In our country, through the sexual transmission, the blood dissemination, the maternal infant transmission 3 ways infects on HIV (AIDS virus) the case appeared. At present takes drugs except the Yunnan Province vein is outside the main dissemination way, other various provinces and cities’ infected person will nearly be adopts the dissemination, the natural dissemination will be our country HIV dissemination main way. Therefore, the society from should to internationally recognize at present greatly easy to cause the HIV nature dissemination the high-risk sex act to have the enough understanding.
??First, multi-partner behavior
??Has the sexual relationship at the same time with the multi-individuality partners, regardless of this to the homosexual or the heterosexuals, is the HIV infection high-risk factor, moreover, natural partner’s quantity is estimates one of HIV latent popular condition important targets in the young people. Overseas has the scholar to have sexual relationship masculine AIDS to a every year average with 20-30 women (AIDS) patient’s natural partner to study the discovery, has had in the contact 16 women with this man, 10 people infected HIV, the including 3 people have only had the disposable junction history with the patient. In the infected person had 8 people to present the AIDS model or the atypical symptom. Ma Si especially once and so on four city’s 800 heterosexuals carried on the investigation to AIDS succeeding in the imperial civil service examinations New York, the investigation object has divided two group of past during 5 years only maintained a sexual relationship with the identical partner, during another group of each person of 5 years have 6 individuality partner at least. The result discovered that the HIV masculine gender rate in the preceding group only 0.25%, the latter group only achieves 6%, before is, group’s 24 times. In general, compares with other diseases, including compares with other type’s nature spread disease, HIV in fact is difficulty with disseminates. The American scientist’s investigation discovered that late after infected the HIV male, if has carried on the non-protection with a female the sexual intercourse, then in 500 sexual intercourse, one time will pass to HIV the bride’s side. The female passes to the masculine in this kind of vagina sexual intercourse probability to be able smaller somewhat. Although some young people each time only have the sexual relationship with one person, but he actually maintains this kind of sexual relationship with the multi-people, will also cause them to fall into the dangerous in unconscious the region. In this kind one-to-one (, but is not group junction) in the natural contact, although it infects HIV the risk still, but protects oneself (for instance with condom) consciousness desalinated.
??in 1992 to Dutch masculine homosexuality youth research discovery, because between these people maintains has the stable sexual relationship, they near enter the natural partner who with that kind builds to compare, under its condom utilization ratio against. Because a person’s natural partner not forever maintains with it the only sexual relationship the possibility always exists, carries on the intervention to this risk behaviour to be with emphasis lets the young people understand that maintains with the multi-people the sexual relationship the risk, and advised that their each time sexual intercourse must use the condom.
??The other day in Western Europe, American, Canadian, Mexican, Australian, New Zealand as well as the South America some areas (the first kind of popular area), with/the bisexual, the vein drug addict was the HIV main infected person. In these countries and the area, have the quite great quantity young people to have the multi-individuality companions. In recent years, as a result to AIDS the fear, its nature was accompanied by reduced the tendency.
??In HIV take the opposite sex sexual intercourse as the main dissemination’s-like country (the second kind of popular area, is mainly African, the Caribbean Sea and South America some areas), the multi-partner lives obtains encourages. In many African and Caribbean Sea countries, because wife in nursing menstruation period is unable to have the sexual relationship, outside husband’s marriage the sexual relationship can accept polygamously in the culture. Moreover, because the arranged marriage the request which must bear children to the female, caused the marriage not to be harmonious, thus further intensified the appearance which the adulterous love affair related. Because gives birth excessive regarding, the woman possibly the sexual relationship will also be pregnant through the marriage outside. In the second kind of popular area, the marriage is quite unstable. In this case, outside the marriage the sexual relationship and the multi-partner is inevitable.
??Disseminate the pattern country in the homogeneity and the opposite sex sex act (third-order popular area, including Asian, Australia’s New Zealand is an exception the Pacific section, the Middle East, Eastern Europe’s South America’s some rural area), in recent years the wealth marriage age has caused outside ahead of time the marriage sexual partner increase. The research indicated that in with the sex act related business in the popular androcentrism, causes the man widely while does not have the restraint to have which outside the marriage relates, female when sexual intercourse is actually rejected with the condom request. In the male and female sexual relationship’s gender differences reduce its high-risk sex act’s barrier. Eliminates this kind of difference is not the easy matter. It realizes finally lies in change entire society the standard, improves woman’s status.
