Influence of a partner's HIV serostatus, use of highly active antiretroviral therapy, and viral load on perceptions of sexual risk behavior in a community sample of men who have sex with men
Influence of a partner's HIV serostatus, use of highly active antiretroviral therapy, and viral load on perceptions of sexual risk behavior in a community sample of men who have sex with men
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DOI：
10.1097/00042560-200112150-00011
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发表时间：
2001-12-15
期刊：
影响因子：
--
通讯作者：
Ertl, T
中科院分区：
文献类型：
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作者：
Suarez, TP;Kelly, JA;Ertl, T
目的：为了评估的看法，男同性恋和双性恋男子通过各种性行为与一个新的性伴侣的艾滋病毒传播的风险，这取决于该合作伙伴的披露的艾滋病病毒的状态，抗逆转录病毒治疗的状态，和viral load.Methods：研究参与者阅读四种不同的情况下描述性的情况下，与一个新的合作伙伴和评价每个方案的艾滋病毒传播的风险。艾滋病毒的状态和抗逆转录病毒治疗状态披露的新的性伴侣是不同的四种情况：未知的艾滋病毒状态;艾滋病毒阴性;艾滋病毒阳性，不采取高效抗逆转录病毒疗法（HAART）;和艾滋病毒阳性，并采取HAART与检测不到的病毒load.Results：研究参与者是472名男子参加同性恋骄傲节谁报告说，他们是艾滋病毒阴性。89%的男性是白色，研究参与者的平均年龄为35.8岁。在这四种情况中，与艾滋病毒阳性伴侣发生性关系而不服用HAART被评为风险最大。与艾滋病毒阳性的合作伙伴采取HAART谁有一个无法检测的病毒载量的性行为并不一致被视为风险比与艾滋病毒阴性的合作伙伴或一个男人与一个未知的HIV status.Conclusions：目前的研究提供了初步证据的影响披露的艾滋病毒血清状态，使用HAART，并存在一个无法检测的病毒载量对艾滋病毒阴性的男性的性风险的看法。研究结果表明，一些男同性恋和双性恋男子根据其性伴侣的艾滋病毒感染状况来判断风险，而不是像许多预防运动所强调的那样，根据所有性伴侣都面临同等风险的一般假设来判断风险。
Objective: To assess the perceptions of gay and bisexual men concerning the risk of HIV transmission through various sexual practices with a new sex partner depending on that partner's disclosed HIV status, antiretroviral treatment status, and viral load.Methods: Study participants read four different scenarios describing sexual situations with a new partner and rated each scenario for risk of HIV transmission. HIV status and antiretroviral treatment status disclosed by the new sex partner were varied across four scenarios: unknown HIV status; HIV-negative; HIV-positive and not taking highly active antiretroviral therapy (HAART); and HIV-positive and taking HAART with an undetectable viral load.Results: Study participants were 472 men attending a gay pride festival who reported that they were HIV-negative. Eighty-nine percent of the men were white, and the mean age of the study participants was 35.8 years. Of the four scenarios, sex with an HIV-positive partner not taking HAART was rated as posing the greatest risk. Sex with an HIV-positive partner taking HAART who had an undetectable viral load was not consistently viewed as riskier than sex with an HIV-negative partner or a man with an unknown HIV status.Conclusions: The current study provides preliminary evidence for the effect of disclosure of HIV serostatus, use of HAART, and the presence of an undetectable viral load on the perceptions of sexual risk for HIV-negative men. The findings suggest that some gay and bisexual men judge risk based on the perceived HIV status of their sex partners and not on the general assumption that all sex partners entail equal risk, as many prevention campaigns have emphasized.