Partner awareness of the serostatus of HIV-seropositive men who have sex with men:: Impact on unprotected sexual behavior
Partner awareness of the serostatus of HIV-seropositive men who have sex with men:: Impact on unprotected sexual behavior
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DOI：
10.1007/s10461-005-3897-8
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发表时间：
2005-06-01
影响因子：
4.4
通讯作者：
Gómez, CA
中科院分区：
文献类型：
--
作者：
Hart, TA;Wolitski, RJ;Gómez, CA
先前的研究提供了有关伴侣对艾滋病毒阳性人血清的意识与通过未受保护的性交之间的关联的矛盾证据。当前的研究检查了伴侣对与男性发生性关系的艾滋病毒阳性男性的多民族样本中对参与者艾滋病毒的阳性状况和性行为的认识。大多数艾滋病毒阳性男性报告说，他们的主要伴侣都知道，大多数人报告说，至少有一些非主要伴侣知道参与者在首次发生性行为之前是艾滋病毒的阳性。伴侣对参与者HIV-Serostatus的意识与过去三个月的非保护性行为有关，因为与始终意识到或始终如一地意识到或一贯意识到的伴侣的男人相比，患有伴侣的男人的接受率不一致。一贯不知道。与始终如一的合作伙伴相比，与伴侣的伴侣的男性同样不一致地插入口服性交的率也更高。但是，与伴侣一贯意识到的男性和与伴侣始终不知道参与者的伴侣的男性之间的艾滋病毒传播风险行为没有差异。
Prior research has provided conflicting evidence about the association between partner awareness of an HIV-seropositive person's serostatus and HIV transmission behavior via unprotected intercourse. The current study examined partner awareness of participant HIV-seropositive status and sexual behavior in a multiethnic sample of HIV-seropositive men who have sex with men. Most HIV-seropositive men reported that their primary partners are aware, and most reported that at least some non-primary partners are aware the participant was HIV-seropositive before first having sex. Partner awareness of participant HIV-serostatus was related to unprotected sexual behavior during the past 3 months in a non-linear fashion, as men with partners who were inconsistently aware had higher rates of unprotected receptive anal intercourse than men with partners who were consistently aware or consistently unaware. Men with partners who were inconsistently aware also had higher rates of insertive oral intercourse than men with partners who were consistently aware. However, there were no differences in HIV transmission risk behavior between men with partners who were consistently aware and men with partners who were consistently unaware a participant was HIV-seropositive.