Hart Trevor A, Wolitski Richard J, Purcell David W, Parsons Jeffrey T, Gómez Cynthia A
York University, York.
AIDS Behav. 2005 Jun;9(2):155-66. doi: 10.1007/s10461-005-3897-8.
Prior research has provided conflicting evidence about the association between partner awareness of an HIV-seropositive person's serostatus and HIV transmission behavior via unprotected intercourse. The current study examined partner awareness of participant HIV-seropositive status and sexual behavior in a multiethnic sample of HIV-seropositive men who have sex with men. Most HIV-seropositive men reported that their primary partners are aware, and most reported that at least some non-primary partners are aware the participant was HIV-seropositive before first having sex. Partner awareness of participant HIV-serostatus was related to unprotected sexual behavior during the past 3 months in a non-linear fashion, as men with partners who were inconsistently aware had higher rates of unprotected receptive anal intercourse than men with partners who were consistently aware or consistently unaware. Men with partners who were inconsistently aware also had higher rates of insertive oral intercourse than men with partners who were consistently aware. However, there were no differences in HIV transmission risk behavior between men with partners who were consistently aware and men with partners who were consistently unaware a participant was HIV-seropositive.
先前的研究对于艾滋病毒血清呈阳性者的性伴侣对其血清学状态的知晓情况与通过无保护性交传播艾滋病毒行为之间的关联给出了相互矛盾的证据。当前的研究在一个与男性发生性行为的艾滋病毒血清呈阳性的多民族样本中，考察了性伴侣对参与者艾滋病毒血清阳性状态的知晓情况及性行为。大多数艾滋病毒血清呈阳性的男性报告称其主要性伴侣知晓情况，且大多数报告称至少一些非主要性伴侣在首次发生性行为前知晓参与者艾滋病毒血清呈阳性。性伴侣对参与者艾滋病毒血清学状态的知晓情况与过去3个月内的无保护性行为呈非线性相关，因为性伴侣知晓情况不一致的男性进行无保护接受性肛交的比例高于性伴侣知晓情况一致或始终不知晓的男性。性伴侣知晓情况不一致的男性进行插入式口交的比例也高于性伴侣知晓情况一致的男性。然而，性伴侣始终知晓参与者艾滋病毒血清呈阳性的男性与性伴侣始终不知晓的男性在艾滋病毒传播风险行为方面并无差异。
