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越南 HIV 感染者/艾滋病患者的 HIV 风险行为及其决定因素。

HIV risk behaviours and determinants among people living with HIV/AIDS in Vietnam.

机构信息

Centre for International Health, University of Bergen, Bergen, Norway.

出版信息

AIDS Behav. 2009 Dec;13(6):1151-9. doi: 10.1007/s10461-008-9451-8. Epub 2008 Sep 12.

Abstract

There is a potentially high risk of HIV spreading from people living with HIV/AIDS. We conducted a cross-sectional study to examine HIV risk behaviours and their determinants among people living with HIV/AIDS. Eighty-two percent had been sexually active. Sex with multiple partners was reported by 20% and consistent condom use by about one third. More than half of the participants (52%) reported having injected drugs during the previous month, and 35% of those had shared needles and syringes. Voluntary HIV testing and having received condoms or injection equipment from the local HIV prevention program, were found to be significantly associated with fewer HIV risk behaviours. Having learned recently about personal HIV status, multiple sex partners, low educational attainment and young age were found to be associated with higher HIV risk behaviours. Giving high priority to targeted preventive and support programmes is likely to be a highly cost-effective strategy.

摘要

艾滋病毒感染者/艾滋病患者存在较高的艾滋病毒传播风险。我们开展了一项横断面研究,以调查艾滋病毒感染者/艾滋病患者的艾滋病毒风险行为及其决定因素。82%的人有过性行为。20%的人报告有多个性伴侣,约三分之一的人坚持使用安全套。超过一半的参与者(52%)报告在过去一个月中曾注射毒品,其中 35%的人曾共用过注射器和针头。研究发现,自愿接受艾滋病毒检测以及从当地艾滋病毒预防规划中获得安全套或注射设备与艾滋病毒风险行为减少显著相关。最近了解到个人艾滋病毒状况、多个性伴侣、受教育程度低和年龄较小与艾滋病毒风险行为增加相关。高度重视有针对性的预防和支持方案可能是一种具有高度成本效益的策略。

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