Lai Zhiwei, Liu Yi, Zhang Yanhui, Bao Yugang, Xu Xin, Tan Hongzhuan
School of Public Health, Central South University, Changsha 410078, China.
School of Public Health, Central South University, Changsha 410078, China; Maternal and Child Health Hospital of Hunan Province.
Zhonghua Liu Xing Bing Xue Za Zhi. 2015 Apr;36(4):337-9.
To study the change of unsafe sexual behaviors and its determinants in HIV-positive persons after being notified as HIV seropositive.
Questionnaires were employed in HIV-positive persons whose testing results being notified over 1 year in Changsha and Hengyang between March 2013 and July 2013.
Interview was carried out on 268 HIV-positive persons who reported having considerable variability in unsafe sexual behaviors. The incidence of unsafe sexual behaviors declined from 98.8% to 12.7% after being notified as HIV seropositive. Risk factors related to unsafe sexual behaviors after the notification would include gender (men OR = 0.443, 95% CI: 0.209-0.937) and living with sexual partner (OR = 2.549, 95% CI: 1.053-6.174).
Notification regarding one's HIV seropositivity could considerably reduce the incidence of unsafe sexual behaviors in HIV-positive persons, however, women and those who were living with sexual partners seemed likely to keep practicing unsafe sexual behavior, thereafter.
研究HIV阳性者被确诊为HIV血清学阳性后不安全性行为的变化及其决定因素。
采用问卷调查法，对2013年3月至2013年7月期间在长沙和衡阳检测结果被通知1年以上的HIV阳性者进行调查。
对268名HIV阳性者进行了访谈，这些人报告称其不安全性行为存在相当大的差异。被确诊为HIV血清学阳性后，不安全性行为的发生率从98.8%降至12.7%。确诊后与不安全性行为相关的危险因素包括性别（男性OR = 0.443，95%CI：0.209 - 0.937）和与性伴侣同居（OR = 2.549，95%CI：1.053 - 6.174）。
告知个人其HIV血清学阳性状态可显著降低HIV阳性者不安全性行为的发生率，然而，女性以及与性伴侣同居的人此后似乎仍有可能保持不安全的性行为。
