Predictors of HIV disclosure to secondary partners and sexual risk behavior among a high-risk sample of HIV-positive MSM: results from six epicenters in the US.
Predictors of HIV disclosure to secondary partners and sexual risk behavior among a high-risk sample of HIV-positive MSM: results from six epicenters in the US.
复制标题
DOI：
10.1080/09540120701767265
复制
发表时间：
2008-09
影响因子：
1.7
通讯作者：
Stately, A.
中科院分区：
文献类型：
--
作者：
Rosser, B. R. Simon;Horvath, K. J.;Hatfield, L. A.;Peterson, J. L.;Jacoby, S.;Stately, A.
本研究旨在确定男男性行为者 (MSM) 的 HIV 阳性男性 (MSM) 中 HIV 披露和血清不一致无保护肛交 (SDUAI) 的预测因素。 2005 年 1 月至 2006 年 4 月期间，招募了 675 名 HIV 阳性 MSM 参加在美国六个城市进行的 Positive Connections 干预试验，其中对 HIV 阳性有色人种 MSM (74%) 和前一年进行无保护肛交 (UAI) 的男性进行了有意的过度抽样。基线调查数据显示，分别有 30% 和 31% 的参与者在过去 90 天内没有向或向部分第二性伴侣透露过情况。向第二伴侣更多地披露信息与性伴侣较少、作为男男性行为者的身份极其出格、艾滋病毒诊断时间较长、了解 CD4 计数、可检测到的病毒载量以及白人身份有关。向所有二级合作伙伴披露与较低的 SDUAI 相关。预防 HIV 阳性 MSM 的建议包括促进向所有次要性伴侣公开血清，并提高对性行为的舒适感和公开性。
This study sought to identify predictors of HIV disclosure and serodiscordant unprotected anal intercourse (SDUAI) among HIV-positive men who have sex with men (MSM). Between January 2005 and April 2006, 675 HIV-positive MSM were recruited into the Positive Connections intervention trial held in six US cities with intentional over-sampling of HIV-positive MSM of Color (74%) and men engaging in unprotected anal intercourse (UAI) in the previous year. Baseline survey data showed 30 and 31%, respectively, of participants disclosed to none or some of their secondary sex partners in the last 90 days. Greater disclosure to secondary partners was associated with having fewer sexual partners, being extremely out as MSM, longer HIV diagnosis, knowledge of CD4 count, detectable viral load and being white. Disclosure to all secondary partners was associated with lower SDUAI. Recommendations for prevention for HIV-positive MSM include the promotion of serodisclosure to all secondary partners and increasing comfort with, and outness about, one’s sexuality.
登录
查看更多内容
影响因子：
2.5
作者：
Coleman, E;Miner, M;Raymond, N
通讯作者：
Raymond, N
影响因子：
4.4
作者：
Hart, TA;Wolitski, RJ;Gómez, CA
通讯作者：
Gómez, CA
影响因子：
4.2
作者：
Kalichman, SC;Nachimson, D
通讯作者：
Nachimson, D
DOI：
10.1097/00126334-200105010-00013
发表时间：
2001-05-01
期刊：
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子：
--
作者：
Marks, G;Crepaz, N
通讯作者：
Crepaz, N
DOI：
10.1080/09540129848451
发表时间：
1998-10-01
影响因子：
1.7
作者：
Wolitski, RJ;Rietmeijer, CAM;Wilson, RM
通讯作者：
Wilson, RM