Sexual risk behavior and risk reduction beliefs among HIV-positive young men who have sex with men.

Sexual risk behavior and risk reduction beliefs among HIV-positive young men who have sex with men.
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与男性发生性关系的艾滋病毒阳性年轻人之间的性风险行为和降低风险信念。

DOI:
10.1007/s10461-012-0155-8
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发表时间:
2013-05
期刊:
影响因子:
4.4
通讯作者:
Suleta, Katie
Suleta, Katie
中科院分区:
医学2区
文献类型:
--
作者:
Bruce, Douglas;Harper, Gary W.;Suleta, Katie

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在美国,男男性行为者(YMSM)继续受到艾滋病毒/艾滋病流行病的不成比例的影响,针对这一人群的二级预防工作日益重要。我们调查了从14个HIV初级保健中心招募的200名HIV阳性YMSM(年龄16-24岁,66%黑人,18%拉丁裔,7%白色,7%多种族/其他),以检查无保护肛交(UAI)和伴侣HIV状态与血清分类、性姿势和病毒载量信念的相关性。在过去的三个月里,参与UAI一次或多次的参与者比例在UAI类型(插入或接受)和伴侣状态之间是一致的。认为检测不到的病毒载量会降低传染性与HIV阴性或未知状态伴侣的插入性UAI(p<0.05)和接受性UAI(p<0.05)以及HIV阳性伴侣的接受性UAI(p<0.01)显著相关。对血清分类的信念的认可与HIV阳性男性伴侣的接受性UAI(p<0.01)和插入性UAI(p<0.05)显著相关。性行为和降低风险的信念在这一人群的影响进行了讨论。
With young men who have sex with men (YMSM) continuing to be disproportionately affected by the HIV/AIDS epidemic in the U.S., secondary prevention efforts with this population take on increasing significance. We surveyed 200 HIV-positive YMSM (ages 16–24, 66% Black, 18% Latino, 7% White, 7% Multiracial/Other) recruited from 14 HIV primary care sites to examine associations of unprotected anal intercourse (UAI) and partner HIV status with endorsement of serosorting, sexual positioning, and viral load beliefs. Proportions of participants engaging in UAI one or more times during the past three months were consistent across type of UAI (insertive or receptive) and partner status. Belief that an undetectable viral load reduces infectiousness was significantly associated with insertive UAI (p<.05) and receptive UAI (p<.05) with HIV-negative or unknown-status partners and receptive UAI with HIV-positive partners (p<.01). Endorsement of belief in serosorting was significantly associated with receptive UAI (p<.01) and insertive UAI (p<.05) with HIV-positive male partners. Implications for sexual behavior and risk reduction beliefs in this population are discussed.
DOI: 10.2105/ajph.90.7.1037
发表时间: 2000-07-01
影响因子: 12.7
作者:
Fleming, PL;Wortley, PM;Janssen, RS
通讯作者: Janssen, RS
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发表时间: 2007-12-01
影响因子: 3.1
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DOI: 10.1097/00002030-200207260-00011
发表时间: 2002-07-26
期刊: AIDS
影响因子: 3.8
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DOI: 10.1097/01.olq.0000260919.34598.5b
发表时间: 2007-10-01
影响因子: 3.1
作者:
Dougan, Sarah;Evans, Barry G.;Elford, Jonathan
通讯作者: Elford, Jonathan