Remien Robert H, Halkitis Perry N, O'Leary Ann, Wolitski Richard J, Gómez Cynthia A
HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, New York, 10036, USA.
AIDS Behav. 2005 Jun;9(2):167-76. doi: 10.1007/s10461-005-3898-7.
There are reports of increased sexual risk behavior among people on highly active antiretroviral therapy (HAART) due to beliefs about risk of HIV transmission when on HAART. In a cross-sectional study (Seropositive Urban Men's Study), we examined the relationship between risk perception and sexual risk behavior among sexually active, culturally diverse HIV positive men who have sex with men (N = 456). Less than twenty-five percent engaged in unprotected anal sex (either with an HIV negative, or unknown-status partner, or an HIV positive partner) within the past 3 months. Most men believed there was significant health risk (to partner or self) associated with unprotected sex when on HAART. There was no increased risk behavior associated with being on HAART, although the perception of negative health consequences, including HIV transmission, when on HAART was significantly lower for the relatively small subset of men who reported unprotected sex. Prevention strategies need to be tailored to address risk perception associated with HAART.
有报告称，接受高效抗逆转录病毒疗法（HAART）的人群中存在性风险行为增加的情况，原因是他们对接受HAART时的HIV传播风险存在认知。在一项横断面研究（血清阳性城市男性研究）中，我们调查了有性活动、文化背景各异且与男性发生性行为的HIV阳性男性（N = 456）的风险认知与性风险行为之间的关系。在过去3个月内，不到25%的人有过无保护肛交行为（与HIV阴性、身份不明或HIV阳性伴侣）。大多数男性认为，接受HAART时进行无保护性行为会给伴侣或自身带来重大健康风险。接受HAART与风险行为增加并无关联，不过，对于报告有无保护性行为的相对较小男性子集而言，他们对接受HAART时包括HIV传播在内的负面健康后果的认知明显较低。预防策略需要针对与HAART相关的风险认知进行调整。
