。他们往往会与众多伴侣进行许多偶尔的性接触，尽管他们明显知道其中的风险，但他们声称在性交时不使用避孕套。这项初步研究的目的是结合他们的检测行为来调查他们的危险行为模式。
招募了10名自我推荐的志愿者受试者。
HIV阳性、药物和/或酒精滥用者、精神疾病患者、男男性行为者（MSM）和未成年人。该研究采用半结构化访谈（每次40 - 90分钟）进行。访谈进行了录音、转录和内容分析。
数据分析显示了危险行为的几种可能解释，例如应用各种风险管理机制、抑制冲动控制行为和自我毁灭动机。进行HIV检测的原因最常与特定事件相关，本质上具有高风险，而不是常规行为的一部分。
我们的研究结果可能表明，在这个人群中，现行的主要预防干预措施无法满足降低冒险行为水平和频率的目的。作者认为，有两种策略可以同时或分别采用。一种间接方法是增加和加强利用广泛传播的媒体，例如故事片和电视节目，来传达与遏制风险行为相关的问题。应直接强调二级预防措施，鼓励频繁进行检测行为，最好伴有咨询，以降低进一步传播病毒的风险。
