Treatment as prevention (TasP) and perceived sexual changes in behavior among HIV-positive persons: a French survey in infectious diseases departments in Paris
Treatment as prevention (TasP) and perceived sexual changes in behavior among HIV-positive persons: a French survey in infectious diseases departments in Paris
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DOI：
10.1080/09540121.2019.1653438
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发表时间：
2019-08-22
影响因子：
1.7
通讯作者：
Bouvet, Elisabeth
中科院分区：
文献类型：
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作者：
Couffignal, Camille;Papot, Emmanuelle;Bouvet, Elisabeth
我们评估了巴黎五个传染病部门的成年艾滋病毒感染者（PLHIV）对治疗即预防（TasP）的认识，然后他们如何看待其对性健康的影响。这项横断面多中心调查于2014年在预定的临床预约期间使用自填问卷进行。我们分析了520份问卷（42%的女性，54%的男性，其中57%是MSM [男男性行为者]）。75%的女性出生在国外，最常见的是在撒哈拉以南非洲，而64%的男性出生在法国。自艾滋病毒诊断以来的平均时间为12.8 +/- 7.8年。百分之八十七[84-90%]（95）（%）的人报告说知道抗逆转录病毒疗法对艾滋病毒传播的影响，其中94%为男男性行为者，86%为妇女，83%为异性恋男子。艾滋病毒感染者报告说，他们通过医生了解TasP（86%）。73% [69%;78%]（95%）的人认为对传播的恐惧减轻了，这在男男性行为者中更为常见;据报告，28% [24%;33%]（95%）的人的性生活得到改善; 45% [40%;50%]（95%）的人认为抗逆转录病毒疗法的依从性得到改善，这在妇女中更为常见。TasP的认知度相对较高，但了解男性和女性艾滋病毒感染者的特征以适应后续预约期间的咨询似乎很重要，因为女性的答案在各个方面都不同。
We evaluated awareness of treatment as prevention (TasP) among adults people living with HIV (PLHIV) in five infectious disease departments in Paris, then how they perceived its impact on their sexual well-being. This cross-sectional multicenter survey was conducted in 2014 during scheduled clinical appointments using a self-administered questionnaire. We analyzed 520 questionnaires (42% women, 54% men of whom 57% were MSM [men who have sex with men]). 75% of women were born abroad, most commonly in sub-Saharan Africa, whereas 64% of men were French-born. The mean time since HIV diagnosis was 12.8 +/- 7.8 years. Eighty-seven percent [84-90%](95)(%) reported being aware of the impact of ART on HIV transmission, 94% MSM, 86% women, 83% heterosexual men. PLHIV reported that they gained awareness of TasP through medical doctors (86%). The fear of transmission was perceived as alleviated for 73% [69%;78%](95%), more often among MSM; the sexual life was reported to be improved for 28% [24%;33%](95%); and ART adherence to be improved for 45% [40%;50%](95%), more often among women. The awareness of TasP was relatively high, but it seems important to understand the features of male and female populations of PLHIV to adapt counseling during follow-up appointments, as women's answers differed in various regards.