Prospective predictors of unprotected anal intercourse among HIV-seropositive men who have sex with men initiating antiretroviral therapy.
Prospective predictors of unprotected anal intercourse among HIV-seropositive men who have sex with men initiating antiretroviral therapy.
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DOI：
10.1007/s10461-013-0477-1
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发表时间：
2014-01
影响因子：
4.4
通讯作者：
Simoni, Jane M.
中科院分区：
文献类型：
--
作者：
Pantalone, David W.;Huh, David;Nelson, Kimberly M.;Pearson, Cynthia R.;Simoni, Jane M.
当代的艾滋病毒预防工作越来越侧重于那些已经感染艾滋病毒/艾滋病的人(即“积极预防”)。这些举措的关键是研究确定最危险的行为目标。采用纵向设计，作为行为干预研究的一部分，我们对134名HIV阳性男性(MSM)开始、改变或重新开始抗逆转录病毒治疗(ARV)方案的样本中前瞻性预测无保护肛交(UAI)的社会人口和心理社会因素进行了检验。在基线和6个月时进行计算机问卷调查。在序贯Logistic回归分析中，UAI的基线测量(步骤1)、社会人口因素(如拉丁裔种族)(步骤2)和心理社会因素(如使用冰毒、较大的生活压力和较低的特质焦虑(步骤3))是6个月时UAI的预测因素。问题饮酒并不是一个重要的预测因素。男男性接触者感染艾滋病毒/艾滋病的预防工作可以集中在多个心理社会目标上，如减少他们使用冰毒和传授应对技能以应对生活压力。
Contemporary HIV prevention efforts are increasingly focused on those already living with HIV/AIDS (i.e., “prevention with positives”). Key to these initiatives is research identifying the most risky behavioral targets. Using a longitudinal design, we examined socio-demographic and psychosocial factors that prospectively predicted unprotected anal intercourse (UAI) in a sample of 134 HIV-seropositive men who have sex with men (MSM) initiating, changing, or re-starting an antiretroviral therapy (ARV) regimen as part of a behavioral intervention study. Computer-based questionnaires were given at baseline and 6 months. In a sequential logistic regression, baseline measures of UAI (Step 1), socio-demographic factors such as Latino ethnicity (Step 2), and psychosocial factors such as crystal methamphetamine use, greater life stress, and lower trait anxiety (Step 3) were predictors of UAI at 6 months. Problem drinking was not a significant predictor. Prevention efforts among MSM living with HIV/AIDS might focus on multiple psychosocial targets, like decreasing their crystal methamphetamine use and teaching coping skills to deal with life stress.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
3.3
作者：
Antoni, MH;Carrico, AW;Schneiderman, N
通讯作者：
Schneiderman, N
影响因子：
6.9
作者：
Fekete, Erin M.;Antoni, Michael H.;Schneiderman, Neil
通讯作者：
Schneiderman, Neil
影响因子：
4.5
作者：
Guy, Rebecca J.;Wand, Handan;Kaldor, John M.
通讯作者：
Kaldor, John M.
DOI：
10.1097/qai.0b013e3181fbca2f
发表时间：
2010-12
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Fisher JD;Smith LR;Lenz EM
通讯作者：
Lenz EM