Beliefs about HIV noninfection and risky sexual behavior among MSM
Beliefs about HIV noninfection and risky sexual behavior among MSM
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DOI：
10.1521/aeap.16.5.448.48739
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发表时间：
2004-10-01
影响因子：
1.8
通讯作者：
Marmor, M
中科院分区：
文献类型：
--
作者：
Halkitis, PN;Zade, DD;Marmor, M
作为检验HIV遗传免疫的更大调查的一部分，我们对97名男男性行为者（MSM）进行了HIV血清阴性的横断面调查。我们的目的是更好地了解这些男性将他们的艾滋病毒血清状态归因于哪些因素，并将这些因素与性冒险行为联系起来。与艾滋病毒阴性或身份不明的偶然性伴侣发生性风险有关的信念有三个：(a)药物治疗进展，(b)艾滋病毒传播的可能性低，以及(c)健康的免疫系统，能够抵抗感染。一个多变量回归模型表明，娱乐性药物的使用，再加上人们相信治疗的进步降低了艾滋病病毒血清转化的风险，在一定程度上可以解释个人进行无保护肛交的频率。我们的研究结果表明，有意进行无保护肛交的男同性恋者可能受到医学进步减轻了艾滋病毒威胁的观念的影响，并证实了先前关于非法药物使用与性冒险之间密切关系的研究。
As part of a larger investigation examining genetic immunity to HIV, we undertook a cross-sectional investigation of 97 HIV-seronegative men who have sex with men (MSM). Our aim was to better understand the factors to which these men attributed their HIV serostatus and to relate these attributions to sexual risk taking. Three beliefs were related to sexual risk taking with HIV-negative/status unknown casual partners: (a) medication treatment advances, (b) the low probability related to HIV transmission, and (c) a healthy immune system, capable of resisting infection. A multivariate regression model suggested that use of recreational drugs, in combination with the belief that treatment advances reduce the risk of HIV seroconversion, in part, may explain the frequency with which individuals engage in unprotected anal receptive intercourse. Our findings suggest that MSM who intentionally engage in unprotected anal sex may be influenced by perceptions that medical advances have mitigated the threat of HIV and corroborate previous studies depicting an intimate relationship between illicit drug use and sexual risk taking.