Impact of combination therapies on HIV risk perceptions and sexual risk among HIV-positive and HIV-negative gay and bisexual men
Impact of combination therapies on HIV risk perceptions and sexual risk among HIV-positive and HIV-negative gay and bisexual men
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DOI：
10.1037//0278-6133.19.2.134
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发表时间：
2000-03-01
影响因子：
4.2
通讯作者：
Hope, BA
中科院分区：
文献类型：
--
作者：
Vanable, PA;Ostrow, DG;Hope, BA
改进的艾滋病毒治疗方法的可用性可能会减少对艾滋病毒和性风险的关注。男同性恋和双性恋男性（N = 5554, 17%艾滋病毒阳性）完成了治疗态度、性风险和性伴侣传染性假设的测量。有相当一部分人报告说，治疗进展减少了对艾滋病毒的担忧。降低对HN的关注是性风险的独立预测因子，特别是在hiv阳性的男性中。在与艾滋病毒阳性伴侣发生性行为的假设场景中，参与者认为，与未接受联合治疗的血清阳性伴侣相比，如果伴侣正在接受联合治疗且病毒载量无法检测到，则发生无保护性行为的风险较低。预防工作必须解决最近治疗成功所引起的态度转变，强调安全性行为的持续重要性，以及无法检测到的病毒载量并不能消除感染风险。
The availability of improved HIV treatments may prompt reduced concern about HIV and sexual risk. Gay and bisexual men (N = 554, 17% HIV-positive) completed measures of treatment attitudes, sexual risk, and assumptions regarding the infectiousness of sexual partners. A substantial minority reported reduced HIV concern related to treatment advances. Reduced HN concern was an independent predictor of sexual risk, particularly among HIV-positive men. In response to hypothetical scenarios describing sex with an HIV-positive partner, participants rated the risk of unprotected sex to be lower if the partner was taking combination treatments and had an undetectable viral load, relative to scenarios with a seropositive partner not taking combination treatments. Prevention efforts must address attitudinal shifts prompted by recent treatment successes, stressing the continued importance of safer sex, and that an undetectable viral load does not eliminate infection risks.