Indicators for sexual HIV transmission risk among people in Thailand attending HIV care: the importance of positive prevention
Indicators for sexual HIV transmission risk among people in Thailand attending HIV care: the importance of positive prevention
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DOI：
10.1136/sti.2008.032532
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发表时间：
2009-02-01
影响因子：
3.6
通讯作者：
Fox, K. K.
中科院分区：
文献类型：
--
作者：
Tunthanathip, P.;Lolekha, R.;Fox, K. K.
背景：泰国几乎一半的艾滋病毒新感染发生在艾滋病毒感染者的低风险伴侣中，因此将艾滋病毒感染者纳入预防工作非常重要。方法：对在泰国国家传染病研究所接受常规护理的艾滋病毒感染者进行艾滋病毒传播风险评估。评估了性危险行为、性传播感染（性传播感染-梅毒、淋病、衣原体、滴虫病和生殖器溃疡）的流行情况和艾滋病毒的披露情况。向患者提供性传播感染护理、降低风险和艾滋病毒信息披露咨询。结果：从2005年7月到2006年9月，对894名HIV感染者（395名男性和499名女性）的基线数据进行了评估。最后一次无保护的性行为与艾滋病毒状况未知或阴性的伴侣（不安全的性行为）很常见（33.2%），与稳定的异性伴侣相比，与随意的、商业性的或男性对男性的性伴侣发生性行为的可能性更大（p= 0.03）。接受抗逆转录病毒治疗的人报告不安全性行为的可能性较低
Background: Almost half of all new HIV infections in Thailand occur among low-risk partners of people infected with HIV, so it is important to include people infected with HIV in prevention efforts.Methods: Risk for HIV transmission was assessed among people with HIV attending routine care at the National Infectious Disease Institute in Thailand. Sexual risk behaviour, sexually transmitted infection (STI-syphilis, gonorrhoea, chlamydia, trichomoniasis and genital ulcers) prevalence and HIV disclosure status were assessed. Patients were provided with STI care, risk-reduction and HIV disclosure counselling.Results: Baseline data were assessed among 894 consecutive people with HIV (395 men and 499 women) from July 2005 to September 2006. Unprotected last sex with a partner of unknown or negative HIV status (unsafe sex) was common (33.2%) and more likely with casual, commercial or male-to-male sex partners than with steady heterosexual partners (p= 0.03). People receiving antiretroviral treatment were less likely to report unsafe sex (p