Regine Vincenza, Raimondo Mariangela, Camoni Laura, Salfa Maria Cristina, Gallo Pietro, Colucci Anna, Luzi Anna Maria, Suligoi Barbara
National AIDS Unit; Department of Infectious, Parasitic and Immune-Mediated Diseases, National Institute of Health, Rome, Italy.
Psychosocial and Behavioural Research, Communication, Education Operative Unit; Department of Infectious, Parasitic and Immune-Mediated Diseases, National Institute of Health, Rome, Italy.
Blood Transfus. 2013 Oct;11(4):575-9. doi: 10.2450/2013.0257-12. Epub 2013 May 23.
In Italy, the circulation of human immunodeficiency virus (HIV) has expanded to include population groups that do not perceive themselves to be "at risk" of HIV infection and who do not even consider undergoing HIV testing. The aim of this study was to describe the socio-demographic and behavioural characteristics, and perceived risk of HIV infection in a sample of blood donors who reported never having been tested for HIV.
A questionnaire was administered to a sample of donors who called the Italian National AIDS/STI Help Line and reported never having been tested for HIV.
The study sample consisted of 164 blood donors: 29.3% had given blood in the preceding 2 years. With regards to at-risk behaviours, 39.6% of the donors interviewed were heterosexuals who had sexual contacts with multiple partners, and 5.5% were men who had sex with multiple male partners. Sexual contacts with female sex workers were reported by 11.6% of first-time donors and 25.7% of repeat donors. Of the 164 donors interviewed, 125 (76.2%) said that the main reason that they had never been tested for HIV was that they did not consider themselves at risk. Among these, 56 (44.8%) reported that they would have sexual contacts with a sex worker, 52 (41.6%) reported that they would have sexual contacts with someone having more than one sexual partner, and 36 (28.8%) reported that they would have sexual contacts without using a condom.
All the donors interviewed reported that they had never been tested for HIV despite the fact that they had been certainly been tested upon blood donation. These results show that some sexual behaviours may not be perceived as behaviours at risk for acquiring HIV infection. These findings suggest that not all blood donors are knowledgeable about HIV risk behaviours and that an explicit pre-donation questionnaire and effective counselling continue to be important for the selection of candidate donors.
在意大利，人类免疫缺陷病毒（HIV）的传播范围已扩大，涵盖了那些不认为自己有感染HIV“风险”且甚至不考虑进行HIV检测的人群。本研究的目的是描述从未接受过HIV检测的献血者样本的社会人口学和行为特征以及感知到的HIV感染风险。
对拨打意大利国家艾滋病/性传播感染求助热线且报告从未接受过HIV检测的献血者样本进行问卷调查。
研究样本包括164名献血者：29.3%在过去两年内献过血。关于高危行为，39.6%的受访献血者为与多个性伴侣有性接触的异性恋者，5.5%为与多个男性性伴侣发生性行为的男性。11.6%的首次献血者和25.7%的重复献血者报告与女性性工作者有性接触。在164名受访献血者中，125名（76.2%）表示他们从未接受HIV检测的主要原因是他们不认为自己有风险。其中，56名（44.8%）报告他们会与性工作者发生性接触，52名（41.6%）报告他们会与有多个性伴侣的人发生性接触，36名（28.8%）报告他们会在不使用避孕套的情况下发生性接触。
所有受访献血者均报告他们从未接受过HIV检测，尽管他们在献血时肯定接受过检测。这些结果表明，某些性行为可能未被视为有感染HIV风险的行为。这些发现表明，并非所有献血者都了解HIV风险行为，并且明确的献血前问卷和有效的咨询对于筛选候选献血者仍然很重要。
