Predictors of HIV Disclosure Among Untested, HIV-Negative and HIV-Positive Australian Men Who had Anal Intercourse with Their Most Recent Casual Male Sex Partner
Predictors of HIV Disclosure Among Untested, HIV-Negative and HIV-Positive Australian Men Who had Anal Intercourse with Their Most Recent Casual Male Sex Partner
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DOI：
10.1007/s10461-009-9645-8
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发表时间：
2011-08-01
影响因子：
4.4
通讯作者：
Kippax, S.
中科院分区：
文献类型：
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作者：
Holt, M.;Rawstorne, P.;Kippax, S.
我们分析了与男性发生性关系的澳大利亚男性(MSM)中的艾滋病毒披露情况，这些男性报告了与他们最后一个临时男性伴侣发生肛交的情况。在纳入分析的804名男男性接触者中，413人报告了艾滋病毒披露，391人报告没有披露。在确定了艾滋病毒披露的双变量关联后，我们开发了三种艾滋病毒披露模型(一个用于未经检测的艾滋病毒披露，一个用于HIV阴性的模型和一个用于HIV阳性的MSM)。一系列因素被发现与艾滋病毒的披露有关。以前与最后一个随意的男性伴侣发生过性关系，以及期望HIV阴性和HIV阳性的男性在性行为前透露，这些都是不止一个血清学群体共同的艾滋病毒披露的预测因素。由于无保护措施的肛交在男男性接触者中更为常见(在所有血清状态组中)，我们建议在鼓励披露艾滋病毒作为预防策略之前应谨慎行事。在澳大利亚男男性接触者中，保密与安全性行为的相关性更强。
We analysed HIV disclosure between Australian men who have sex with men (MSM) who reported anal intercourse with their last casual male partner. Of 804 MSM included in the analysis, 413 reported HIV disclosure and 391 reported no disclosure. After identifying bivariate associations with HIV disclosure, we developed three models of HIV disclosure (one for untested, one for HIV-negative and one for HIV-positive MSM). A range of factors was found to be associated with HIV disclosure. Having previously had sex with the last casual male partner and expecting HIV-negative and HIV-positive men to disclose before sex were predictors of HIV disclosure shared by more than one serostatus group. As unprotected anal intercourse was more common among MSM who disclosed (across all serostatus groups), we suggest caution should be exercised before encouraging HIV disclosure as a prevention strategy. Nondisclosure remains more strongly associated with safe sex among Australian MSM.