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目的了解和掌握安徽省艾滋病病毒(human immunodeficiency virus,HIV)感染未治疗者安全套的使用情况及其影响因素。方法采用自行设计的问卷,以面对面的调查方式,对安徽省不同地区的HIV感染未治疗者进行问卷调查。结果本研究共调查HIV感染未治疗者270人,艾滋病(acquired immunodeficiency syndrome,AIDS)相关知识知晓率较高,为92.96%。40.74%的人配偶/恋人未感染HIV,配偶/恋人已感染的调查对象比配偶/恋人未感染者更愿意告知对方自己的感染情况,差异有统计学意义(2=13.21,P<0.001)。89.47%的人在性行为中增加了安全套的使用,48.95%的人做到在每次性行为时均使用安全套,且在近6个月性行为中是否每次使用安全套与民族、感染HIV时间以及感染HIV后是否增加安全套的使用有关。多因素分析结果表明:民族(OR=0.19,95%CI:0.04~0.97)和已感染HIV的时间(OR=3.54,95%CI:1.56~8.04)与每次性行为都使用安全套有关。结论 HIV感染者中存在不能坚持使用安全套的问题,因此要提高人群的自我防范意识,提高安全套的使用率,更好的预防HIV通过性行为传播。
Objective To understand and master the use of condoms and their influencing factors in untreated HIV-infected persons in Anhui Province. Methods A self-designed questionnaire was used to conduct a questionnaire survey on untreated people with HIV infection in different areas of Anhui Province. Results A total of 270 HIV-untreated patients were investigated in this study. The awareness rate of acquired immunodeficiency syndrome (AIDS) -related knowledge was 92.96%. 40.74% of spouses / lovers were uninfected with HIV, and spouses / lovers who were infected were more likely than spouses / lovers to be informed of their own infection status (χ2 = 13.21, P <0.001) . 89.47% of them used condoms for sexual activities, 48.95% used condoms for every sexual activity, and whether they used condoms and ethnic groups for every 6 months of sexual activity, and infected with HIV And whether to increase the use of condoms after HIV infection. Multivariate analysis showed that condom use was associated with sexual behavior (OR = 0.19, 95% CI: 0.04-0.97) and HIV infection (OR = 3.54, 95% CI: 1.56-8.044). Conclusion There are some problems in HIV-infected people who can not stick with condoms. Therefore, it is necessary to raise the awareness of self-prevention among the population, increase the rate of condom use, and better prevent the spread of HIV through sexual behaviors.