??Second, masculine gaydar
??The massive masculine homosexual lives in HIV infection high-risk environment this. In the first kind of popular area, in the HIDS patient the masculine homosexual holds the very great proportion. Because present in masculine homosexual crowd, the HIV infection formation rate is high, they carry on the anal sex, and has the multi-partner to favor, thus has the bigger infection HIV danger. Discovered to the Canadian youth’s investigation that acknowledged oneself are in the masculine homosexual’s youth has 40% to have 5 above natural partners, but compares with it the heterosexuals are 27% merely. Since 90 niandai, the developed country HIV infection’s popular speed already greatly dropped. The primary cause is the masculine homosexual universal reduction partner, the reduction contact, and in natural contact time has used the condom.
??The present research discovered that because many kinds of reasons, the masculine homosexual’s sexual relationship compares the heterosexuals to be complex far. In an American Los Angeles 18-64 year-old 2,300,000 male population, has the homosexual 410,000 people. According to the investigation, in these homosexual 5 years average each person has the nature to accompany 13.5-50 people, the few people have several hundred individuality partner. This kind of promiscuous sexual relationship, increased the HIV dissemination opportunity greatly without doubt, and creates in homosexual this present situation. in 1987 discovered to the San Francisco 1034 25-34 year-old unmarried man’s investigations that 49% homogeneous or the bisexual HIV immune body assumes the masculine gender, its neutral partner number surpasses 50 people to have 71% person HIV immune body to assume the masculine gender. What should mention specially, certain homosexuality activity venue, has ” the enlarger in the AIDS dissemination ” and ” the accelerator ” the function. In these place acquired character satisfied homosexual, if one person is the HIV carrier, then they in a short time the HIV bamboo telegraph for the massive homosexuals.
??The author in the masculine homosexual activity venue widely contacts with them discovered that indeed exists in our country this kind of potential hazard.
The homosexuality phenomenon exists in human history each time, also exists in many kinds of animals, is in specially primate’s animal. Therefore some scholars thought since long the homosexuality is one which of many kinds of basic capabilities the humanity has. Since the 80s the massive research indicated that first was the innate factor had decided whether a person did end in the homosexual, it had nothing to do with the moral level. In the 70s some country’s academic circle the homosexuality exception in disease category, in 1992 the World Health Organization “International Nosology” the tenth edition also transformed plants for this reason the viewpoint. The modern medicine believed that the homosexuality belongs to small number of people’s normal phenomenon. It just likes with the heterosexual love difference human the skin color, or like left potential (left handed person) and right potential difference. Since according to many social system’s cultural different country’s in the 20th century many investigations, the homosexuality the proportion relative stabilization which has existed in the crowd, is 1-5%, the bisexuality is 2-10%. As a result of our country society culture orientation reason, therefore the homosexual can only the secret carry on the contact, is unable to establish good and the stable sexual relationship far. But they (they) in the activity venue homosexuality which or the bipolar partner will decide in the thing and not necessarily will look up the digit the overseas some investigations to be lower. This way causes them to become the HIV infection the high-risk group. Moreover, 90% above masculine homosexuals will conceal their sex orientation finally through the marriage. But already fixed the sex orientation moves obtains the heart quantity the physiology to satisfy, thus creates HIV the enormous possibility which disseminates in the family.
??The anal sex is one which of sex acts the homosexual uses frequently, the research proved that is partial in the anal sex activity is inserted a side, the change infects HIV. 1982-1984 during year 3 year, some people compare the object of observation through the anal sex, another group only adopts the fellatio to come the acquired character pleasant sensation. Observes 3 years later the HIV immune body masculine gender rate the ratio reaches as high as 51% in the preceding group of people, the latter group is 19.6%; Has carried on 1.8 year revisit to group of heterosexuals, has the passive anal sex HIV immune body masculine gender rate to achieve 36%, does not have the anal sex is only 4.8%; Has carried on to more than 2000 HIV masculine homosexual the time 1 year later the 11%HIV immune body transfers the masculine gender, has anal sex Shi Danjin to make in the insertion 0.5%HIV immune body to transfer the masculine gender, non-anal sex Shi Zhe still maintained the immune body negative, these reports demonstrated fully the anal sex behavior disseminates the HIV high risk.
??The overseas experience proved in our scientific effort discovered that strengthens in the loose environment facing the masculine homosexuality tolerant manner, will cause the homogeneous behavior the total quantity more to hasten the reduction–This kind of reduction already occurs in the exploration takes the homogeneity game’s young people, also sees in the partial adults who carries on the homogeneous activity consciously.
??What should point out specially, is different with the masculine homosexuality, the feminine homosexual is HIV infects one of lowest crowds, is lower than the heterosexual love men and women far, this with them between when sex life the size exchange rate concerns extremely lowly.
