A Sociological Research in the Social Problem of HIV Exposure by none-heated Blood Products

这份报告提供了一项对医生的研究，这些医生给他们的患者服用非加热血液产品，并导致他们感染艾滋病毒。主要采用积极访谈法。虽然医生是这一社会问题的主要参与者之一，但由于种种原因，他们很少对此作证。正因为如此，当时日本关于血友病患者的治疗、艾滋病毒感染和医疗保健的文献寥寥无几。这项研究主要是为了通过询问医生来获得尽可能多的关于那个时代的数据。本研究还进行了书面参考文献的整理和对其他参与者的问卷调查。1、70年代末至80年代初，血友病的治疗通过新的方法取得了很大进展。例如，患者开始自行注射因子浓缩物(自我注射)，由医生、护士等专家组成的医疗队照顾一名患者(全面护理)。2、血友病患者中HIV暴露和艾滋病流行令医生大失所望，因为他们认为血液制品是唯一有效的治疗方法。3、医患双方的焦虑程度是多样的，但很多医生并不觉得情况紧急。因此，他们没有返回共沉淀物，而不是非加热血液产品。4、即使在这种情况下，也有少数医生能够重建与患者的良好关系。本研究试图通过社会学思维，了解非加热血液制品引起的血友病患者HIV流行这一社会问题的社会过程和意义。我们目前正在继续这项研究，并专注于对受害者及其家属的研究。

This report offers a research in doctors who gave non-heated blood products to their patients, and caused them HIV infection. We mainly used active interview method. Although doctors were one of major participants of this social problem, they seldom attest about it for various reasons. Because of this, there are a few documentations about treatments for hemophilia patients, infection of HIV, and medical care in Japan at that time. This research was done mainly for getting as many data about those days as possible by questioning the doctors. It also does compilation of written references and questioning other participants.There are four main points in this research. 1, during late 70s to early 80s, hemophilia treatments made great progress by new methods. For example patients started to inject factor concentrates by themselves (self injection), and medical team which consist of doctors, nurses, and other experts, took care of one patient (total care). 2, HIV Exposure of factor concentrates and epidemic of AIDS among hemophilia patients were big disappointment for the doctors, because they thought blood product was only effective treatment they could do. 3, anxiousness of doctors and patients were diverse, but many doctors did not feel the situation was urgent. So they did not return to crioprecipitate instead of non-heated blood products. 4, even in this situation, there were small number of doctors who could rebuild good relationship with their patients.By use of sociological thinking, this research tried to understand social processes and meanings of the social problem, the HIV Epidemic in hemophilia patients caused by non-heated blood products.We are continuing this study now and occupying with research of the victims and their families.