HIV Disclosure, Condom Use, and Awareness of HIV Infection Among HIV-Positive, Heterosexual Drug Injectors in St. Petersburg, Russian Federation
HIV Disclosure, Condom Use, and Awareness of HIV Infection Among HIV-Positive, Heterosexual Drug Injectors in St. Petersburg, Russian Federation
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DOI：
10.1007/s10461-010-9775-z
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发表时间：
2011-01-01
影响因子：
4.4
通讯作者：
Heimer, Robert
中科院分区：
文献类型：
--
作者：
Grau, Lauretta E.;White, Edward;Heimer, Robert
我们调查了俄罗斯圣彼得堡艾滋病毒阳性药物注射者（IDUs）向性伴侣披露艾滋病毒的流行程度，并比较了避孕套使用与艾滋病毒感染意识和向性伴侣披露的关联程度和方向。在157名感染艾滋病毒的参与者中，最后一次性交时的感染意识与被认为是艾滋病毒阴性的伴侣使用避孕套有关（比值比6.68,95% CI 1.60-27.88）。在70名在入组前意识到自己感染的参与者中，向潜在未感染的性伴侣披露与避孕套的使用是独立且负相关的（aOR 0.13, 95% CI 0.02-0.66）。披露与每千分之一日元注射9年（aOR 6.04, 95% CI 1.53-23.77）和与另一个IDU （aOR 3.61, 95% CI 1.44-9.06）或hiv血清阳性（aOR 45.12, 95% CI 2.79-730.46）独立相关。建议扩大艾滋病毒检测服务和干预措施，以提高个人获得检测结果的可能性。
We examined the prevalence of HIV disclosure to sexual partners by HIV-positive drug injectors (IDUs) in St. Petersburg, Russia and compared the magnitude and direction of associations of condom use with awareness of one's HIV infection and disclosure to partners. Among 157 HIV-infected participants, awareness of infection at time of last intercourse was associated with condom use with partners perceived to be HIV-negative (aOR 6.68, 95% CI 1.60-27.88). Among the 70 participants aware of their infection prior to enrolment, disclosure to potentially uninfected sexual partners was independently and negatively associated with condom use (aOR 0.13, 95% CI 0.02-0.66). Disclosure was independently associated with having injected a parts per thousand yen9 years (aOR 6.04, 95% CI 1.53-23.77) and partnership with another IDU (aOR 3.61, 95% CI 1.44-9.06) or HIV-seropositive (aOR 45.12, 95% CI 2.79-730.46). Scaling up HIV testing services and interventions that increase the likelihood of individuals receiving their test results is recommended.