Kalichman Seth C, Eaton Lisa, Cain Demetria, Cherry Charsey, Pope Howard, Kalichman Moira
Department of Psychology, University of Connecticut, 406 Babbidge Road, Storrs, CT 06269, USA.
J Behav Med. 2006 Oct;29(5):401-10. doi: 10.1007/s10865-006-9066-3. Epub 2006 Aug 31.
People are living longer and healthier with HIV infection because of successful combination antiretroviral therapies. HIV treatment beliefs are often associated with sexual practices among people living with HIV/AIDS but these associations may depend on the HIV status of sex partners. In a sample of 158 HIV positive men and women who were receiving HIV treatments, we examined the association between HIV treatment beliefs, HIV transmission risk perceptions, medication adherence, viral load and engaging in unprotected intercourse with any sex partners and specifically with sex partners who were not HIV positive (non-concordant). Results showed having missed medications in the past two days and treatment-related beliefs were significantly associated with engaging in unprotected intercourse with all sex partners as well as non-concordant partners. However, multivariate models showed that only treatment beliefs were significantly associated with engaging in unprotected intercourse with non-concordant partners. These results extend past research by demonstrating that the HIV status of sex partners sets the context for whether prevention-related treatment beliefs are associated with HIV transmission risk behaviors among people living with HIV/AIDS.
由于成功的抗逆转录病毒联合疗法，感染艾滋病毒的人寿命更长且更健康。艾滋病毒治疗观念通常与艾滋病毒/艾滋病感染者的性行为有关，但这些关联可能取决于性伴侣的艾滋病毒感染状况。在158名接受艾滋病毒治疗的艾滋病毒阳性男性和女性样本中，我们研究了艾滋病毒治疗观念、艾滋病毒传播风险认知、药物依从性、病毒载量与与任何性伴侣尤其是与非艾滋病毒阳性（不一致）性伴侣进行无保护性行为之间的关联。结果显示，在过去两天内漏服药物以及与治疗相关的观念与与所有性伴侣以及不一致性伴侣进行无保护性行为显著相关。然而，多变量模型显示，只有治疗观念与与不一致性伴侣进行无保护性行为显著相关。这些结果扩展了以往的研究，表明性伴侣的艾滋病毒感染状况为与预防相关的治疗观念是否与艾滋病毒/艾滋病感染者的艾滋病毒传播风险行为相关设定了背景。
