Condom use among HIV/AIDS patients receiving antiretroviral therapy
LIU Dandan1, WANG Yizhan2, LU Xiaochun2, LEI Mengting2
1. Administration Office, Fuyang District Center for Disease Control and Prevention, Hangzhou, Zhejiang 311400, China; 2. Fuyang District Center for Disease Control and Prevention, Hangzhou, Zhejiang 311400, China
Abstract：Objective To investigate condom use and associated factors among HIV/AIDS patients receiving antiretroviral therapy (ART) in Fuyang District, Hangzhou City, so as to provide insights into instructing the correct use of condoms and controlling the spread of HIV/AIDS patients. Methods A face-to-face questionnaire survey was conducted to collect demographic information, sexual behaviors during recent 6 months and condom use of HIV/AIDS patients receiving ART in Fuyang District from May to December, 2022. Descriptive analysis was employed on the proportion of participants who insisted on using condoms at each sexual contact, and a multivariable logistic regression model was used to identify factors affecting condom use at each sexual contact. Results Totally 111 HIV/AIDS patients who received ART and had sexual contacts during recent 6 months were investigated, with a median age of 43.00 (interquartile range, 19.00) years. There were 82 males (73.87%), 63 married cases (56.76%), 52 cases with homosexual behaviors (46.85%), 110 cases insisting on using condom after ART (99.10%), 101 cases insisting on using condoms at each sexual contact (90.99%). Among 93 patients being aware of HIV infection status of all sexual partners, 93.55% of the patients insisted on using condoms at each sexual contact. Among 105 patients without sexually transmitted diseases (STD) diagnosis and treatment, 94.29% of the patients insisted on using condoms at each sexual contact. Multivariable logistic regression analysis identified aware of HIV infection status of sexual partners (OR=0.046, 95%CI: 0.004-0.560), no STD diagnosis and treatment (OR=0.060, 95%CI: 0.004-0.890) as promoting factors for condom use at each sexual contact among HIV/AIDS patients receiving ART. Conclusions There is a high proportion of condom use at each sexual contact among HIV/AIDS patients receiving ART in Fuyang District. Patients who are aware of sexual partners' HIV infection and have not received STD diagnosis and treatment are more likely to insist on using condoms at each sexual contact.
[1] 韩孟杰. 我国艾滋病流行形势分析和防治展望[J].中国艾滋病性病,2023,29(3):247-250. [2] 阮尉月清,刘家法,张米,等.云南省男男性行为人群HIV/AIDS病例抗病毒治疗失败基因型耐药分析[J].预防医学,2020,32(10):987-991. [3] 周启迪,申艳,龙佳铃,等.艾滋病防治“U=U”全球推广进展[J].中国艾滋病性病,2022,28(12):1462-1466. [4] 杨中荣,李婧,刘小琦,等.湖州市男性外来务工人员非婚性行为安全套使用情况调查[J].预防医学,2021,33(3):268-270. [5] 武俊青,姜楠,李玉艳.中国艾滋病感染现状及安全套的使用[J].中国热带医学,2020,20(2):97-101. [6] 王建英,卢巧玲,许树红,等.绍兴市新报告50岁及以上HIV/AIDS病例特征[J].预防医学,2021,33(1):61-66. [7] 中国疾病预防控制中心性病艾滋病预防控制中心.中国艾滋病防治督导与评估框架(试用)[M].北京:人民卫生出版社,2007. [8] GILBERT M,TAYLOR D,MICHELOW W,et al.Sustained reduction in sexual behavior that may pose a risk of HIV transmission following diagnosis during early HIV infection among gay men in Vancouver,British Columbia[J].AIDS Behav,2018,22(7):2068-2078. [9] 陈胜云,王华丽,柴玉萍,等.某市接受艾滋病抗病毒治疗感染者安全套使用现况及影响因素研究[J].中国艾滋病性病,2019,25(5):454-458. [10] 景正伟,宁艳,常文辉,等.高校MSM人群HIV感染学生生存质量分析[J].预防医学,2023,35(4):291-294. [11] 陈钧涵,钟世勇,吴诗怡,等.凉山州某县艾滋病单阳家庭感染者安全套使用行为影响因素分析[J].中国艾滋病性病,2021,27(9):936-940. [12] 时路,李咸志,杨文,等.四川省凉山彝族自治州布拖县HIV感染单阳家庭阴性配偶干预效果评价[J].中华流行病学杂志,2023,44(1):139-144. [13] 李欢龙,刘丹丹,陈昌可,等.艾滋病防治“富阳模式”探索[J].中国健康教育,2015,31(10):87-89. [14] 李欢龙,刘丹丹,陈昌可,等.艾滋病高危行为三结合干预模式效果评价[J].浙江预防医学,2014,26(5):477-480. [15] 苏齐鉴. HIV-1亚型多样性及其对艾滋病防治影响的研究进展[J].中国临床新医学,2016,9(6):537-540.
