Availability of combination therapy for HIV: effects on sexual risk taking in a sample of high-risk gay and bisexual men.

Availability of combination therapy for HIV: effects on sexual risk taking in a sample of high-risk gay and bisexual men.
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HIV联合疗法的可用性:对高危同性恋和双性恋男性样本中性冒险的影响。

DOI:
10.1080/0954012021000039734
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发表时间:
2003
期刊:
AIDS care.
影响因子:
--
通讯作者:
McFarland,W
McFarland,W
中科院分区:
--
文献类型:
--
作者:
Dilley,JW;Woods,WJ;Sabatino,J;Rinaldi,J;Lihatsh,T;McFarland,W

文献摘要

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本研究的目的是评估艾滋病毒疾病的医学治疗的成功的影响,对高风险的同性恋和双性恋男子参加匿名检测网站对成为艾滋病毒感染者的看法,并对他们的决定有不安全的性行为。一个横断面调查与面对面的访谈和自我记录的信息。一个方便的高风险的男性寻求匿名的艾滋病毒抗体咨询样本被招募的干预研究。要符合条件,男性必须有至少一个以前的阴性抗体测试和无保护的肛交在过去一年的历史。在入组时,受试者被问及新的治疗发展对他们最近和将来从事高风险性行为的决定的影响。总的来说,无论是最近在治疗艾滋病毒方面取得的成功,还是综合疗法的可用性,都没有对男子关于安全性行为的决定产生任何影响,尽管少数男子报告说,他们对艾滋病毒呈阳性反应的担心较少。此外,一些男性报告说,他们已经承担了更多的风险。总之,在这一高风险人群中,由于最近治疗的进步,少数男性的风险行为增加。这些结果值得继续监测。
The objective of this study was to assess the impact of successes in the medical treatment of HIV disease on the perceptions of high-risk gay and bisexual men attending an anonymous testing site towards becoming infected with HIV and on their decisions to have unsafe sex. A cross-sectional survey with a face-to-face interview and self-recorded information was used. A convenience sample of high-risk men seeking anonymous HIV antibody counselling was recruited for an intervention study. To be eligible, men had to have a history of at least one previous negative antibody test and unprotected anal intercourse within the last year. Upon enrolment, subjects were asked about the impact of new treatment developments on their decisions to engage in high-risk sex both in the recent past and in the future. In general, neither the recent successes in treating HIV nor the availability of combination therapy had any impact on the men's decisions about safe sex, although a minority of men reported less concern about becoming HIV-positive. Also, some men reported already having taken more risk. In conclusion, a small number of men in this high-risk population have increased risk behaviour as a result of recent treatment advances. These results merit continued monitoring.