Number of risk acts by relationship status and partner serostatus: Findings from the HIM cohort of homosexually active men in Sydney, Australia
Number of risk acts by relationship status and partner serostatus: Findings from the HIM cohort of homosexually active men in Sydney, Australia
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DOI：
10.1007/s10461-005-9057-3
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发表时间：
2006-05-01
影响因子：
4.4
通讯作者：
Kaldor, John
中科院分区：
文献类型：
--
作者：
Crawford, June M.;Kippax, Susan C.;Kaldor, John
近年来，在世界许多地区，同性性行为活跃的男性中的危险行为和血清转化都有所增加。数据可从903 HIV阴性的男性同性恋者的无保护肛交（UAI）的行为，分为接受性和插入性UAI，有和没有射精，与稳定和休闲的合作伙伴。根据应答者报告的血清状态对伴侣进行分类。男性（N = 325）报告了13，692起UAI行为，其中大多数是与稳定的伴侣发生的，据报道其中大多数是艾滋病毒阴性。与HIV阳性的合作伙伴，无论是稳定和休闲，并与休闲合作伙伴的血清状态未知，接受UAI射精是相对罕见的。无射精的插入性UAI相对常见，偶然性伴血清状态未知。UAI的模式表明，与稳定的伴侣一起传播的风险可能更大。男性似乎会根据关系的性质（稳定或随意）和伴侣的（假设的）血清状况来修改做法。
In recent years, increases in both risk behavior and in seroconversion among homosexually active men have been noted in a number of parts of the world. Data were available from 903 HIV negative homosexual men regarding number of acts of unprotected anal intercourse (UAI), separated into receptive and insertive UAI, with and without ejaculation, with steady and with casual partners. Partners were classified according to serostatus as reported by respondents. Men (N = 325) reported 13,692 UAI acts, most of which were with steady partners, of whom most were reported to be HIV-negative. With HIV-positive partners, both steady and casual, and with casual partners of unknown serostatus, receptive UAI with ejaculation was relatively rare. Insertive UAI without ejaculation was relatively common with casual partners of unknown serostatus. Patterns of UAI suggest that risk of transmission may be greater with steady partners. Men appear to modify practice according to both the nature of the relationship (steady or casual) and (assumed) serostatus of partner.