??Third, anal sex behavior
??The anus mucous membrane is composed (vagina mucous membrane by the single-layer columnar epithelium to be composed of multiple coat columnar epithelium), when anal sex the penis and the anus mucous membrane fiercely and rubs frequently, extremely easy to create the damage, thus causes in the seminal fluid and prostate gland fluid HIV through damages the sores to enter by the insertion blood, therefore the anal sex is regarded as is HIV infects the highest-risk natural activity. Is similar to the penis–Vagina sexual intercourse and penis–The oral cavity sexual intercourse is the same, the natural partner accepts a side has infects a HIV bigger risk, as stated above, the masculine homosexual’s high anal sex frequency puts in easy it to infect HIV the region. However, the anal sex also frequently carries on the heterosexuals. 1991 memoir, pointed out that in our country city husbands and wives 7% approval anal sex behavior, 13% husbands and wives approve the anal sex. Moreover, the anal sex is frequently certain countries (for example Brazil and Mexico) to maintain the feminine chastity, simultaneously avoids one which of important means is pregnant uses. In these countries, anal sex these functions have caused dangerous sex act’s increase, because of speaking of the young people, compares with HIDS, they grow day by day the care to be pregnant.
??Fourth, non-protection sex act
??The frequent sex life and with any protective measures, is easy to create the HIV infection other aspect. The survey result indicated that the young people are engaged in the non-retentivity activity to be frequent. For example, in third-order popular area, although discovered that 50% above people have about the condom knowledge, but they use the condom the number of times to be actually few, even if is in the high-risk group the individual also so. In these countries, the prostitute and the brothel customer majority does not use the safeguard practice. But, this kind of condition can be improved through the appropriate intervention. For example, in Thailand, some item requests the prostitute when the sexual intercourse must use the condom the policy, when emphasized the sexual intercourse the user punishes (fine or closes brothel). 1992 survey result indicated that in the prostitution process, the condom utilization ratio by elevates obviously, some government office condom’s utilization ratio from 30% rises to 90%, the nature spread disease’s disease incidence rate big drop.
??In the first kind of popular area, although the young people to protect oneself to have the enough state-of-art, but their natural activity also usually does not have the protection. For example, discovered in one item about in the Canadian youth’s research that these called self sexual intercourse’s university student has 14% people frequently when the sexual intercourse always uses the condom.
??In the young people high being pregnant has indicated the condom and other contraceptive measure defeat with the rate of abortion. The young people are pregnant rate because of the country, but is different, it simultaneously also demonstrated that displays temper the active change, as well as including condom contraceptive law utility ratio change. In the developed country, the US has highest young people being pregnant rate. in 1988 in a nationwide investigation discovery which carried on to 20 countries, after Greece is pregnant the miscarriage proportion to be highest (51% females were pregnant, miscarriage), Ireland was lowest. Finnish, France’s US’s accident being pregnant rate very high (surpasses always being pregnant population 1/2), but Holland relatively is actually low has 17%.
??The high nature spread disease incidence rate indicated similarly when sexual intercourse the security measure, is specially the condom has not used well. The young people neutrality spread disease’s appearance’s high disease incidence rate was the HIV dissemination has provided the support evidence in the natural aspect risk behaviour. Moreover, the nature spread disease may enhance the HIV infection danger 5-50 times.
??The young people neutrality spread disease’s disease incidence rate is quite high. In the US, if the percentage takes disease baseline with each age group’s natural liveliness, 15-9 year-old young people contract gonorrhea, syphilis, the pelvic cavity inflammation ratio to be highest. In third-order popular area, nature spread disease’s morbidity high in prostitute and so on high-risk group by specially high speed sustained growth. For example, it is estimated that in 1987 the peaceful entire population neutrality spread disease’s infection percentage was 17%, but in the prostitute was 70%.
In view of the fact that above caused the high-risk sex act which HIV disseminated, the World Health Organization to propose ” the safe behavior “–Usually cannot disseminate HIV or other nature spread disease’s sex act way. Achieves this point three principles is: Mortification of the flesh, unisexual sex-linked relations and condom use.
??The mortification of the flesh has the nature, but refers to uses the self-stimulation (self-consolation) to obtain satisfies. Although this behavior cannot achieve the good psychology frequently to satisfy, but may be able to have the full physiological pleasant sensation equally with the sexual intercourse to achieve the tensity release. If natural partner both sides only have an opposite party companion, and nobody infects HIV, is the absolute safety sex act. Must emphasize must use correctly the key was the sexual intercourse entire journey use (each time sexual intercourse from the very beginning to finished use). Must avoid in the sexual intercourse process the condom breakage. Moreover, other sex acts, like the hand stimulation, the stock will stimulate, teases the caress and so on not to cause the infection AIDS.
