Donoghoe M C, Stimson G V, Dolan K A
University of London, Goldsmiths' College, United Kingdom.
AIDS Care. 1989;1(1):51-8. doi: 10.1080/09540128908260235.
The sexual behaviour of 142 clients of syringe-exchange schemes was measured using a questionnaire interview based survey method. Two to four months later the questionnaire was repeated to provide measures of behavioural change. The majority of these clients were sexually active, 77% having one or more sexual partners in the 3 months prior to the first interview. Many of these clients (46% of those sexually active) had sexual partners who did not inject drugs. There is evidence that this group modified their sexual behaviour towards reducing their own risk of HIV infection, with more having no sexual partners (from 23% to 31%), a reduction in those having multiple partners (from 26% to 21%) and a slight increase in those with regular partners (from 49% to 52%). Not all clients in this group reduced their risk of infection by modifying their sexual behaviour. Some clients continued to engage in high risk sexual behaviour, having multiple partners (21%) and not using condoms (79%). Whilst overall there is evidence of changes in the sexual behaviour of the clients towards a reduced risk of infection, we have identified an associated increase in risk of transmission from them to their sexual partners. Drug injectors who continued to have sexual partners were more likely to have sexual partners who did not inject drugs.
采用问卷调查访谈的方法，对142名注射器交换计划的服务对象的性行为进行了测量。两到四个月后再次进行问卷调查，以衡量行为变化情况。这些服务对象中的大多数有性行为，77%在首次访谈前的3个月内有一个或多个性伴侣。其中许多服务对象（有性行为者中的46%）的性伴侣不注射毒品。有证据表明，这一群体改变了他们的性行为，以降低自身感染艾滋病毒的风险，更多的人没有性伴侣（从23%增至31%），有多个性伴侣的人数减少（从26%降至21%），有固定性伴侣的人数略有增加（从49%增至52%）。并非该群体中的所有服务对象都通过改变性行为降低了感染风险。一些服务对象继续从事高风险性行为，有多个性伴侣（21%）且不使用避孕套（79%）。虽然总体上有证据表明服务对象的性行为发生了变化，以降低感染风险，但我们发现他们将艾滋病毒传播给其性伴侣的风险相应增加。继续有性伴侣的吸毒者更有可能有不注射毒品的性伴侣。
