van Haastrecht H J, van den Hoek J A, Coutinho R A
Department of Public Health and Environment, Amsterdam, The Netherlands.
Genitourin Med. 1991 Jun;67(3):199-206. doi: 10.1136/sti.67.3.199.
In determining the effectiveness of AIDS preventive measures among heterosexuals, trends in visits to two clinics for sexually transmitted diseases (STD) in Amsterdam between 1982 and 1989 are described. Also, data on sexual behaviour are presented that were collected in a sample of 635 heterosexual women and 947 heterosexual men at one of the clinics between September 1986 and December 1988. In 1987, when in The Netherlands for the first time extensive publicity was given to the risk of heterosexual transmission of the human immunodeficiency virus, the numbers of male and female heterosexual attenders started to decline. Exceptions to this general decline were men of Turkish nationality and foreign prostitutes, each group showing a continuing increase. At the same time, the numbers of customers reported by prostitutes in the sample declined markedly between 1986 and 1988, from a median of 35 to 15 per month (p = 0.001). Condom use with casual contacts generally increased in the sample period. We conclude that the publicity given to "heterosexual AIDS"--contributed to by the national AIDS prevention campaign--apparently led to a considerable decrease in the number of risky contacts of heterosexuals in Amsterdam in 1987 and 1988. This does not seem to apply to men with Turkish nationality. In 1989 a change appeared in several subgroups when the number of visitors started to rise. Also, the probability of an STD diagnosis increased in male attenders. This may indicate a change in the tendency towards safer sexual behaviour.
在确定异性恋者中艾滋病预防措施的有效性时，本文描述了1982年至1989年阿姆斯特丹两家性传播疾病（STD）诊所的就诊趋势。此外，还展示了在1986年9月至1988年12月期间，从其中一家诊所的635名异性恋女性和947名异性恋男性样本中收集的性行为数据。1987年，荷兰首次广泛宣传了人类免疫缺陷病毒异性传播的风险，异性恋就诊的男性和女性人数开始下降。这一总体下降趋势的例外是土耳其国籍男性和外国妓女，这两组人数都持续增加。与此同时，样本中妓女报告的顾客数量在1986年至1988年间显著下降，从每月中位数35人降至15人（p = 0.001）。在样本期内，与偶然性接触者使用避孕套的情况总体上有所增加。我们得出结论，由全国艾滋病预防运动推动的对“异性恋艾滋病”的宣传，显然导致1987年和1988年阿姆斯特丹异性恋者中危险接触的数量大幅减少。但这似乎不适用于土耳其国籍男性。1989年，几个亚组出现了变化，就诊人数开始上升。此外，男性就诊者被诊断出患有性传播疾病的概率增加。这可能表明安全性行为倾向发生了变化。
