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

该报告提供了一项关于医生给病人提供未经加热的血液制品并导致他们感染艾滋病毒的研究。我们主要采用主动访谈法。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，他们很少为此作证。因此，在当时的日本，关于血友病患者的治疗、HIV感染和医疗保健的文献很少。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些日子的数据。它还编写书面参考资料并询问其他参与者。本研究主要有四个方面。1、70年代末至80年代初，血友病治疗新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、护士和其他专家组成的医疗团队只照顾一名患者（全程护理）。2、血友病患者中HIV暴露因子的集中和艾滋病的流行让医生非常失望，因为他们认为血液制品是唯一有效的治疗方法。3、医患焦虑程度各不相同，但很多医生并不觉得情况紧急。因此，他们没有返回到循环沉淀，而不是非加热血液制品。4、即使在这种情况下，也有少数医生能够与病人重建良好的关系。本研究运用社会学的思维，试图了解血友病患者因非加热血液制品感染艾滋病这一社会问题的社会过程和意义。我们现在正在继续这项研究，并致力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.