Hong Daniel S, Goldstein Risë B, Rotheram-Borus Mary Jane, Wong F Lennie, Gore-Felton Cheryl
Center for Community Health, UCLA Neuropsychiatric Institute, Los Angeles, USA.
AIDS Educ Prev. 2006 Apr;18(2):150-62. doi: 10.1521/aeap.2006.18.2.150.
Persons living with HIV (PLH) often attribute HIV status to sexual partners based on observable partner characteristics. The present study investigated the relationship of sexual behavior with most recent "main" partner to that partner's perceived serostatus among 1,232 PLH interviewed in clinics and community agencies in Los Angeles, California. PLH who believed their most recent main partner to be HIV-negative more often identified partner appearance as a basis for their perceptions than those who believed their most recent main partner to be HIV-positive. PLH who perceived their most recent main partner as HIV-negative were more likely to assume responsibility for partner protection and always to use condoms, and less likely to report recent unprotected vaginal or anal sex with that partner. Unprotected receptive anal intercourse with their most recent main partner was less common among African American, Latino, and White participants who believed that partner to be HIV-negative. Although PLH appear protective toward HIV-negative main partners, interventions to encourage valid methods of identifying partner serostatus are needed.
感染艾滋病毒者（PLH）常常根据性伴侣的明显特征来判断其艾滋病毒感染状况。本研究调查了加利福尼亚州洛杉矶市诊所和社区机构中接受访谈的1232名感染艾滋病毒者与最近“主要”性伴侣的性行为与其对该伴侣感染状况认知之间的关系。认为其最近主要性伴侣为艾滋病毒阴性的感染艾滋病毒者，比那些认为其最近主要性伴侣为艾滋病毒阳性的人，更常将伴侣的外表作为其认知的依据。认为其最近主要性伴侣为艾滋病毒阴性的感染艾滋病毒者，更有可能承担起保护伴侣的责任并始终使用避孕套，且不太可能报告近期与该伴侣发生过无保护的阴道或肛交。在认为其最近主要性伴侣为艾滋病毒阴性的非裔美国人、拉丁裔和白人参与者中，与该伴侣发生无保护的接受性肛交的情况较少见。尽管感染艾滋病毒者似乎会保护艾滋病毒阴性的主要性伴侣，但仍需要采取干预措施来鼓励采用有效的方法识别伴侣的感染状况。
