HIV/AIDS Complacency and HIV Infection Among Young Men Who Have Sex With Men, and the Race-Specific Influence of Underlying HAART Beliefs
HIV/AIDS Complacency and HIV Infection Among Young Men Who Have Sex With Men, and the Race-Specific Influence of Underlying HAART Beliefs
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DOI：
10.1097/olq.0b013e31820d5a77
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发表时间：
2011-08-01
影响因子：
3.1
通讯作者：
Torian, Lucia V.
中科院分区：
文献类型：
--
作者：
MacKellar, Duncan A.;Hou, Su-I;Torian, Lucia V.
背景资料：在美国男男性行为者（MSM）中，艾滋病毒/艾滋病自满情绪和对高效抗逆转录病毒疗法（HAART）对艾滋病毒感染风险有效性的信念的影响尚不清楚。我们分析了1998-2000年对1575名年龄在23至29岁之间的MSM进行的横断面调查的数据，这些MSM从未检测过HIV或最近一次检测过HIV。结果：作为对HAART减少HIV/AIDS关注的强烈支持，HIV/AIDS自满与报告≥ 10名男性性伴侣有关（比值比[OR]，2.94; 95%置信区间[CI]，2.12-4.07），与HIV阳性或HIV未知状态男性伴侣无保护肛交（OR，2.06; 95%CI，1.51-2.81），和HIV检测阳性（调整OR [AOR]，2.35; 95%CI，1.38-3.98）。强烈支持HAART减轻艾滋病毒/艾滋病严重程度的信念在黑人中更为普遍（21.8%）西班牙裔（21.3%）比白色（9.6%）男男性行为者（P < 0.001），并且与黑人中的HIV检测阳性相关性更强（AOR，4.65; 95% CI，1.97-10.99）和西班牙裔（AOR，4.12; 95% CI，1.58-10.70）（AOR，1.62; 95% CI，0.64-4.11）MSM。年轻的男男性接触者，谁是自满的艾滋病毒/艾滋病，因为高效抗逆转录病毒治疗可能更容易从事危险行为和获得艾滋病毒。针对艾滋病毒/艾滋病自满作为一种手段，以减少年轻男男性接触者的艾滋病毒发病率的计划，应考虑到强烈的HAART疗效信念的流行和这些信念对艾滋病毒感染风险的影响可能会因种族/民族而有很大差异。
Background: Among men who have sex with men (MSM) in the United States, the influence of HIV/AIDS complacency and beliefs about the efficacy of highly active antiretroviral therapy (HAART) on HIV-infection risk is unknown.Methods: We analyzed data from a 1998-2000 cross-sectional 6-city survey of 1575 MSM aged 23 to 29 years who had never tested for HIV or had last tested HIV-negative to assess these plausible influences overall and by race/ethnicity.Findings: Measured as strong endorsement for reduced HIV/AIDS concern due to HAART, HIV/AIDS complacency was associated with reporting >= 10 male sex partners (odds ratio [OR], 2.94; 95% confidence interval [CI], 2.12-4.07), unprotected anal intercourse with an HIV-positive or HIV-unknown-status male partner (OR, 2.06; 95% CI, 1.51-2.81), and testing HIV-positive (adjusted OR [AOR], 2.35; 95% CI, 1.38-3.98). Strong endorsement of the belief that HAART miti-gates HIV/AIDS severity was more prevalent among black (21.8%) and Hispanic (21.3%) than white (9.6%) MSM (P < 0.001), and was more strongly associated with testing HIV-positive among black (AOR, 4.65; 95% CI, 1.97-10.99) and Hispanic (AOR, 4.12; 95% CI, 1.58-10.70) than white (AOR, 1.62; 95% CI, 0.64-4.11) MSM.Conclusions: Young MSM who are complacent about HIV/AIDS because of HAART may be more likely to engage in risk behavior and acquire HIV. Programs that target HIV/AIDS complacency as a means to reduce HIV incidence among young MSM should consider that both the prevalence of strong HAART-efficacy beliefs and the effects of these beliefs on HIV-infection risk might differ considerably by race/ethnicity.