Decisions to get HIV tested and to accept antiretroviral therapies among gay/bisexual men: implications for secondary prevention efforts.
Decisions to get HIV tested and to accept antiretroviral therapies among gay/bisexual men: implications for secondary prevention efforts.
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男同性恋/双性恋男性接受艾滋病毒检测和接受抗逆转录病毒治疗的决定：对二级预防工作的影响。
DOI：
10.1097/00042560-199602010-00006
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Diaz,R
中科院分区：
文献类型：
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作者：
Stall,R;Hoff,C;Coates,TJ;Paul,J;Phillips,KA;Ekstrand,M;Kegeles,S;Catania,J;Daigle,D;Diaz,R
本研究的目的是报告艾滋病毒血清阳性个体遵守治疗艾滋病毒感染的医疗建议的流行率，这种行为模式被称为艾滋病二级预防。我们报告了 1992 年在亚利桑那州图森和俄勒冈州波特兰收集的两个家庭同性恋/双性恋男性样本和两个酒吧样本的横断面数据 (n= 2,593)。主要结果变量是艾滋病毒抗体检测的流行率以及遵守建议的二级预防行为以预防艾滋病症状的出现。这些样本中大约三分之一的男同性恋/双性恋男性不知道他们目前的艾滋病毒状况。在确实知道自己艾滋病毒血清呈阳性的男同性恋/双性恋男性中，大约四分之三的人遵守适合其疾病进展阶段的每项二级预防建议。在多变量逻辑模型中，三个变量区分了遵守和不遵守的艾滋病毒血清阳性男性：感知的抗病毒治疗规范（OR = 1.4，CI = 1.1-1.7）、感知的二级预防治疗疗效（OR = 1.4，CI = 1.1-1.7）以及与医疗保健提供者的关系质量（OR = 2.5，CI = 1.6-4.0）。这些发现表明，支持艾滋病二级预防行为的努力不仅可以通过健康教育来改变高危社区对延缓艾滋病毒血清阳性个体机会性感染发作的选择的看法，还可以通过加强有效的医患沟通来实现。
The objective of this study was to report prevalence rates of adherence by HIV-seropositive individuals to medical recommendations for the treatment of HIV infection, a behavioral pattern referred to as AIDS secondary prevention. We report cross-sectional data (n= 2,593) from two household-based and two bar-based samples of gay/bisexual men, gathered in 1992 in Tucson, Arizona, and Portland, Oregon. The main outcome variables were prevalence of HIV antibody testing and adherence to recommended secondary prevention behaviors to prevent onset of AIDS symptoms. Approximately one-third of the gay/bisexual men in these samples do not know their current HIV status. Of the gay/bisexual men who do know that they are HIV-seropositive, approximately three-fourths adhere to each of the secondary prevention recommendations, as appropriate to their stage of disease progression. In a multivariate logistic model, three variables distinguished between HIV-seropositive men who did and did not adhere: perceived antiviral treatment norms (OR= 1.4, CI= 1.1-1.7), perceived efficacy of secondary prevention treatments (OR= 1.4, CI= 1.1-1.7), and quality of the relationship with one's health-care provider (OR= 2.5, CI= 1.6-4.0). These findings indicate that efforts to support AIDS secondary prevention behaviors can occur not only through health education to change the perceptions of at-risk communities about the options available to delay the onset of opportunistic infections among HIV-seropositive individuals but also by enhancing effective doctor/patient communication.