Chaiyamahapurk Sakchai, Pannarunothai Supasit, Nopkesorn Tawesak
Office of Disease Prevention and Control Region 9, Phitsanulok, Thailand.
J Int Assoc Physicians AIDS Care (Chic). 2010 Sep-Oct;9(5):278-83. doi: 10.1177/1545109710373831. Epub 2010 Aug 25.
Positive prevention which focuses on prevention of HIV transmission from those already infected to those uninfected is an important issue for HIV prevention. A self-administered questionnaire on sexual practice survey of HIV-infected patients attending HIV clinics was undertaken. Of the 1160 patients, 53% knew their HIV status after being ill and 59% believed that they got infection from their regular sexual partner. In 3 months prior to the survey, 18% reported unprotected sex. Unprotected sex significantly decreased in people having adequate condoms but increased in those who believed that their sexual partners were already infected. Effect of disclosure of HIV status on unprotected sex depended on whether patients were men or women. Non-disclosure HIV-positive men claimed to have less unprotected sex than their counterpart, HIV-positive women. Factors related to unprotected sex should be addressed and sexual health must be integrated and promoted in HIV health care.
积极预防，即专注于预防艾滋病毒从已感染者传播给未感染者，是艾滋病毒预防的一个重要问题。我们对就诊于艾滋病毒诊所的艾滋病毒感染患者进行了一项关于性行为调查的自填式问卷调查。在1160名患者中，53%在患病后知晓自己的艾滋病毒感染状况，59%认为自己是从固定性伴侣那里感染的。在调查前的3个月里，18%的患者报告有未采取保护措施的性行为。有足够避孕套的人未采取保护措施的性行为显著减少，但认为其性伴侣已感染艾滋病毒的人未采取保护措施的性行为有所增加。艾滋病毒感染状况披露对未采取保护措施性行为的影响取决于患者是男性还是女性。未披露感染状况的艾滋病毒阳性男性声称其未采取保护措施的性行为比艾滋病毒阳性女性少。与未采取保护措施性行为相关的因素应得到解决，并且必须在艾滋病毒医疗保健中纳入并促进性健康。
