McKeganey N
Social Paediatric and Obstetric Research Unit, University of Glasgow, Scotland, UK.
Br J Addict. 1990 Sep;85(9):1113-24. doi: 10.1111/j.1360-0443.1990.tb03436.x.
There is a growing concern within Britain, Europe and North America that injecting drug users may pose the greatest risk of transmitting HIV infection to the wider heterosexual non-drug injecting population. However, we know very little about the reactions of injecting drug users to the knowledge of being HIV positive and thus are hampered in our attempts at estimating the actual risks such individuals pose to others. This paper is based upon interviews with 26 seropositive injecting drug users and examines their experiences in relation to the following areas: (1) hearing the news; (2) communicating the diagnosis to others; (3) current drug use and sexual behaviour; and (4) perceptions of the future. It is shown that injecting drug users have a wide range of responses in relation to each of these areas and while the implications for their care and counselling are drawn out it is suggested that the fact of this variability undermines any single approach to patient or client management.
在英国、欧洲和北美，人们越来越担心注射吸毒者可能会给更广泛的异性恋非注射吸毒人群带来最大的感染艾滋病毒风险。然而，我们对注射吸毒者得知自己艾滋病毒呈阳性后的反应知之甚少，因此在估计这类人给他人带来的实际风险时受到了阻碍。本文基于对26名血清阳性注射吸毒者的访谈，考察了他们在以下方面的经历：（1）听到消息；（2）将诊断结果告知他人；（3）当前的吸毒和性行为；（4）对未来的看法。结果表明，注射吸毒者在这些方面的每一个都有广泛的反应，虽然阐述了这些反应对他们的护理和咨询的影响，但有人认为这种变异性削弱了任何单一的患者或客户管理方法。
