Reflections on the Swiss Consensus Statement in the context of qualitative interviews with heterosexuals living with HIV
Reflections on the Swiss Consensus Statement in the context of qualitative interviews with heterosexuals living with HIV
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DOI：
10.1080/09540121.2010.482122
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发表时间：
2010-01-01
影响因子：
1.7
通讯作者：
Persson, A.
中科院分区：
文献类型：
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作者：
Persson, A.
2008年，瑞士联邦艾滋病委员会发表了一项声明，认为正在接受治疗且病毒载量检测不到的艾滋病毒感染者不具有传染性，在某些情况下可以安全地与艾滋病毒阴性的伴侣进行无保护的性行为。与25年来的艾滋病毒预防信息相矛盾，所谓的瑞士共识声明引发了两极分化的国际辩论。一个关键的问题是，该声明将被误解为意味着每个接受治疗的人都可以进行无保护的性行为。因此，批评人士警告说，不要偏离强调避孕套是最有效的预防方法的观点。鉴于这一关切，有必要思考一下瑞士的声明对有关各方有何意义。本文利用定性访谈艾滋病毒阳性异性恋者和艾滋病毒阴性的合作伙伴在澳大利亚。在《声明》发布前后进行的这些访谈显示，性决策不仅仅是基于对风险的计算，而是由复杂的情感和关系优先事项塑造的。访谈还表明，与会者对《声明》的预防信息持怀疑态度。这些发现对推动这场辩论的核心问题提出了质疑。
In 2008, the Swiss Federal AIDS Commission released a statement concluding that people with HIV who are on treatment and have an undetectable viral load are non-infectious and can safely practice unprotected sex with their HIV-negative partner under certain conditions. Contradicting over 25 years of HIV prevention messages, the so called Swiss Consensus Statement sparked a polarised international debate. One key concern is that the Statement will be misinterpreted to imply that everybody on treatment can have unprotected sex. Therefore, critics warn against any departure from the emphasis on condoms as the most effective prevention method. Given this concern, it is useful to reflect on what relevance the Swiss Statement may have for those concerned. This paper draws on qualitative interviews with HIV-positive heterosexuals and HIV-negative partners in Australia. Conducted both before and after the release of the Statement, these interviews revealed that sexual decision-making was not based solely on calculations of risk, but shaped by complex emotions and relationship priorities. The interviews also revealed that participants were sceptical towards the Statement's prevention message. These findings call into question the central concerns that drive this debate.