Stapiński A
Przegl Dermatol. 1989 Jul-Aug;76(4):274-84.
In the light of literature reports and own experiences and observations the most important epidemiological aspects of HIV infection acquired through sexual contacts are discussed, including the likelihood of infection during heterosexual or homosexual intercourse, factors increasing the infection risk in homosexuals intercourse and the more or less safe forms of sexual intercourse. The combination of HIV infections with infections with other sexually transmitted diseases is discussed on the basis of own observations which showed that HIV infection was acquired much more frequently by homosexuals treated in outpatient clinics for venereological diseases (19.7%) as compared to other homosexual groups (2.7%), and the risk was even lower in heterosexuals treated in these clinics for sexually transmitted diseases (0.2%). Over half the patients infected with HIV had or had had syphilis. HIV infection was sought for in Warsaw prostitutes, and 0.6% of them were found to be infected, two-thirds of the infected ones were drug addicted prostitutes. The importance of the sexual route of infection in drug addicts and transmission of this infection to the heterosexual population are considered. The principles of prophylaxis, the directions of health education, and the importance of screening for HIV infection prevention are considered. Attention is called to the harmful effects of all types of restriction of the infected people which lead to trials of infection concealment.
根据文献报道以及自身经验和观察，本文讨论了通过性接触感染艾滋病毒最重要的流行病学方面，包括异性或同性性交期间的感染可能性、增加同性性交感染风险的因素以及或多或少安全的性交形式。基于自身观察结果，讨论了艾滋病毒感染与其他性传播疾病感染的合并情况，结果显示，与其他同性恋群体（2.7%）相比，在性病门诊接受治疗的同性恋者感染艾滋病毒的频率要高得多（19.7%），而在这些诊所接受性传播疾病治疗的异性恋者感染风险更低（0.2%）。超过一半的艾滋病毒感染者患有或曾经患有梅毒。在华沙妓女中进行了艾滋病毒感染筛查，发现0.6%的妓女感染了艾滋病毒，其中三分之二的感染者是吸毒妓女。文中考虑了吸毒者性传播途径的重要性以及这种感染向异性恋人群的传播情况。还探讨了预防原则、健康教育方向以及艾滋病毒感染筛查对预防的重要性。文中提醒人们注意对感染者的各种限制所产生的有害影响，这些限制会导致感染者试图隐瞒感染情况。
