A novel approach to prevention for at-risk HIV-negative men who have sex with men: creating a teachable moment to promote informed sexual decision-making.
A novel approach to prevention for at-risk HIV-negative men who have sex with men: creating a teachable moment to promote informed sexual decision-making.
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DOI：
10.2105/ajph.2010.191791
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发表时间：
2011-03
影响因子：
12.7
通讯作者：
Pope H
中科院分区：
文献类型：
--
作者：
Eaton LA;Cherry C;Cain D;Pope H
艾滋病毒继续不成比例地影响男男性行为者。由于艾滋病毒在男男性行为者中的影响，同性恋群体内部出现了多种减少艾滋病毒风险的战略。一种常见的降低艾滋病毒风险的策略是将无保护的性伴侣限制在艾滋病毒感染状况相同的人或血清素。虽然血清分选通常用于降低风险，但它与艾滋病毒传播密切相关，因为艾滋病毒检测不频繁，缺乏艾滋病毒状态披露，性传播感染和急性艾滋病毒感染。目前的研究测试了一种新的，简短的，一对一的，同侪顾问提供的干预的基础上知情的决策，以解决血清分选的局限性。招募了149名高危男性，并随机分配到血清分选或标准护理对照的干预条件。在研究随访中，血清分选干预组的男性报告性伴侣较少（Wald X2= 8.79，p =<.01）。以可行的低成本干预措施解决与血清分选相关的风险有可能对艾滋病毒流行产生重大影响。
HIV continues to disproportionately affect men who have sex with men (MSM). As a result of the impact of HIV among MSM, multiple strategies for reducing HIV risks have emerged from within the gay community. One common HIV risk reduction strategy is to limit unprotected sex partners to those who are of the same HIV status, or to serosort. Although serosorting is commonly practiced for risk reduction, it is closely linked to HIV transmission because of infrequent HIV testing, lack of HIV status disclosure, sexually transmitted infections, and acute HIV infection. The current study tested a novel, brief, one-on-one, peer counselor-delivered intervention based on informed decision making, to address the limitations of serosorting. One hundred forty nine at-risk men were recruited and randomly assigned to an intervention condition addressing serosorting or a standard-of-care control. Men in the serosorting intervention reported fewer sexual partners (Wald X2=8.79,p=<.01) at study follow-ups. Addressing risks associated with serosorting in a feasible, low -cost intervention has the potential to significantly impact the HIV epidemic.