Are HIV-negative men who have sex with men and who bareback concerned about HIV infection? Implications for HIV risk reduction interventions.
Are HIV-negative men who have sex with men and who bareback concerned about HIV infection? Implications for HIV risk reduction interventions.
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DOI：
10.1007/s10508-011-9886-2
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发表时间：
2013-02
影响因子：
3.8
通讯作者：
Ford, Jordan
中科院分区：
文献类型：
--
作者：
Balan, Ivan C.;Carballo-Dieguez, Alex;Ventuneac, Ana;Remien, Robert H.;Dolezal, Curtis;Ford, Jordan
男男性行为者中出现裸背（在有感染艾滋病毒风险的情况下故意无保护的肛交）的部分原因是抗逆转录病毒治疗的改善减少了与艾滋病毒有关的关切。重要的是要了解这些男性对艾滋病毒感染的关注程度，因为这可能影响他们对减少风险行为的兴趣，以及他们可能参与减少风险干预的程度。作为一项关于使用互联网寻找性伴侣的男男性行为者的研究的一部分，89名种族和种族不同的男性完成了一项深入的定性访谈和一项基于计算机的定量评估，这些男性报告从未有过艾滋病毒阳性检测结果。在定性访谈中，有82名男性被问及对艾滋病毒感染的担忧，其中30人表示“非常担心”感染艾滋病毒，42人表示“中度担心”，10人表示“不太担心”。在不同程度的关注中出现的主题是他们对艾滋病毒感染严重程度的看法，有艾滋病毒阳性的朋友，以及他们自己易受艾滋病毒感染。然而，这些主题因关注程度的不同而不同。在降低艾滋病毒感染风险的最常见方法中，参与者提到避免艾滋病毒阳性的性伴侣，限制与他们裸背的伴侣的数量，以及不允许伴侣在他们的直肠内射精。研究结果表明，许多不戴安全套的男男性接触者可以接受不完全依赖安全套的艾滋病预防措施。
The emergence of barebacking (intentional unprotected anal intercourse in situations where there is risk of HIV infection) among men who have sex with men (MSM) has been partially attributed to a decrease in HIV-related concerns due to improved anti-retroviral treatment. It is important to understand the level of concern these men have regarding HIV infection because it can affect their interest in risk reduction behaviors as well as their possible engagement in risk reduction interventions. As part of a study on MSM who use the Internet to seek sexual partners, 89 ethnic and racially diverse men who reported never having an HIV-positive test result completed an in-depth qualitative interview and a computer-based quantitative assessment. Of the 82 men who were asked about concerns of HIV infection during the qualitative interviews, 30 expressed “significant concern” about acquiring HIV, while 42 expressed “moderate concern,” and 10 expressed “minimal concern. Themes that emerged across the different levels of concern were their perceptions of the severity of HIV infection, having friends who are HIV positive, and their own vulnerability to HIV infection. However, these themes differed depending on the level of concern. Among the most frequently mentioned approaches to decrease risk of HIV infection, participants mentioned avoiding HIV-positive sex partners, limiting the number of partners with whom they barebacked, and not allowing partners to ejaculate inside their rectum. Findings suggest that many MSM who bareback would be amenable to HIV prevention efforts that do not depend solely on condom use.
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