Gerbert B, Herzig K, Volberding P, Stansell J
AIDS Program, San Francisco General Hospital, University of California San Francisco, 1001 Potrero Avenue, San Francisco, CA 94110, USA.
Patient Educ Couns. 1999 Sep;38(1):49-60. doi: 10.1016/s0738-3991(98)00139-6.
We explored health care professionals' beliefs and methods for counseling patients about risks for transmitting human immunodeficiency virus (HIV) through oral sex and HIV-seropositive patients' beliefs and practices regarding oral sex behavior. Health care professionals used divergent counseling strategies, avoided specific recommendations, and expressed ambivalence about recommending barrier protection for oral sex. Patients expressed differing beliefs about oral sex risk; the majority have engaged in unprotected oral sex since diagnosis. Few professionals or patients mentioned oral sex risk for other sexually transmitted diseases (STDs), which can be cofactors for HIV. Although scientific evidence indicates a potential risk for transmitting HIV via oral sex, and patients in our sample want more information about this risk, the health care professionals we interviewed have adopted a largely noncommittal approach to communicating potential risk to patients. Health care professionals should consider discussing more specifically with patients the oral sex risk for transmission of HIV and other sexually transmitted diseases.
我们探讨了医护人员对于就通过口交传播人类免疫缺陷病毒（HIV）的风险向患者提供咨询的信念和方法，以及HIV血清反应阳性患者对口交行为的信念和做法。医护人员采用了不同的咨询策略，避免给出具体建议，并且对于推荐口交时使用屏障保护措施表现出矛盾态度。患者对口交风险表达了不同的信念；大多数患者自确诊以来都有过无保护口交行为。很少有医护人员或患者提及口交感染其他性传播疾病（STD）的风险，而这些疾病可能是HIV的协同因素。尽管科学证据表明通过口交传播HIV存在潜在风险，且我们样本中的患者希望获得更多关于此风险的信息，但我们采访的医护人员在向患者传达潜在风险时大多采取不表态的方式。医护人员应考虑更具体地与患者讨论口交传播HIV和其他性传播疾病的风险。
