HIV treatment beliefs and sexual transmission risk behaviors among HIV positive men and women
HIV treatment beliefs and sexual transmission risk behaviors among HIV positive men and women
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DOI：
10.1007/s10865-006-9066-3
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发表时间：
2006-10-01
影响因子：
3.1
通讯作者：
Kalichman, Moira
中科院分区：
文献类型：
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作者：
Kalichman, Seth C.;Eaton, Lisa;Kalichman, Moira
由于成功的联合抗逆转录病毒疗法，艾滋病毒感染者的寿命更长、更健康。艾滋病毒治疗信念通常与艾滋病毒/艾滋病感染者的性行为有关，但这些关联可能取决于性伴侣的艾滋病毒状况。在接受 HIV 治疗的 158 名 HIV 阳性男性和女性样本中，我们研究了 HIV 治疗信念、HIV 传播风险认知、药物依从性、病毒载量以及与任何性伴侣（特别是与非 HIV 阳性性伴侣（不一致）进行无保护性交之间的关联）。结果显示，过去两天漏服药物和与治疗相关的信念与与所有性伴侣以及不一致的伴侣进行无保护的性行为显着相关。然而，多变量模型表明，只有治疗信念与与不一致的伴侣进行无保护性交显着相关。这些结果扩展了过去的研究，表明性伴侣的艾滋病毒状况为艾滋病毒/艾滋病感染者中与预防相关的治疗信念是否与艾滋病毒传播风险行为相关提供了背景。
People are living longer and healthier with HIV infection because of successful combination antiretroviral therapies. HIV treatment beliefs are often associated with sexual practices among people living with HIV/AIDS but these associations may depend on the HIV status of sex partners. In a sample of 158 HIV positive men and women who were receiving HIV treatments, we examined the association between HIV treatment beliefs, HIV transmission risk perceptions, medication adherence, viral load and engaging in unprotected intercourse with any sex partners and specifically with sex partners who were not HIV positive (non-concordant). Results showed having missed medications in the past two days and treatment-related beliefs were significantly associated with engaging in unprotected intercourse with all sex partners as well as non-concordant partners. However, multivariate models showed that only treatment beliefs were significantly associated with engaging in unprotected intercourse with non-concordant partners. These results extend past research by demonstrating that the HIV status of sex partners sets the context for whether prevention-related treatment beliefs are associated with HIV transmission risk behaviors among people living with HIV/AIDS.