Ikechebelu J, Mbamara S U, Joe-Ikechebebelu N N, Ezenwabachili A O
Department of Obstetrics, Faculty of Medicine, Nnamdi Azikiwe University and Nnamdi Azikiwe University Teaching Hospital, Nnewi.
Niger J Clin Pract. 2009 Dec;12(4):416-20.
Couples could be in serodiscordant or seroconcordant sexual relationship. The seroconcordant could be seroconcrdant positive or negative in a heterosexual or homosexual or bisexual relationship. The various sexual practices include vaginal sex; anal sex fisting; oral sex fellatio, cunnilingus; masturbation mutual or exclusive and a host of others. These sexual practices outside safer sex guidelines will lead to HIV transmission among couples. The study is set to determine the sexual practices of people living with HIV (PLWHA) in Southeast Nigeria.
This is an analytical epidemiological study. A total of 300 subjects were studied using interviewer administered questionnaires. Data is presented in tables and figures. Analysis was done using SPSS 11.0 statistical package.
Most respondents were in heterosexual relationship (97%). The married couples in serodiscordant relationship were 25.3% while the singles in serodiscordant relationship were 20%. About 56% do not use condom for the adopted sexual practice although 65% believe that condom use would protect against HIV transmission.
Couples in seroconcordant seronegative relationship have it as a challenge to remain so. This study suggests that the PLWHA are very important in the spread of HIV infection as they are still sexually active, in non-cohabiting conjugal unstable relationship, and they do not use the condom consistently. There is an urgent need to target this population with effective behavioural change communications that will translate to safer sexual behaviour. The practice of safer sex should be taught in every health care center, in schools and in village gatherings by qualified health care workers. This will help curb the transmission of HIV.
伴侣之间可能存在血清学不一致或血清学一致的性关系。血清学一致的情况在异性恋、同性恋或双性恋关系中可能是血清学一致阳性或阴性。各种性行为包括阴道性交、肛交、拳交、口交（口交男性、口交女性）、相互手淫或独自手淫等。这些不符合安全性行为准则的性行为会导致伴侣间的艾滋病毒传播。本研究旨在确定尼日利亚东南部艾滋病毒感染者（PLWHA）的性行为。
这是一项分析性流行病学研究。使用由访谈员管理的问卷对总共300名受试者进行了研究。数据以表格和图表形式呈现。使用SPSS 11.0统计软件包进行分析。
大多数受访者处于异性恋关系（97%）。血清学不一致关系中的已婚夫妇占25.3%，而血清学不一致关系中的单身者占20%。约56%的人在采用的性行为中不使用避孕套，尽管65%的人认为使用避孕套可预防艾滋病毒传播。
血清学一致阴性关系中的伴侣要维持这种状态面临挑战。本研究表明，艾滋病毒感染者在艾滋病毒感染传播中非常重要，因为他们仍有性活动，处于非同居、婚姻关系不稳定状态，且不持续使用避孕套。迫切需要针对这一人群开展有效的行为改变宣传，以促成更安全性行为。每个医疗保健中心、学校和乡村集会都应由合格的医疗保健工作者传授更安全性行为的做法。这将有助于遏制艾滋病毒的传播。
