Kiene Susan M, Christie Sarah, Cornman Deborah H, Fisher William A, Shuper Paul A, Pillay Sandy, Friedland Gerald H, Fisher Jeffrey D
Center for Health/HIV Intervention and Prevention, Department of Psychology, University of Connecticut, Storrs, CT, USA.
AIDS. 2006 Aug 22;20(13):1781-4. doi: 10.1097/01.aids.0000242827.05120.55.
We assessed the incidence and predictors of unprotected sex among 152 HIV-positive patients in clinical care in KwaZulu-Natal, South Africa. Nearly 50% were sexually active; 30% of those reported unprotected sex. Alcohol use during sex, reporting forced sex, sex with a perceived HIV-positive partner, and sex with a casual partner predicted more unprotected sex, whereas HIV status disclosure was related to less unprotected sex. These findings highlight the need for linking HIV prevention and care in Africa.
我们评估了南非夸祖鲁 - 纳塔尔省152名接受临床护理的HIV阳性患者中无保护性行为的发生率及预测因素。近50%的患者有性活动;其中30%报告有过无保护性行为。性行为期间饮酒、报告被迫性行为、与认为是HIV阳性的伴侣发生性行为以及与临时伴侣发生性行为预示着更多的无保护性行为,而披露HIV感染状况则与较少的无保护性行为有关。这些发现凸显了在非洲将HIV预防与护理相联系的必要性。