Hendriksen Ellen Setsuko, Krishnan A K Sri, Vallabhaneni Snigda, Johnson Sethu, Raminani Sudha, Kumarasamy N, Solomon Suniti, Mayer Kenneth K H, Safren Steven S
University of California, Los Angeles, CA 90024, USA.
Sex Health. 2011 Jun;8(2):199-206. doi: 10.1071/SH10015.
As each HIV-infected individual represents a breakdown of HIV primary prevention measures, formative data from representative individuals living with HIV can help shape future primary prevention interventions. Little is known about sexual behaviours and other transmission risk factors of high-risk group members who are already HIV-infected in Chennai, India.
Semi-structured qualitative interviews were conducted with 27 HIV-infected individuals representing each high-risk group in Chennai (five men who have sex with men (MSM), five female commercial sex workers (CSW), four truckers and other men who travel for business, four injecting drug users (IDU), five married male clients of CSW, and four wives of CSW clients, MSM, truckers, and IDU).
Themes relevant to HIV primary prevention included: (1) HIV diagnosis as the entry into HIV education and risk reduction, (2) reluctance to undergo voluntary counselling and testing, (3) gender and sexual roles as determinants of condom use, (4) misconceptions about HIV transmission, and (5) framing and accessibility of HIV education messages.
These qualitative data can be used to develop hypotheses about sexual risk taking in HIV-infected individuals in South India, inform primary prevention intervention programs, and improve primary prevention efforts overall.
由于每一位感染艾滋病毒的个体都意味着艾滋病毒一级预防措施的失败，来自具有代表性的艾滋病毒感染者的数据有助于为未来的一级预防干预措施提供参考。对于印度金奈已感染艾滋病毒的高危群体成员的性行为及其他传播风险因素，我们知之甚少。
对金奈各高危群体中的27名艾滋病毒感染者进行了半结构化定性访谈（其中包括5名男男性行为者、5名女性商业性工作者、4名卡车司机及其他出差男性、4名注射吸毒者、5名商业性工作者的已婚男性客户以及4名商业性工作者客户、男男性行为者、卡车司机和注射吸毒者的妻子）。
与艾滋病毒一级预防相关的主题包括：（1）艾滋病毒诊断作为接受艾滋病毒教育和降低风险的切入点；（2）不愿接受自愿咨询和检测；（3）性别和性角色是决定是否使用避孕套的因素；（4）对艾滋病毒传播的误解；（5）艾滋病毒教育信息的框架和可及性。
这些定性数据可用于提出关于印度南部艾滋病毒感染者性行为风险的假设，为一级预防干预项目提供信息，并全面改善一级预防工作。
