Smith E, Kroon S, Gerstoft J, Kvinesdal B B, Mathiesen L R
Infektionsmedicinsk afdeling, Hvidovre Hospital, København.
Ugeskr Laeger. 1990 Nov 26;152(48):3603-6.
A total of 115 women were found to be HIV-antibody positive during the period January 1985 to September 1988 in the three large hospitals in Copenhagen. Thirty-five women (31%) had been infected heterosexually, 63 (55%) were intravenous drug addicts, 12 (10%) had been infected by transfusion and in five (4%) the mode of transmission was unknown. In 1988, 73% of the women who were found to be HIV-positive were infected heterosexually while only 14% were infected in this manner in 1985. Out of the heterosexually HIV-infected women, 25 (71%) had probably been infected by a man from a risk group while nine further women were infected by a known HIV-positive man with-out connection to any risk group. Eleven women (31%) stated that they practised "safe sex" prior to the HIV test while 22 (74%) did so after the positive HIV-test, which represents a considerable improvement. Out of the drug addicted women, six (10%) stated that they had always practiced "safe sex" prior to the test while 13 (28%) did so after the HIV-test. Approximately 1/3 of these women periodically shared syringes and needles with others. It is concluded that heterosexual contact among HIV-infected women in Copenhagen is a route of transmission of significance. Women infected heterosexually appear to alter their sexual behavior when they are made aware of the positive HIV-test.
1985年1月至1988年9月期间，在哥本哈根的三家大型医院共发现115名女性HIV抗体呈阳性。35名女性（31%）通过异性接触感染，63名（55%）是静脉注射吸毒者，12名（10%）因输血感染，5名（4%）的传播途径不明。1988年，被发现HIV呈阳性的女性中73%是通过异性接触感染的，而在1985年这一比例仅为14%。在通过异性接触感染HIV的女性中，25名（71%）可能是被来自高危人群的男性感染，另有9名女性是被一名已知的HIV阳性男性感染，该男性与任何高危人群均无关联。11名女性（31%）表示在进行HIV检测前采取了“安全性行为”，而在HIV检测呈阳性后，22名（74%）女性采取了“安全性行为”，这是一个显著的进步。在吸毒女性中，6名（10%）表示在检测前一直采取“安全性行为”，而在HIV检测后，13名（28%）女性采取了“安全性行为”。这些女性中约有1/3会定期与他人共用注射器和针头。结论是，哥本哈根HIV感染女性中的异性接触是一个重要的传播途径。通过异性接触感染的女性在得知HIV检测呈阳性后，似乎会改变她们的性行为。
