毒癮者是感染愛滋病的高危險群之一。本研究目的主要針對搖頭丸犯罪嫌疑人,調查其對感染愛滋病危險行為之認知以及保險套使用行為。 本研究資料來源為台北市立性病防治所「搖頭丸犯罪嫌疑人之危險行為調查」之資料庫。研究對象為經由台北市檢警單位查獲之搖頭丸犯罪嫌疑人。調查期間自九十一年七月至九十二年二月,本研究之有效樣本為326人。資料分析方法包括描述性分析、t檢定、卡方檢定及單因子變異數分析等。 研究結果發現,樣本對於感染愛滋病之危險行為認知的正確率為72.4%。只有3.8%的樣本認為自己可能感染愛滋病;有43.6%的樣本知道到哪裡作愛滋病篩檢。有58.4%的樣本在從事性行為時會使用保險套,而教育程度(χ2=15.44,p<0.01)、工作現況(χ2=18.90,p<0.01)與保險套的使用行為有顯著相關。樣本對感染愛滋病之危險行為的認知愈正確者,愈會在從事性行為時使用保險套(t=3.00,p<0.01)。而樣本對搖頭丸的知識與保險套的使用行為有關(t=7.62,p<0.01)。 研究樣本對感染愛滋病之危險行為的認知與保險套的使用行為有關;因為樣本為不易尋訪之群體,且毒癮者為感染愛滋病之高危險群之一,因此建議刑事司法體系應加強犯罪嫌疑人及受刑人之愛滋病防治教育,並提高保險套的使用率,以有效防治愛滋病毒的感染。
The drug users are one of the high-risk group for the HIV infection in Taiwan. The main purposes of this study were to investigate the knowledge related to the risky behaviors of HIV infection , and the condom use behavior among MDMA arrestees. A survey was conducted from July 2002 to February 2003 among 326 MDMA arrestees in Taipei city. Data were collected by self-administered, anonymous questionnaire. Results of this study revealed that the average correct rate for HIV related knowledge were 73.3%. Only 3.8% of respondents reported HIV susceptibility, and 43.6% of respondents understand the information about HIV screening. Roughly 58.4% of the subjects reported condom use while having sex. The education level(χ2=15.44, p<0.01)and job situation(χ2=18.90, p<0.01) were associated to condom use behavior among the subjects. Those subjects who have higher scores for HIV related knowledge, would use condom more often then their counterparts while having sex(t=3.00, p<0.01). Subjects’ knowledge of MDMA use was associated to condom use(t=7.618, p<0.01). Subjects’ HIV related knowledge was associated to their condom use behaviors, the hard-to-reach population, the researcher suggested that the criminal justice system should enhance the arrestees’ and prisoners’ HIV/AIDS prevention education and raise their condom use rate.