Should it be illegal for HIV-positive persons to have unprotected sex without disclosure? An examination of attitudes among US men who have sex with men and the impact of state law.
Should it be illegal for HIV-positive persons to have unprotected sex without disclosure? An examination of attitudes among US men who have sex with men and the impact of state law.
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DOI：
10.1080/09540121003668078
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发表时间：
2010-10
期刊：
影响因子：
1.7
通讯作者：
Rosser S
中科院分区：
文献类型：
--
作者：
Horvath KJ;Weinmeyer R;Rosser S
本研究的目的是描述的整体模式和预测的态度刑事化的无保护措施的性行为没有披露的人感染艾滋病毒的广泛样本中的男男性接触者生活在美国，并检查是否有不同的态度和性风险行为的国家艾滋病毒的具体法律或没有这样的法律。参与者（n= 1，725）在3.5个月的时间内被招募，以完成一项70分钟的横断面在线调查，评估态度和高风险性行为。参与者自我认定为男性，18岁或以上，美国居民，曾经与男性发生过性关系。此外，参与者被编码为居住在一个有艾滋病毒专门法律的州或没有。结果显示，大多数（65%）受访者认为，艾滋病毒感染者在没有披露的情况下进行无保护的性行为是非法的。然而，在总样本和艾滋病毒阳性男男性接触者中，态度和与最近的伴侣发生无保护性行为并没有因州法律而异。认为艾滋病毒感染者在没有披露的情况下进行无保护的性行为不应该是非法的，（OR=0.33），高等教育（OR =0.42-0.64），同性恋取向（非同性恋取向：OR=1.54），认为该州居民对同性恋有一定或非常接受（OR=0.75），UAI与2个或更多的最近的性伴侣（OR=0.72），和较低的责任感（OR=0.75）。研究结果并不支持艾滋病毒专门法律阻止高风险性行为的主张，但需要进一步研究，以检查它们是否作为获得或传播艾滋病毒风险最高的男男性行为者的障碍。
The aims of this study were to describe the overall pattern and predictors of attitudes toward criminalizing unprotected sex without disclosure by persons living with HIV among a broad sample of MSM living in the US, and to examine whether attitudes and sexual risk behavior differ by states with HIV-specific laws or no such laws. Participants (n=1,725) were recruited in a 3.5 month period to complete a cross-sectional 70-minute online survey assessing attitudes and high risk sexual behavior. Participants self-identified as male, 18 years of age or older, a US resident, and having ever had sex with a man. In addition, participants were coded as residing in a state with HIV-specific laws or not. Results showed that most (65%) respondents believed it should be illegal for persons living with HIV to have unprotected sex without disclosure. However, among the total sample and HIV-positive MSM, attitudes and unprotected sex with recent partners did not vary by state law. Believing that it should not be illegal for persons living with HIV to have unprotected sex without disclosure was associated with HIV-positive status (OR=0.33), higher education (ORs=0.42–0.64), gay orientation (non-gay orientation: OR=1.54), perceptions that state residents were somewhat or very accepting towards homosexuality (OR=0.75), UAI with 2 or more recent sexual partners (OR=0.72), and lower perceptions of responsibility (OR=0.75). The results did not support the proposition that HIV-specific laws deter high-risk sexual behavior, however further research is needed to examine whether they act as a barrier for MSM at highest risk for acquiring or transmitting HIV.
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影响因子：
5.4
作者：
Sheon, N;Crosby, GM
通讯作者：
Crosby, GM
影响因子：
0.7
作者：
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通讯作者：
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2.2
作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
1.4
作者：
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通讯作者：
Keogh, P